NPIMap

Organization Active NPI

Pam Private Nursing Service

  • Nursing Care Agency
  • Marietta, GA
National Provider Identifier
1982102828
Registry record updated Jan 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
LPN093218 Issued in GA
Legal business name
PAM PRIVATE NURSING SERVICE
Practice address
2128 Samantha Way SW
Marietta, GA 30008-8823
Phone
(678) 668-6285
NPI assigned
Jan 25, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2018

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

Authorized official

Name
Sabrina Fleming, LPNNPI 1245738160
Title
Owner
Phone
(678) 668-6285

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X LPN093218 GA Primary

Addresses

Primary practice location

2128 Samantha Way SW
Marietta, GA 30008-8823

Mailing address

2128 Samantha Way SW
Marietta, GA 30008-8823

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": "1516838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516838400000",
    "number": "1982102828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2128 SAMANTHA WAY SW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300088823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2128 SAMANTHA WAY SW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300088823",
            "telephone_number": "678-668-6285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAM PRIVATE NURSING SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-25",
        "last_updated": "2018-01-25",
        "status": "A",
        "authorized_official_last_name": "FLEMING",
        "authorized_official_first_name": "SABRINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-668-6285",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "GA",
            "license": "LPN093218",
            "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 Jan 25, 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.