Provider Demographics
NPI:1588648745
Name:AMGP GEORGIA MANAGED CARE COMPANY, INC.
Entity Type:Organization
Organization Name:AMGP GEORGIA MANAGED CARE COMPANY, INC.
Other - Org Name:AMERIGROUP COMMUNITY CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:EUGENE
Authorized Official - Last Name:MEEKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-587-4840
Mailing Address - Street 1:303 PERIMETER CTR N
Mailing Address - Street 2:SUITE 400
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30346-2402
Mailing Address - Country:US
Mailing Address - Phone:678-587-4840
Mailing Address - Fax:770-604-9330
Practice Address - Street 1:303 PERIMETER CTR N
Practice Address - Street 2:SUITE 400
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30346-2402
Practice Address - Country:US
Practice Address - Phone:678-587-4840
Practice Address - Fax:770-604-9330
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA2004124302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization