DOROTHY LAKEIA JOHNSON (NPI# 1013562073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013562073 |
| Entity Type | Individual |
| Full Name | DOROTHY LAKEIA JOHNSON |
| Practice Address |
122 Gordon Commercial Dr Ste C Lagrange GA 30240 |
| Practice Telephone | 7068454045 |
| Practice Fax Number | 7068454430 |
| Mailing Telephone | 7068454045 |
| Mailing Fax Number | 7068454430 |
| Enumeration Date | 2019-08-07 |
| Last Update Date | 2019-08-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285142810 | Dorothy Johnson | Home Health | 1049 Cordova Ave, Akron, OH 44320-2607 | 2018-01-17 |
| 1396280889 | Dorothy Johnson | Behavioral Analyst | 909 N Miami Beach Blvd Ste 301, North Miami Beach, FL 33162-3712 | 2016-12-20 |
| 1205203924 | Dorothy Mae Johnson | Counselor | 5039 N 4th St, 1st Floor, Philadelphia, PA 19120-3832 | 2015-08-28 |
| 1194995514 | Dorothy Johnson | Licensed Vocational Nurse | 9539 Fullbright Ave, Chatsworth, CA 91311-5327 | 2008-03-03 |
| 1063693075 | Dorothy Johnson | Licensed Practical Nurse | 322 Oleander Pl, Titusville, FL 32780-5562 | 2007-11-19 |
| 1649302431 | Dorothy Fullilove Johnson | Speech-Language Pathologist | 1616 N Vine, Magnolia, AR 71753-9740 | 2007-03-09 |
| 1972634178 | Dorothy E Johnson | Physician Assistant | 3917 Gallatin Pike, Nashville, TN 37216-2405 | 2007-03-08 |
| 1831229525 | Dorothy V Johnson | Nurse Practitioner | 6303 Evanston Ave, Raytown, MO 64133-4929 | 2007-03-06 |
| 1780647503 | Dorothy L. Johnson | Registered Nurse | 3855 Meadow Ln, Rhinelander, WI 54501-8816 | 2006-04-11 |
| 1861626244 | Dorothy Kahn Johnson | Nurse Practitioner | 1200 N State St, Los Angeles, CA 90033-1029 | 2009-05-13 |
| Street Address |
122 GORDON COMMERCIAL DR STE C |
| City | LAGRANGE |
| State | GA |
| Zip Code | 30240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083938492 | Melissa Ann Johnson | Counselor | 122 Gordon Commercial Dr Ste C, Lagrange, GA 30240-5754 | 2010-03-15 |
| 1689282220 | Sherjuana Davis | Social Worker | 122 Gordon Commercial Dr Ste C, Lagrange, GA 30240-5754 | 2020-07-20 |
| 1821636846 | Katie Kinsey | Case Manager/Care Coordinator | 122 Gordon Commercial Dr Ste C, Lagrange, GA 30240-5754 | 2019-12-20 |
| 1104464296 | Christopher Blake Glaze | Counselor | 122 Gordon Commercial Dr Ste C, Lagrange, GA 30240-5754 | 2019-12-19 |
| 1134767361 | Forrest Johnson | Case Manager/Care Coordinator | 122 Gordon Commercial Dr Ste C, Lagrange, GA 30240-5754 | 2019-12-18 |
| 1033755475 | Zenetta Michelle Harris | Licensed Practical Nurse | 122 Gordon Commercial Dr Ste C, Lagrange, GA 30240-5754 | 2019-11-20 |
| 1760023915 | Mariana Garcia | Case Manager/Care Coordinator | 122 Gordon Commercial Dr Ste C, Lagrange, GA 30240-5754 | 2019-09-30 |
| 1134770274 | Jennie Laplant | Counselor | 122 Gordon Commercial Dr Ste C, Lagrange, GA 30240-5754 | 2019-09-20 |
| 1427608652 | Robin Wilson | Licensed Practical Nurse | 122 Gordon Commercial Dr Ste C, Lagrange, GA 30240-5754 | 2019-09-19 |
| 1912555103 | Sophia Vaughn | Contractor | 122 Gordon Commercial Dr Ste C, Lagrange, GA 30240-5754 | 2019-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598223844 | Urgencare, LLC | Clinic/Center | 2169 West Point Road, Suite 105, Lagrange, GA 30240 | 2019-03-06 |
| 1679075527 | Georgia Pain and Spine Care, Inc | Pain Medicine | 303 Smith St Fl 2, Lagrange, GA 30240 | 2018-03-07 |
| 1629463500 | Quoc Vinh Ngo | Emergency Medicine | Wellstar West Georgia Medical Center, 1504 Vernon Road, Lagrange, GA 30240 | 2015-03-30 |
| 1770913964 | Dell H Lawson | Counselor | 300 Medical Dr. Ste 705., Lagrange, GA 30240 | 2013-11-25 |
| 1629418793 | Mortar & Pestle, LLC | Pharmacy | 205 Vernon Street, Lagrange, GA 30240 | 2013-07-03 |
| 1336582329 | Weredeselam Menna Olango | Psychiatry & Neurology | 303 Medical Dr Ste 401, Lagrange, GA 30240 | 2013-04-10 |
| 1720333743 | Mortar and Pestle, LLC | Pharmacy | 300 Mooty Bridge Road, Lagrange, GA 30240 | 2012-07-16 |
| 1366768459 | Karin Taylor | Physical Medicine & Rehabilitation | 1600 Vernon Rd Ste A, Lagrange, GA 30240 | 2010-04-14 |
| 1871819458 | Kathryn J Hill | Counselor | 100 Smith St Ste 1, Lagrange, GA 30240 | 2010-04-08 |
| 1285802751 | Air Evac Ems, Inc. | Ambulance | 455 Aerotron Pkwy, Lagrange, GA 30240 | 2008-02-18 |
| Find all providers in zip 30240 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891341368 | Chelse Suzan Pike | Clinic/Center | 122 Gordon Commercial Dr Ste C, Lagrange, GA 30240-5754 | 2019-08-12 |
| 1609422104 | Shaynell Smith | Clinic/Center | 122 Gordon Commercial Dr Ste C, Lagrange, GA 30240-5754 | 2019-08-12 |
| 1891290177 | Elizabeth Fowler | Clinic/Center | 122 Gordon Commercial Dr Ste C, Lagrange, GA 30240-5754 | 2018-03-28 |
| 1851896161 | Darrell L Mcmullen Sr. | Clinic/Center | 122 Gordon Commercial Dr Ste C, Lagrange, GA 30240-5754 | 2018-03-28 |
| 1902320542 | Enj Counseling, LLC | Clinic/Center | 200 N Lewis St, Lagrange, GA 30240-2738 | 2017-07-26 |
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| 1124632013 | Dunwoody Mental Health Center | Clinic/Center | 4594 Barclay Dr, Atlanta, GA 30338-5883 | 2020-09-08 |
| 1093327488 | Elevate Behavioral Health | Clinic/Center | 304 Cumberland Way Se, Smyrna, GA 30080-7766 | 2020-08-18 |
| 1346851292 | Solacium Holding LLC | Clinic/Center | 960 N Point Pkwy Ste 450, Alpharetta, GA 30005-2034 | 2020-08-13 |
| 1962012153 | Janel Falvey LLC | Clinic/Center | 340 Eisenhower Dr Bldg 300, Savannah, GA 31406-1600 | 2020-08-03 |
| 1386252948 | Endpoints LLC | Clinic/Center | 3036 General Lee Rd, Macon, GA 31204-1518 | 2020-07-20 |
| 1790393684 | Reclaimu Healthcare Services, LLC | Clinic/Center | 2037 Ema Dell Pl, Loganville, GA 30052-5375 | 2020-07-16 |
| 1972120970 | Imagine New Beginnings | Clinic/Center | 3125 Colonial Way Apt J, Atlanta, GA 30341-5339 | 2020-06-25 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.