{
"Npi": {
"NPI": "1174958706",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "CORRECTIONAL MEDICAL ASSOCIATES, INC.",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "1000 CIRCLE 75 PKWY SE",
"SecondLineMailingAddress": "SUITE 060",
"MailingAddressCityName": "ATLANTA",
"MailingAddressStateName": "GA",
"MailingAddressPostalCode": "30339-3026",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "404-760-0296",
"MailingAddressFaxNumber": "404-760-0298",
"FirstLinePracticeLocationAddress": "1000 CIRCLE 75 PKWY SE",
"SecondLinePracticeLocationAddress": "SUITE 060",
"PracticeLocationAddressCityName": "ATLANTA",
"PracticeLocationAddressStateName": "GA",
"PracticeLocationAddressPostalCode": "30339-3026",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "404-760-0296",
"PracticeLocationAddressFaxNumber": "404-760-0298",
"EnumerationDate": "09/13/2013",
"LastUpdateDate": "01/26/2015",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HERRING",
"AuthorizedOfficialFirstName": "FELICIA",
"AuthorizedOfficialMiddleName": "GARRETT",
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": "MS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "404-760-0296",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "311Z00000X",
"TaxonomyName": "Custodial Care Facility",
"LicenseNumber": "J702424",
"LicenseNumberStateCode": "GA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}