Core Health Provider Services, Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CORE HEALTH PROVIDER SERVICES, INC

Practice address

2131 Kingston CT SE Ste 108
Marietta, GA 30067-8929

Phone

(678) 772-7415

Fax

(678) 804-6883

NPI assigned

Jan 26, 2013

Organization subpart

No

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

Authorized official

Name

Augusta Williams, NPNPI 1407402910

Title

NP

Phone

(678) 887-5083

Specialties & licenses 1

Addresses

Other names 1

• Core Healthcare services Doing business as

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in GA, IA2 enrollments

Enrollment records 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Augusta Williams

  • Psychiatric/Mental Health Nurse Practitioner
  • Marietta, GA
  • NPI 1407402910

  IA

  Medicare reassignment NPD Authorized official
• Deborah Patrice Ford, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Kennesaw, GA
  • NPI 1659713212
  NPD (past)

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

{
    "created_epoch": "1359158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609200000000",
    "number": "1982942934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 THORNCLIFF WAY",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301012644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2131 KINGSTON CT SE STE 108",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678929",
            "telephone_number": "678-772-7415",
            "fax_number": "678-804-6883"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "174 Thorncliff Way",
            "address_purpose": "LOCATION",
            "city": "Acworth",
            "state": "GA",
            "postal_code": "301012644",
            "country_code": "US",
            "telephone_number": "678-887-5083",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CORE HEALTH PROVIDER SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-26",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "AUGUSTA",
        "authorized_official_title_or_position": "NP",
        "authorized_official_telephone_number": "678-887-5083",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "augusta@corehealthprovider.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2131 Kingston Ct SE Ste 108",
            "city": "Marietta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300678929",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "chps@corehealthprovider.com",
            "affiliation": "N",
            "address_1": "2131 Kingston Ct SE Ste 108",
            "city": "Marietta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300678929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Core Healthcare services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Core Healthcare services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Reginald Copeland, M.DIV., LCC., M.ED
• John M Copenhaver, M.D.
• Melinda Coppola, MS BCBA
• Nicholas Cordts, LMSW
• Core Connections Behavioral Associates LLC
• Corey Patrick Harkins
• Claudette Louise Corey, NP
• Tisha Rene Corey, DC
• Camille Corica, MS, CCC-SLP
• Charles A Corley, MD

• Community/Behavioral Health Agency in Marietta, GA
• Providers in Marietta, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.