Majestic Visions Alliances, Inc.

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

MAJESTIC VISIONS ALLIANCES, INC.

Practice address

5150 Cochran Mill Rd
Fairburn, GA 30213-2121

Phone

(770) 774-3230

Fax

(770) 774-9782

NPI assigned

Nov 27, 2018

Organization subpart

No

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

Authorized official

Name

Mervin Lynn Wilson

Title

Director

Phone

(404) 748-8255

Specialties & licenses 1

Addresses

Tax ID family

Majestic Visions Alliances Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Majestic Visions Alliances, Inc.

  • Adult Day Care Clinic/Center
  • Fairburn, GA
  • NPI 1295205979
  NPD tax ID

Locations

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

{
    "created_epoch": "1543276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543276800000",
    "number": "1942770599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4405 CASCADE PALMETTO HWY",
            "city": "FAIRBURN",
            "state": "GA",
            "postal_code": "302131852",
            "telephone_number": "770-306-2327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 COCHRAN MILL RD",
            "city": "FAIRBURN",
            "state": "GA",
            "postal_code": "302132121",
            "telephone_number": "770-774-3230",
            "fax_number": "770-774-9782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAJESTIC VISIONS ALLIANCES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-27",
        "last_updated": "2018-11-27",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "MERVIN",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "404-748-8255"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Austin Lively, RPH
• Living Comfortable
• Sammie Lean Lumpkin, CSA
• Crystal Lykes, CERTIFIED HAIR LOSS
• Majestic Visions Alliances, Inc.
• Raymundo T Mallari, M.D.
• Marva Malone
• Mari'S Clean & Cleanse LLC
• Jada Martin, DPT
• Larina Deireland Matthews

• Developmental Disabilities Clinic/Center in Fairburn, GA
• Providers in Fairburn, GA by specialty
• Developmental Disabilities Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2018; 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.