Provider Demographics
NPI:1386252948
Name:ENDPOINTS LLC
Entity type:Organization
Organization Name:ENDPOINTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-FOUNDER
Authorized Official - Prefix:DR
Authorized Official - First Name:JACOB
Authorized Official - Middle Name:EVANS
Authorized Official - Last Name:KENDALL
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, MPH, PHD
Authorized Official - Phone:205-807-9221
Mailing Address - Street 1:3036 GENERAL LEE RD
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31204-1518
Mailing Address - Country:US
Mailing Address - Phone:205-807-9221
Mailing Address - Fax:
Practice Address - Street 1:3036 GENERAL LEE RD
Practice Address - Street 2:
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31204-1518
Practice Address - Country:US
Practice Address - Phone:205-807-9221
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-20
Last Update Date:2020-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)