AVITA COMMUNITY PARTNERS (NPI# 1245472281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245472281 |
| Entity Type | Organization |
| Organization Name | AVITA COMMUNITY PARTNERS |
| Practice Address |
915 Interstate Ridge Dr Suite G Gainesville GA 30501-7076 |
| Mailing Address |
4331 Thurmon Tanner Rd Flowery Branch GA 30542-2829 |
| Practice Telephone | 6782071800 |
| Mailing Telephone | 6785135700 |
| Enumeration Date | 2009-04-06 |
| Last Update Date | 2009-04-06 |
| Authorized Official Name | KAREN TUCKER (BILLING MANAGER) |
| Authorized Official Telephone | 6785135700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | LPC005387 | GA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 1114988268 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205158813 | Avita Community Partners | Community Based Residential Treatment Facility, Mental Illness | 1763 Fernside Dr, Toccoa, GA 30577-8095 | 2010-02-23 |
| 1437489622 | Avita Community Partners | Community/Behavioral Health | 76 Hunt Martin St, Suite A, Blairsville, GA 30512-3694 | 2010-01-11 |
| 1215170105 | Avita Community Partners | Community/Behavioral Health | 4331 Thurmon Tanner Rd, Flowery Branch, GA 30542-2829 | 2009-04-08 |
| 1447492426 | Avita Community Partners | Community/Behavioral Health | 4331 Thurmon Tanner Rd, Flowery Branch, GA 30542-2829 | 2009-04-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | AVITA COMMUNITY PARTNERS | 4331 Thurmond Tanner Rd, Flowery Branch, GA 30542-2829 |
| Street Address |
915 INTERSTATE RIDGE DR SUITE G |
| City | GAINESVILLE |
| State | GA |
| Zip Code | 30501-7076 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568423655 | Renee Lee-barbacone | Social Worker | 915 Interstate Ridge Dr, Suite G, Gainesville, GA 30501-7076 | 2006-03-29 |
| 1740630318 | Sandra L Ray | Counselor | 915 Interstate Ridge Dr, Suite G, Gainesville, GA 30501-7076 | 2016-06-15 |
| 1912361312 | Wendy Ticas | Social Worker | 915 Interstate Ridge Dr, Suite C, Gainesville, GA 30501-7076 | 2016-04-12 |
| 1912393158 | Deborah L Fujan-pinney | Counselor | 915 Interstate Ridge Dr, G, Gainesville, GA 30501-7076 | 2015-04-14 |
| 1083003974 | Marion Goodloe Smyser | Social Worker | 915 Interstate Ridge Dr, Gainesville, GA 30501-7076 | 2015-01-14 |
| 1689084295 | Patricia M Smith | Counselor | 915 Interstate Ridge Dr, Gainesville, GA 30501-7076 | 2014-05-05 |
| 1790119881 | Stephen W Sorrells | Counselor | 915 Interstate Ridge Dr, Gainesville, GA 30501-7076 | 2013-08-26 |
| 1679852438 | Phyllis Birt | Licensed Practical Nurse | 915 Interstate Ridge Dr, Suite G, Gainesville, GA 30501-7076 | 2011-08-11 |
| 1497983605 | Southern Home Care Services, Inc. | Home Health | 915 Interstate Ridge Dr, Suite A, Gainesville, GA 30501-7076 | 2009-06-25 |
| 1740423227 | Curtis Ben Savage | Counselor | 915 Interstate Ridge Dr, Suite G, Gainesville, GA 30501-7076 | 2009-04-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437782851 | Madison Raye Huth | Physician Assistant | 743 Spring Street Se, Gainesville, GA 30501 | 2020-02-13 |
| 1205487659 | Grace M Walker Brown | Nurse Practitioner | 592 Medical Park Dr., Suite A, Gainesville, GA 30501 | 2019-09-26 |
| 1174086987 | Nayab Ahmed | Student in an Organized Health Care Education/Training Program | 743 Spring Street, Suite 710, Gainesville, GA 30501 | 2019-04-09 |
| 1154881118 | Ryan D Berry | Student in an Organized Health Care Education/Training Program | 734 Spring St Se Ste 710, Gainesville, GA 30501 | 2019-03-24 |
| 1609336304 | Harper E Niver | Student in an Organized Health Care Education/Training Program | 743 Spring St., Suite 710, Gainesville, GA 30501 | 2019-03-20 |
| 1508336173 | Bradee Burrell Aderholt | Nurse Practitioner | 663 Lanier Park Drive, Gainesville, GA 30501 | 2018-11-27 |
| 1578068359 | Soammy Liz Matias | Chiropractor | 961 Green Street, Gainesville, GA 30501 | 2018-03-26 |
| 1811496896 | Matthew Brown | Speech-Language Pathologist | 500 Spring St. Se Suite 101, Gainesville, GA 30501 | 2018-02-06 |
| 1346769825 | Dr. Skeete & Associates of North Georgia, P.C. | Optometrist | 150 Pearl Nix Parkway, Suite D3a, Gainesville, GA 30501 | 2017-09-15 |
| 1932624723 | M & B Imaging, PC | Radiology | 1640 Jesse Jewell Pkwy Se Ste 2, Gainesville, GA 30501 | 2017-08-14 |
| Find all providers in zip 30501 | ||||
| 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 |
|---|---|---|---|---|
| 1871192427 | Florida United Methodist Childrens Home, Inc. | Community/Behavioral Health | 9501 Sw Archer Rd, Gainesville, FL 32608-5721 | 2020-10-23 |
| 1134737257 | Connie Pierre-antoine | Community/Behavioral Health | 305 Ne 1st St, Gainesville, FL 32601-5310 | 2020-07-15 |
| 1578122578 | Georgia Dept of Human Resouces Field Fiscal Services - Region II | Community/Behavioral Health | 447 Ee Butler Pkwy, Gainesville, GA 30501-4524 | 2019-06-12 |
| 1720571953 | Finnette W. Fabrick, Ph.d. | Community/Behavioral Health | 4111 Nw 16th Dr, Gainesville, FL 32605-1972 | 2018-06-12 |
| 1003324211 | A Helping Hand Counseling. LLC | Community/Behavioral Health | 408 W University Ave Ste 206b, Gainesville, FL 32601-5280 | 2018-01-22 |
| 1336688647 | A Better Tomorrow Counseling and Consulting | Community/Behavioral Health | 1320 Ne 28th Ave, Gainesville, FL 32609-3115 | 2017-02-20 |
| 1508214909 | Choice Behavior Services, LLC | Community/Behavioral Health | 3300 Nw 30th Ave, Gainesville, FL 32605-2716 | 2016-05-26 |
| 1578910048 | Anchor Behavior Center LLC | Community/Behavioral Health | 1207 Ne 6th St, Gainesville, FL 32601-4466 | 2016-05-15 |
| 1104272970 | Rich At Heart Healthcare | Community/Behavioral Health | 7501 Ne 52nd Ter, Gainesville, FL 32609-1216 | 2016-05-10 |
| 1366808552 | Nurture By Nature | Community/Behavioral Health | 1635 Se 12th Pl, Gainesville, FL 32641-8296 | 2016-01-05 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 30501 |
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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.