TINITA SIMMONDS (NPI# 1194141796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194141796 |
| Entity Type | Individual |
| Full Name | TINITA SIMMONDS |
| Practice Address |
5405 Memorial Dr Bldg C Stone Mountain GA 30083-3234 |
| Mailing Address |
Po Box 165 Redan GA 30074-0165 |
| Practice Telephone | 6789992611 |
| Enumeration Date | 2014-03-07 |
| Last Update Date | 2016-04-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC007601 | GA | Behavioral Health & Social Service Providers |
| Street Address |
5405 MEMORIAL DR BLDG C |
| City | STONE MOUNTAIN |
| State | GA |
| Zip Code | 30083-3234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093713356 | Edward Marvin Gotlieb | Pediatrics | 5405 Memorial Dr, Building D, Stone Mountain, GA 30083-3234 | 2005-07-11 |
| 1770920514 | Essence of Care Inc | Community/Behavioral Health | 5405 Memorial Dr, Suite G&h, Stone Mountain, GA 30083 | 2013-06-03 |
| 1619197498 | Edward M. Gotlieb, M.d., Et Al Dba The Pediatric Center | Pediatrics | 5405 Memorial Dr, Building D, Stone Mountain, GA 30083-3234 | 2007-04-26 |
| 1033287214 | Jerome Fredrick Poeppelman | Podiatrist | 5405 Memorial Dr, Bldg C, Stone Mountain, GA 30086 | 2006-12-04 |
| 1053356832 | Margaret Duly | Social Worker | 5405 Memorial Dr, Bldg D, Stone Mountain, GA 30083-3234 | 2006-06-17 |
| 1003814369 | Phoebe Gates Thorpe | Specialist | 5405 Memorial Dr, Suite D, Stone Mountain, GA 30083-3234 | 2005-07-12 |
| 1689672826 | Jaquelin Smith Gotlieb | Pediatrics | 5405 Memorial Dr, Building D, Stone Mountain, GA 30083-3234 | 2005-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558830919 | Patriot Healthcare of Georgia, LLC | Family Medicine | 833 Hairston Road, Stone Mountain, GA 30083 | 2018-11-15 |
| 1710403431 | Trans Med Ems,llc | Ambulance | 4683 Redan Rd, Stone Mountain, GA 30083 | 2017-08-15 |
| 1447770482 | Dispatched Angels Home Care | In Home Supportive Care | 619 El Prado Court, Stone Mountain, GA 30083 | 2017-06-21 |
| 1396191086 | Suzanne Carter | Chore Provider | 1036 Allgood Rd, Stone Mountain, GA 30083 | 2016-05-11 |
| 1437520087 | Meaza Dada | Pharmacist | 1043 Thornwoode Lane, Stone Mountain, GA 30083 | 2015-10-08 |
| 1427436500 | Raeanne Elizabeth Gialanella | Occupational Therapist | 5839 Memorial Drive, Stone Mountain, GA 30083 | 2015-05-11 |
| 1265829824 | Latore Williams | Licensed Practical Nurse | 5300 Ridge Forest Drive, Stone Mountain, GA 30083 | 2015-04-22 |
| 1144625922 | Granville Theodore Freeman IIi | Counselor | 5000 Brittany Drive, Stone Mountain, GA 30083 | 2014-10-23 |
| 1588974208 | Terri R Collins | Counselor | 1020 Strap Hinge Trail, Stone Mountain, GA 30083 | 2010-10-15 |
| 1104064815 | Vistas Medical Center,pc | Clinic/Center | 5329 Memorial Dr Ste A, Stone Mountain, GEORGIA 30083 | 2009-02-03 |
| Find all providers in zip 30083 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588276703 | Calvangi LLC | Counselor | 4796 Manly Ct, Stone Mountain, GA 30088-3623 | 2020-08-19 |
| 1114540911 | Dana Jennings | Counselor | 1505 Ashbrooke Trce, Stone Mountain, GA 30083-1306 | 2020-05-27 |
| 1093350761 | Cierra Harris | Counselor | 221 Scenic View Ln, Stone Mountain, GA 30087-6193 | 2019-11-16 |
| 1124598248 | Barbara Ann Sims-king | Counselor | 1005 Summit Lake Dr, Stone Mountain, GA 30083-6946 | 2018-12-01 |
| 1619411634 | Maria Joy Cauley | Counselor | 1505 Lilburn Stone Mountain Rd Ste 235, Stone Mountain, GA 30087-1857 | 2016-12-09 |
| 1518327360 | Nikkiya D Brooks | Counselor | 4473 Thornwood Trl, Stone Mountain, GA 30083-5394 | 2016-03-07 |
| 1134501372 | Sharalynn Simmons | Counselor | 824 Arbor Hill Dr, Stone Mountain, GA 30088-2365 | 2015-06-24 |
| 1609253863 | Martin Mcquilkin | Counselor | 1988 Lilburn Stone Mountain Rd, Stone Mountain, GA 30087-1722 | 2015-04-27 |
| 1225474141 | Richard Gerson | Counselor | 237 Villa Park Cir, Stone Mountain, GA 30087-6778 | 2013-05-18 |
| 1174864714 | Antita Carter | Counselor | 1050 Redan Trce, Stone Mountain, GA 30088-2900 | 2013-03-06 |
| Find all providers in STONE MOUNTAIN | ||||
| City | STONE MOUNTAIN |
| Zip Code | 30083 |
Please comment or provide details below to improve the information on TINITA SIMMONDS.
| 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.