ANDERSON'S CCBI (NPI# 1164729646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164729646 |
| Entity Type | Organization |
| Organization Name | ANDERSON'S CCBI |
| Practice Address |
1581 Queen Elizabeth Dr Locust Grove GA 30248-3660 |
| Practice Telephone | 6782650809 |
| Mailing Telephone | 6782650809 |
| Enumeration Date | 2011-02-18 |
| Last Update Date | 2011-02-18 |
| Authorized Official Name | MS. LINDA E ANDERSON (CEO) |
| Authorized Official Telephone | 6782650809 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171WH0202X |
Contractor Specialization: Home Modifications |
RBI002004 | GA | Other Service Providers |
| Street Address |
1581 QUEEN ELIZABETH DR |
| City | LOCUST GROVE |
| State | GA |
| Zip Code | 30248-3660 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346809779 | Uyen Nguyen | Dentist | 4146 Ga-42, Locust Grove, GA 30248 | 2019-06-10 |
| 1669038303 | Monique Antoinette Joseph | Nurse Practitioner | 3334 Highway 155 Ste B, Locust Grove, GA 30248 | 2019-05-17 |
| 1811552524 | Fresenius Medical Care Locust Grove, LLC | Clinic/Center | 2855 Ga-155 S, Locust Grove, GA 30248 | 2019-05-08 |
| 1972167765 | Wesley Todd Livingston | Pharmacist | 2730 Ga 155, Locust Grove, GA 30248 | 2019-04-26 |
| 1053974550 | Wish You Well Youth Faith Foundation Inc | Contractor | 147 Laughlin Dr, Locust Grove, GA 30248 | 2019-04-19 |
| 1740776517 | Takle Eye Surgery Center LLC | Clinic/Center | 1075 Bandy Pkwy, Ste 105, Locust Grove, GA 30248 | 2018-07-05 |
| 1508357559 | Justin Robert Crumpton | Behavioral Analyst | 212 Westin Park Dr, Locust Grove, GA 30248 | 2018-05-25 |
| 1730679051 | Lisa Renee Jones | Family Medicine | 3778 G 42, Locus Grove, GA 30248 | 2018-05-11 |
| 1275042152 | Stephanie Jones Headen | Counselor | 211 Peeksville Rd., Locust Grove, GA 30248 | 2017-09-23 |
| 1942735592 | Brandi Nicole Buice Minter | Pharmacist | 4920 Bill Gardner Parkway, Locust Grove, GA 30248 | 2017-04-20 |
| Find all providers in zip 30248 | ||||
| Taxonomy Code | 171WH0202X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| Specialization | Home Modifications |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063062651 | Dominique S Paul-thompson | Contractor | 112 Deercreek Parkway, Griffin, GA 30224 | 2019-09-16 |
| 1730747817 | Tierah Russell | Contractor | 2911 Leisure Woods Ln, Decatur, GA 30034-3430 | 2019-06-03 |
| 1306211784 | Sharhonda Barrett | Contractor | 73 Midway Park Road, Silver Creek, GA 30173 | 2015-12-10 |
| 1053714394 | Patricia Marsters | Contractor | 818 Old Ailey Lothair Rd, Ailey, GA 30410-3332 | 2014-10-01 |
| 1396159364 | Mike Marshall | Contractor | 375 Castleridge Dr, Sandy Springs, GA 30342-1310 | 2014-06-17 |
| 1316387913 | Georgia Senior Services LLC | Contractor | 770 Old Roswell Place, Suite J100 - 200, Roswell, GA 30076 | 2013-06-27 |
| 1316289028 | Joanne S Bradley | Contractor | 2300 Bethelview Rd, Suite 110-442, Cumming, GA 30040-9475 | 2013-03-20 |
| 1053638874 | Jerry Labron Ragon | Contractor | 8 W 8th St, Chickamauga, GA 30707-1308 | 2010-05-04 |
| City | LOCUST GROVE |
| Zip Code | 30248 |
Please comment or provide details below to improve the information on ANDERSON'S CCBI.
| 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.