CHOICES FOR LIFE OF GEORGIA, LLC (NPI# 1164668596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164668596 |
| Entity Type | Organization |
| Organization Name | CHOICES FOR LIFE OF GEORGIA, LLC |
| Practice Address |
4330 Gilbert Ave Columbus GA 31904-6519 |
| Practice Telephone | 7703380800 |
| Practice Fax Number | 7703382219 |
| Mailing Telephone | 7703380800 |
| Mailing Fax Number | 7703382219 |
| Enumeration Date | 2009-01-07 |
| Last Update Date | 2009-01-07 |
| Authorized Official Name | MR. DOUGLAS CHARLES FELLRATH (CEO) |
| Authorized Official Telephone | 4057510800 |
| Authorized Official Credential | JD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | CPFC001072 | GA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 001462443A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437395860 | Choices for Life of Georgia, LLC | Community/Behavioral Health | 2080 Sugarloaf Pkwy, Lawrenceville, GA 30045-9401 | 2009-01-07 |
| 1841328960 | Choices for Life of Georgia, LLC | Community/Behavioral Health | 2200 N Patterson Street, Suite D, Valdosta, GA 31602-2573 | 2007-03-01 |
| Street Address |
4330 GILBERT AVE |
| City | COLUMBUS |
| State | GA |
| Zip Code | 31904-6519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821641457 | At Home Palliative Care, LLC | Nursing Care | 114 Enterprise Ct, Suite B, Columbus, GA 31904 | 2019-07-23 |
| 1285191049 | Shandra Ladell Grimes | Nurse Practitioner | 2300 Manchester Expwy St Francis Hospital, Suite C-001, Columbus, GA 31904 | 2019-02-27 |
| 1881161529 | Lesley Kathleen Simmons | Massage Therapist | 5402 15th Ave, Columbus, GA 31904 | 2018-10-31 |
| 1184190662 | Alphonsa Joseph | Nurse Practitioner | 2430 Brookstone Centre Parkway, Columbus, Georgia 31904, Columbus, GA 31904 | 2018-10-22 |
| 1568942704 | William Pearce Massey | Social Worker | 8851-1 Moore Road, Columbus, GA 31904 | 2018-08-17 |
| 1033696372 | Marlise V. Gray | Counselor | 2013 Devonshire Dr. Suite 115, Columbus, GA 31904 | 2018-07-19 |
| 1710418173 | Amanda Barnette Pruett | Behavioral Analyst | 200 Brookstone Centre Pkwy Bldg 200, Columbus, GA 31904 | 2017-03-27 |
| 1750833232 | Carrie Leigh Whitehead | Nurse Practitioner | 6228 Bradley Park Dr. Suite A, Columbus, GA 31904 | 2016-10-31 |
| 1609323369 | Shomika Lasha Battle | Registered Nurse | 2101 North Avenue, Columbus, GA 31904 | 2016-09-09 |
| 1952759219 | Peaceful River Home Care Agency | In Home Supportive Care | 738 Rudgate Road, Columbus, GA 31904 | 2016-05-27 |
| Find all providers in zip 31904 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609473529 | Susan M Baker, Lcsw Inc | Community/Behavioral Health | 404 Washington St Ste 201-2, Columbus, IN 47201-6791 | 2020-10-04 |
| 1336753466 | Push for Recovery, LLC | Community/Behavioral Health | 3880 Clime Road, Building 2/suite A, Columbus, OH 43228-3532 | 2020-09-05 |
| 1518576693 | Unit Seven LLC | Community/Behavioral Health | 1743 Lonsdale Rd Apt C, Columbus, OH 43232-2892 | 2020-07-24 |
| 1508481037 | Basecamp Recovery LLC | Community/Behavioral Health | 815 W Broad St Fl 2, Columbus, OH 43222-1464 | 2020-06-10 |
| 1760003420 | Community Alliance for Youth and Adults LLC | Community/Behavioral Health | 2550 Chestnut Oak Way, Columbus, OH 43228-9169 | 2020-05-04 |
| 1659834489 | Transcendent Case Management & Consulting, LLC | Community/Behavioral Health | 3587 Medina Ave, Columbus, OH 43224-3418 | 2019-04-09 |
| 1639634629 | Mind Over Matter Counseling | Community/Behavioral Health | 92 Northwoods Blvd Ste C1, Columbus, OH 43235-4720 | 2019-02-05 |
| 1902360225 | Kara Lynn Mccoy | Community/Behavioral Health | 4289 Highway 78, Columbus, MT 59019-7493 | 2019-01-31 |
| 1891278321 | Everlasting Peace Counseling and Support Services | Community/Behavioral Health | 2210 Wynnton Rd Ste 206, Columbus, GA 31906-5820 | 2018-09-11 |
| 1124517081 | Sunny Watford | Community/Behavioral Health | 2525 Tiller Lane, Ste 110, Columbus, OH 43231 | 2018-05-07 |
| Find all providers in COLUMBUS | ||||
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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.