NPIMap

Organization Active NPI

Professional Associates Health Care of Georgia

  • Addiction (Substance Use Disorder) Counselor
  • Griffin, GA
National Provider Identifier
1942548466
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
PROFESSIONAL ASSOCIATES HEALTH CARE OF GEORGIA
Practice address
316 S 9TH St
Griffin, GA 30224-4159
Phone
(770) 233-8778
Fax
(678) 565-8496
NPI assigned
Jan 17, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sony Joseph
Title
Cfo
Phone
(770) 233-8778

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X Primary

Addresses

Primary practice location

316 S 9TH St
Griffin, GA 30224-4159

Mailing address

316 S 9TH St
Griffin, GA 30224-4159
Phone (707) 233-8778

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1358380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710374400000",
    "number": "1942548466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 S 9TH ST",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302244159",
            "telephone_number": "707-233-8778",
            "fax_number": "678-565-8496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 S 9TH ST",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302244159",
            "telephone_number": "770-233-8778",
            "fax_number": "678-565-8496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL ASSOCIATES HEALTH CARE OF GEORGIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-17",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "SONY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "770-233-8778"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Griffin, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.