NPIMap

Organization Active NPI

Unihealth Solutions of Northwest Georgia, Inc.

Doing business as UniHealth SOURCE - Rome

  • Case Management Agency
  • Rome, GA
National Provider Identifier
1982768172
Registry record updated Mar 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
UNIHEALTH SOLUTIONS OF NORTHWEST GEORGIA, INC.
Doing business as
UniHealth SOURCE - Rome
Practice address
39 Three Rivers Dr NE
Rome, GA 30161-4998
Phone
(706) 236-4705
NPI assigned
Dec 21, 2006
Last updated
Mar 20, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2012

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

Authorized official

Name
Neil L. Pruitt Jr.
Title
Chairman and Ceo
Phone
(770) 925-1143

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

39 Three Rivers Dr NE
Rome, GA 30161-4998

Mailing address

39 Three Rivers Dr NE
Rome, GA 30161-4998
Phone (706) 236-4705

Other identifiers 1

IdentifierTypeStateIssuer
085500800RMedicaidGA

Other names 1

  • UniHealth SOURCE - Rome Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Unihealth Solutions of North Georgia Inc14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332201600000",
    "number": "1982768172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 THREE RIVERS DR NE",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301614998",
            "telephone_number": "706-236-4705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 THREE RIVERS DR NE",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301614998",
            "telephone_number": "706-236-4705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIHEALTH SOLUTIONS OF NORTHWEST GEORGIA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2012-03-20",
        "status": "A",
        "authorized_official_last_name": "PRUITT",
        "authorized_official_first_name": "NEIL",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CHAIRMAN AND CEO",
        "authorized_official_telephone_number": "770-925-1143",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "085500800R",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UniHealth SOURCE - Rome",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rome, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2012; 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.