NPIMap

Organization Active NPI

Georgia Cyber Academy Inc.

  • Local Education Agency (LEA)
  • Atlanta, GA
National Provider Identifier
1992351431
Registry record updated Aug 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
GEORGIA CYBER ACADEMY INC.
Practice address
1745 Phoenix Blvd Ste 100
Atlanta, GA 30349-5534
Phone
(404) 334-4790
Fax
(404) 684-8816
NPI assigned
Aug 12, 2019
Last updated
Aug 12, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2019

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

Authorized official

Name
Konteint Redmon
Title
Director of Special Programs
Phone
(404) 334-4790

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X NU Primary

Addresses

Primary practice location

1745 Phoenix Blvd Ste 100
Atlanta, GA 30349-5534

Mailing address

1745 Phoenix Blvd
Atlanta, GA 30349-5591
Phone (404) 334-4790

National Provider Directory

National Provider Directory

Locations

1745 Phoenix Blvd
Atlanta, GA 30349
Phone (423) 296-2604

1745 Phoenix Blvd
Ste 100
Atlanta, GA 30349
Phone (404) 334-4790

NPI Registry JSON

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

{
    "created_epoch": "1565568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565568000000",
    "number": "1992351431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1745 PHOENIX BLVD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303495591",
            "telephone_number": "404-334-4790",
            "fax_number": "404-684-8816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1745 PHOENIX BLVD STE 100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303495534",
            "telephone_number": "404-334-4790",
            "fax_number": "404-684-8816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA CYBER ACADEMY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-12",
        "last_updated": "2019-08-12",
        "status": "A",
        "authorized_official_last_name": "REDMON",
        "authorized_official_first_name": "KONTEINT",
        "authorized_official_title_or_position": "DIRECTOR OF SPECIAL PROGRAMS",
        "authorized_official_telephone_number": "404-334-4790"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NU",
            "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 Aug 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.

Verify at the official NPI Registry.