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CORRECTIONA MEDICAL ASSOCIATES
NPI 1407017965
Clinic/Center in Fayetteville, GA

Active since June 18, 2008
205 MCINTOSH PLACE DR, FAYETTEVILLE, GA 30214(770) 719-3319 Get Directions Write a Review

NPPES record last updated: June 18, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Correctiona Medical Associates NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CORRECTIONA MEDICAL ASSOCIATES (NPI 1407017965) is a healthcare organization registered as a clinic/center in Fayetteville, Georgia and active in the NPI registry since June 2008. The organization lists Marcus Moseley, Chief Medical Officer, as its authorized official.

NPPES Registry Identity

NPI1407017965
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameCORRECTIONA MEDICAL ASSOCIATES
Location Address205 MCINTOSH PLACE DRFayetteville, GA 30214-7384
Mailing Address205 Mcintosh Place DrFayetteville, GA 30214-7384 · (770) 719-3319
Phone(770) 719-3319
Organization SubpartNo
Authorized OfficialMarcus MoseleyChief Medical Officer · (404) 853-2097
Enumeration DateJune 18, 2008
✔ NPI 1407017965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in GA · RN113001
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
205 MCINTOSH PLACE DR, Fayetteville, GA 30214
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Correctiona Medical Associates's NPI number?

The NPI number for Correctiona Medical Associates is 1407017965. It was assigned to this organization in the NPPES registry on June 18, 2008.

Where is Correctiona Medical Associates located?

Correctiona Medical Associates is located at 205 Mcintosh Place Dr, Fayetteville, GA 30214. The listed phone number is (770) 719-3319.

What is Correctiona Medical Associates's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Correctiona Medical Associates was last updated on June 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.