NPI Code Detail JSON Logo

1588943070 NPI number — GKM HEALTHCARE SOLUTIONS, LLC

NPI Number: 1588943070
Health Care Provider/Practitioner: GKM HEALTHCARE SOLUTIONS, LLC

Information about “1588943070” NPI (GKM HEALTHCARE SOLUTIONS, LLC) exists in 1588943070 in HTML format HTML  |  1588943070 in plain Text format TXT  |  1588943070 in PDF (Portable Document Format) PDF  |  1588943070 in an XML format XML  formats.

NPI Number : 1588943070 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1588943070",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "GKM HEALTHCARE SOLUTIONS, LLC",
    "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": "760 OLD ROSWELL RD STE 211",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ROSWELL",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30076-8686",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "404-856-0505",
    "MailingAddressFaxNumber": "404-602-0081",
    "FirstLinePracticeLocationAddress": "760 OLD ROSWELL RD STE 211",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ROSWELL",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "30076-8686",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "404-856-0505",
    "PracticeLocationAddressFaxNumber": "404-602-0081",
    "EnumerationDate": "08/15/2011",
    "LastUpdateDate": "02/28/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "LEONARD",
    "AuthorizedOfficialFirstName": "KYM",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "CLINICAL OPERATIONS MANAGER",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "FNP-BC",
    "AuthorizedOfficialTelephoneNumber": "404-856-0505",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "101YA0400X",
          "TaxonomyName": "Addiction (Substance Use Disorder) Counselor",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YM0800X",
          "TaxonomyName": "Mental Health Counselor",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261QH0100X",
          "TaxonomyName": "Health Service Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261QP2300X",
          "TaxonomyName": "Primary Care Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        }
      ]
    }
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.