MRS. KIMBERLY BRYANT MADISON (NPI# 1205487683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205487683 |
| Entity Type | Individual |
| Full Name | MRS. KIMBERLY BRYANT MADISON |
| Practice Address |
1815 N Expressway Ste B Griffin GA 30223-1185 |
| Practice Telephone | 6784084622 |
| Mailing Telephone | 6784084622 |
| Enumeration Date | 2019-09-26 |
| Last Update Date | 2020-01-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 101YP2500X |
Counselor Specialization: Professional |
GA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528555901 | Kimberly Madison | Physical Therapist | 932 N Rutledge St, Springfield, IL 62702-3721 | 2018-04-20 |
| Street Address |
1815 N EXPRESSWAY STE B |
| City | GRIFFIN |
| State | GA |
| Zip Code | 30223-1185 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679809016 | Shannon M Eller | Counselor | 1815 N Expressway Ste B, Griffin, GA 30223-1185 | 2009-10-20 |
| 1508465329 | Patricia Kerigan | Counselor | 1815 N Expressway Ste B, Griffin, GA 30223-1185 | 2020-10-22 |
| 1801403266 | Jabreeka Brown | Counselor | 1815 N Expressway Ste B, Griffin, GA 30223-1185 | 2020-09-29 |
| 1124633748 | Ceciley Thomas | Counselor | 1815 N Expressway Ste B, Griffin, GA 30223-1185 | 2020-09-10 |
| 1922624253 | Xavier Armond Coggins | Counselor | 1815 N Expressway Ste B, Griffin, GA 30223-1185 | 2020-06-23 |
| 1689294530 | Sierriena Shanon Robinson | Counselor | 1815 N Expressway Ste B, Griffin, GA 30223-1185 | 2020-04-21 |
| 1699307272 | Allison Beal | Counselor | 1815 N Expressway Ste B, Griffin, GA 30223-1185 | 2020-02-11 |
| 1952941007 | Valerie Cannon Jackson | Counselor | 1815 N Expressway Ste B, Griffin, GA 30223-1185 | 2020-01-07 |
| 1952947517 | December Session | Counselor | 1815 N Expressway Ste B, Griffin, GA 30223-1185 | 2019-11-19 |
| 1447895107 | Brighter Tomorrows Behavioral Health Services | Counselor | 1815 N Expressway Ste B, Griffin, GA 30223-1185 | 2019-11-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235783036 | Jennifer Lashawn Stevenson | Registered Nurse | 1071 Highway 16 West, Griffin, GA 30223 | 2019-07-30 |
| 1992357644 | Nikki Petty | Behavior Technician | 185 Grady Street, Griffin, GA 30223 | 2019-07-12 |
| 1568940146 | Brenda Pope | Counselor | 1710 Highway 16 West, Griffin, GA 30223 | 2018-08-05 |
| 1073025151 | Vonita Clowers | Specialist | 1424 N. Expy, Suite 115, Griffin, GA 30223 | 2017-10-30 |
| 1912427592 | Sheena Murphy | Registered Nurse | 109 N. 10th Street, Griffin, GA 30223 | 2017-06-23 |
| 1033639612 | Taralyn Rae Sams | Registered Nurse | 109 North 10th Street, Griffin, GA 30223 | 2017-06-23 |
| 1326594656 | Wendell Robinson | Registered Nurse | 109 N.10th Street, Griffin, GA 30223 | 2016-08-28 |
| 1508235466 | Trenisha Jones Mccall | Counselor | 1815 North Expressway, Griffin, GA 30223 | 2015-09-22 |
| 1104224948 | Dawn Tyus | Counselor | 424 W. Taylor Street, Griffin, GA 30223 | 2014-12-10 |
| 1003173030 | Ingles Markets Inc | Pharmacy | 1735 Zebulon Rd, Griffin, GA 30223 | 2012-04-16 |
| Find all providers in zip 30223 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497362917 | Valerie Larkin | Counselor | 139 W Ellis Rd Ste A, Griffin, GA 30223-7149 | 2020-09-29 |
| 1508465329 | Patricia Kerigan | Counselor | 1815 N Expressway Ste B, Griffin, GA 30223-1185 | 2020-10-22 |
| 1801403266 | Jabreeka Brown | Counselor | 1815 N Expressway Ste B, Griffin, GA 30223-1185 | 2020-09-29 |
| 1124633748 | Ceciley Thomas | Counselor | 1815 N Expressway Ste B, Griffin, GA 30223-1185 | 2020-09-10 |
| 1922624253 | Xavier Armond Coggins | Counselor | 1815 N Expressway Ste B, Griffin, GA 30223-1185 | 2020-06-23 |
| 1689294530 | Sierriena Shanon Robinson | Counselor | 1815 N Expressway Ste B, Griffin, GA 30223-1185 | 2020-04-21 |
| 1699307272 | Allison Beal | Counselor | 1815 N Expressway Ste B, Griffin, GA 30223-1185 | 2020-02-11 |
| 1952941007 | Valerie Cannon Jackson | Counselor | 1815 N Expressway Ste B, Griffin, GA 30223-1185 | 2020-01-07 |
| 1952947517 | December Session | Counselor | 1815 N Expressway Ste B, Griffin, GA 30223-1185 | 2019-11-19 |
| 1902447519 | Katina Berry | Counselor | 1815 N Expressway Ste B, Griffin, GA 30223-1185 | 2019-10-04 |
| Find all providers in GRIFFIN | ||||
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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.