NPIMap

Organization Active NPI

Spectrum Health Services

  • Clinic/Center
  • Marietta, GA
National Provider Identifier
1972329654
Registry record updated Nov 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SPECTRUM HEALTH SERVICES
Practice address
1395 S Marietta Pkwy SE Ste 228
Marietta, GA 30067-2890
Phone
(678) 464-3078
NPI assigned
Nov 27, 2024
Last updated
Nov 27, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2024

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

Authorized official

Name
Kaitlyn Gipson
Title
Manager
Phone
(678) 464-3078

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

1395 S Marietta Pkwy SE Ste 228
Marietta, GA 30067-2890

Mailing address

PO Box 3505
Peachtree City, GA 30269-7505
Phone (678) 464-3078

National Provider Directory

National Provider Directory
Tax ID family
Spectrum Health Services11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Locations

1395 S Marietta Pkwy SE
Ste 228
Marietta, GA 30067
Phone (678) 464-3078

Ownership & related parties

Subparts reporting this organization as parent 10

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1732665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732665600000",
    "number": "1972329654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3505",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302697505",
            "telephone_number": "678-464-3078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 S MARIETTA PKWY SE STE 228",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300672890",
            "telephone_number": "678-464-3078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-27",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A",
        "authorized_official_last_name": "GIPSON",
        "authorized_official_first_name": "KAITLYN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "678-464-3078"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

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