Active NPI
Lymphworks
- Occupational Therapist
- Buford, GA
National Provider Identifier
1992431969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Legal business name
- LYMPHWORKS
- Practice address
- 145 Victor Dr
Buford, GA 30518-2563 - Phone
- (770) 310-8100
- Fax
- (833) 760-2107
- NPI assigned
- Aug 1, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Samantha Cannon Martin, MSOT/L, CLT, CLWT
- Title
- Owner
- Phone
- (770) 310-8100
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | Primary | ||
| Home Health Agency | 251E00000X | |||
| Health Service Clinic/Center | 261QH0100X | |||
| Durable Medical Equipment & Medical Supplies | 332B00000X |
Addresses
Primary practice location
145 Victor Dr
Buford, GA 30518-2563
Mailing address
145 Victor Dr
Buford, GA 30518-2563
Phone (770) 310-8100
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | athenaheath.net | Health Information Exchange (HIE) |
National Provider Directory
National Provider DirectoryLocations
115 E Main St
Ste A1BBK
Buford, GA 30518
Phone (770) 310-8100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659312000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1659312000000",
"number": "1992431969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 VICTOR DR",
"city": "BUFORD",
"state": "GA",
"postal_code": "305182563",
"telephone_number": "770-310-8100",
"fax_number": "833-760-2107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 VICTOR DR",
"city": "BUFORD",
"state": "GA",
"postal_code": "305182563",
"telephone_number": "770-310-8100",
"fax_number": "833-760-2107"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LYMPHWORKS",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-01",
"last_updated": "2022-08-01",
"certification_date": "2022-08-01",
"status": "A",
"authorized_official_last_name": "CANNON MARTIN",
"authorized_official_first_name": "SAMANTHA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "770-310-8100",
"authorized_official_credential": "MSOT/L, CLT, CLWT"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "athenaheath.net",
"affiliation": "N",
"endpointDescription": "emr",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "145 Victor Drive",
"city": "Buford",
"state": "GA",
"country_code": "US",
"postal_code": "30518",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Buford, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.