Organization Active NPI

Emerge Healing Center MH

  • Adult Mental Health Clinic/Center
  • Alpharetta, GA
National Provider Identifier
1972340057
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
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

Updated by the provider on Jul 15, 2024

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)CodeLicenseStatePrimary
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2300661Emerge Healing Center MH1740 Grassland Parkway, Alpharetta, GA 30004Certificate of waiverMar 13, 2028

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.