HEALTHQWEST FRONTIERS INC (NPI# 1043631476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043631476 |
| Entity Type | Organization |
| Organization Name | HEALTHQWEST FRONTIERS INC |
| Practice Address |
890 Burrus Rd Macon GA 31204-1441 |
| Mailing Address |
1317 Route 73 Ste 200 Mount Laurel NJ 08054-2202 |
| Practice Telephone | 4783307164 |
| Mailing Telephone | 8564396111 |
| Enumeration Date | 2014-01-03 |
| Last Update Date | 2020-09-11 |
| Authorized Official Name | ROBYN TANIS (EXECUTIVE DIRECTOR OF CONTRACT MGMT) |
| Authorized Official Telephone | 8565338762 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0800X |
Clinic/Center Specialization: Recovery Care |
Ambulatory Health Care Facilities | ||
| Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
NTP001074 | GA | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609224336 | Healthqwest Frontiers Inc | Clinic/Center | 4271 South Lee St., Suite 101 & 102, Buford, GA 30518 | 2016-06-03 |
| 1447521240 | Healthqwest Frontiers Inc | Clinic/Center | 6707 Forest Park Dr, Savannah, GA 31406-2566 | 2012-01-25 |
| Street Address |
890 BURRUS RD |
| City | MACON |
| State | GA |
| Zip Code | 31204-1441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629543780 | Dennis Everett Sims Jr. | Pharmacist | 890 Burrus Rd, Macon, GA 31204-1441 | 2018-10-04 |
| 1861974164 | Cassidy Laurin Bass | Counselor | 890 Burrus Rd, Macon, GA 31204-1441 | 2018-09-04 |
| 1841792918 | Moreh Joy Jackson | Counselor | 890 Burrus Rd, Macon, GA 31204-1441 | 2018-03-06 |
| 1326584137 | Margaret Jennings | Licensed Practical Nurse | 890 Burrus Rd, Macon, GA 31204-1441 | 2017-01-18 |
| 1487190294 | Katlin Fitzgerald | Counselor | 890 Burrus Rd, Macon, GA 31204-1441 | 2017-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942775085 | Amy Lynn Miller | Counselor | 890 Northwoods Plaza/burrus Road, Macon, GA 31204 | 2018-10-04 |
| 1275056566 | Kenyada Moss | Counselor | 762 Thurmond Dr., Macon, GA 31204 | 2017-07-19 |
| 1508303876 | Amber Foster | Counselor | 890 Northwoods Plaza, Macon, GA 31204 | 2017-01-25 |
| 1952757585 | Sarah Vanselous Spencer | Speech-Language Pathologist | 2720 Sheraton Dr # D-140, Macon, GA 31204 | 2016-05-12 |
| 1952706343 | Matthew Wayne Frazier | Pharmacist | 4260 Log Cabin Dr, Macon, GA 31204 | 2014-10-28 |
| 1215338587 | Sharon Yvette Flewellen | Licensed Practical Nurse | 1876 Moore Street, Macon, GA 31204 | 2014-09-05 |
| 1336565647 | Accel Wellness Center, LLC | Specialist | 3083 Vineville Avenue, Macon, GA 31204 | 2014-03-11 |
| 1821439811 | Irene Gung Ho | Physician Assistant | 3203 Vineville Ave Ste A, Macon, GA 31204 | 2013-07-08 |
| 1518125657 | Jennifer Burns | Marriage & Family Therapist | 116 Pierce Avenue, Macon, GA 31204 | 2008-05-27 |
| 1255599346 | Methodist Home of The South Georgia Conference, Inc. | Voluntary or Charitable | 304 Pierce Avenue, Macon, GA 31204 | 2008-05-27 |
| Find all providers in zip 31204 | ||||
| Taxonomy Code | 261QM2800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Methadone Clinic |
| An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
| Notes: [7/1/2003: new] |
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|---|---|---|---|---|
| 1578125282 | Georgia Treatment Services | Clinic/Center | 6132 Hawkinsvill Road, Macon, GA 31216 | 2019-07-02 |
| 1851538573 | Trinity Treatment Center, Inc | Clinic/Center | 1221 Newberg Ave, Macon, GA 31206-3011 | 2009-01-16 |
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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.