NPIMap

Organization Active NPI

Fragments Ministry Incorporated

  • Bus
  • Atlanta, GA
National Provider Identifier
1982953022
Registry record updated Sep 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
BusTaxonomy code 347B00000X
Legal business name
FRAGMENTS MINISTRY INCORPORATED
Practice address
635 Pearce St SW
Atlanta, GA 30310-2829
Phone
(404) 735-3237
NPI assigned
Sep 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2012

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

Authorized official

Name
Gerald Leon Cloud
Title
D.O.
Phone
(678) 598-0651

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X GA
Bus 347B00000X GA Primary

Addresses

Primary practice location

635 Pearce St SW
Atlanta, GA 30310-2829

Mailing address

5793 James Rd
Austell, GA 30168-4505
Phone (678) 598-0378

National Provider Directory

National Provider Directory
Tax ID family
Fragments Ministry Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1346803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346803200000",
    "number": "1982953022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5793 JAMES RD",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301684505",
            "telephone_number": "678-598-0378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 PEARCE ST SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303102829",
            "telephone_number": "404-735-3237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRAGMENTS MINISTRY INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-05",
        "last_updated": "2012-09-05",
        "status": "A",
        "authorized_official_last_name": "CLOUD",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "LEON",
        "authorized_official_title_or_position": "D.O.",
        "authorized_official_telephone_number": "678-598-0651"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "347B00000X",
            "taxonomy_group": "",
            "desc": "Bus",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.