Active NPI
Emerge Healing Center MH
- Adult Mental Health Clinic/Center
- Alpharetta, GA
National Provider Identifier
1972340057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- EMERGE HEALING CENTER MH
- Practice address
- 1740 Grassland Pkwy Unit 106
Alpharetta, GA 30004-4736 - Phone
- (770) 369-3034
- NPI assigned
- Jul 15, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rush Morgan Jolly
- Title
- Owner/Operator
- Phone
- (770) 369-3034
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | Primary |
Addresses
Primary practice location
1740 Grassland Pkwy Unit 106
Alpharetta, GA 30004-4736
Mailing address
1740 Grassland Pkwy Unit 106
Alpharetta, GA 30004-4736
Phone (770) 369-3034
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D2300661 | Emerge Healing Center MH | Certificate of waiver | Mar 13, 2028 |
National Provider Directory
National Provider DirectoryLocations
1740 Grassland Pkwy
Unit 106
Alpharetta, GA 30004
Phone (770) 369-3034
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721001600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721001600000",
"number": "1972340057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1740 GRASSLAND PKWY UNIT 106",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300044736",
"telephone_number": "770-369-3034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1740 GRASSLAND PKWY UNIT 106",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300044736",
"telephone_number": "770-369-3034"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMERGE HEALING CENTER MH",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-15",
"last_updated": "2024-07-15",
"certification_date": "2024-07-15",
"status": "A",
"authorized_official_last_name": "JOLLY",
"authorized_official_first_name": "RUSH",
"authorized_official_middle_name": "MORGAN",
"authorized_official_title_or_position": "OWNER/OPERATOR",
"authorized_official_telephone_number": "770-369-3034"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alpharetta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.