OrganizationActive
Activhealthcare, Inc.
NPI 1013058742 · Preferred Provider Organization · Tucker, GA
Provider details
- NPI number
- 1013058742
- Entity type
- Organization
- Primary specialty
- Preferred Provider OrganizationManaged Care Organizations
- Authorized official
- Mark Brickhouse, Executive Director
Practice location
1926 Northlake Pkwy Ste 100
Tucker, GA 30084-7069
Phone: (770) 455-0040
Fax: (770) 455-6188
Mailing address
1926 Northlake Pkwy Ste 100
Tucker, GA 30084-7069
Registry dates
- Enumerated
- 2007-02-08
- Last updated
- 2021-09-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.