Active NPI
Jamal Awad
- In Home Supportive Care Agency
- Alpharetta, GA
National Provider Identifier
1982242772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Practice address
- 5490 McGinnis Village PL Ste 224
Alpharetta, GA 30005-1759 - Phone
- (404) 713-5663
- NPI assigned
- Dec 12, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
5490 McGinnis Village PL Ste 224
Alpharetta, GA 30005-1759
Mailing address
307 Alderwood LN
Atlanta, GA 30328-2550
Phone (404) 713-5663
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mankind Holdings, LLC | In Home Supportive Care | Current | Accepting new patients |
Locations
5490 McGinnis Village Pl
Ste 224
Alpharetta, GA 30005
Phone (404) 713-5663
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576108800000",
"number": "1982242772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "307 ALDERWOOD LN",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303282550",
"telephone_number": "404-713-5663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5490 MCGINNIS VILLAGE PL STE 224",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300051759",
"telephone_number": "404-713-5663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AWAD",
"first_name": "JAMAL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-12-12",
"last_updated": "2019-12-12",
"certification_date": "2019-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"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 Dec 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.