MICHAEL LAMONT OSBORNE (NPI# 1326515040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326515040 |
Entity Type | Individual |
Full Name | MICHAEL LAMONT OSBORNE |
Other Name | MR. MICHAEL LAMONT OSBORNE |
Credential | BS, CPS,PP |
Practice Address |
5680 Fulton Industrial Blvd Sw Atlanta GA 30336-2659 |
Mailing Address |
Po Box 42873 Atlanta GA 30311-0873 |
Practice Telephone | 4043463473 |
Mailing Telephone | 6784727153 |
Enumeration Date | 2018-10-31 |
Last Update Date | 2018-10-31 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 175T00000X | Peer Specialist | 051350043 | GA | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | DRIVER'S LICENSE | 051350043 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588163729 | Michael Dale Osborne | Surgery | 60 River Oaks Rd, Half Moon Bay, CA 94019 | 2018-02-02 |
1831324797 | Michael Ray Osborne | Physical Therapy Assistant | Route 92 At Route 60, Genesis Healthcare, White Sulphur Springs, WV 24986 | 2009-05-21 |
1922249473 | Michael R Osborne Jr. | Massage Therapist | 503 S Main, Suite 103, San Antonio, TX 78204-1207 | 2009-03-12 |
1053550319 | Michael Osborne | Radiologic Technologist | 1824 Viola Pl Unit B, Costa Mesa, CA 92627-2725 | 2009-02-10 |
1689745556 | Michael Dewitt Osborne | Durable Medical Equipment & Medical Supplies | 14634 Elkin Highway 268, Ronda, NC 28670-9179 | 2006-11-13 |
1043204282 | Michael Scott Osborne | Chiropractor | 1301 Odovero Dr, Marquette, MI 49855-5505 | 2005-09-02 |
1053969675 | Michael Allen Osborne | Counselor | 1987 State St, East Petersburg, PA 17520-1324 | 2019-08-27 |
1497213771 | Michael Osborne | Registered Nurse | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2019-03-06 |
1265917454 | Michael Anthony Osborne Jr. | Registered Nurse | 1010 7650 E, Crow Agency, MT 59022 | 2018-10-03 |
1588160972 | Michael Jacob Osborne | Behavior Technician | 41521 W 11 Mile Rd # Nov, Novi, MI 48375-1803 | 2018-04-04 |
Street Address |
5680 FULTON INDUSTRIAL BLVD SW |
City | ATLANTA |
State | GA |
Zip Code | 30336-2659 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659412542 | Yes-u-can, Inc | Community/Behavioral Health | 5680 Fulton Industrial Blvd Sw, Atlanta, GA 30336-2659 | 2007-02-12 |
1255978821 | Katrina Banks | Counselor | 5680 Fulton Industrial Blvd Sw, Atlanta, GA 30336-2659 | 2019-12-03 |
1851868616 | Benita Green | Counselor | 5680 Fulton Industrial Blvd Sw, Atlanta, GA 30336-2659 | 2018-10-30 |
1972070886 | Shavier Alexander | Counselor | 5680 Fulton Industrial Blvd Sw, Atlanta, GA 30336-2659 | 2018-10-29 |
1699214825 | Marcus Green | Counselor | 5680 Fulton Industrial Blvd Sw, Atlanta, GA 30336-2659 | 2017-02-21 |
1760847420 | Antonio Fish | Counselor | 5680 Fulton Industrial Blvd Sw, Atlanta, GA 30336-2659 | 2015-12-23 |
1720453475 | Carla Mcleod | Counselor | 5680 Fulton Industrial Blvd Sw, Atlanta, GA 30336-2659 | 2015-12-07 |
1487900387 | Nyrva Bertrand | Licensed Practical Nurse | 5680 Fulton Industrial Blvd Sw, Atlanta, GA 30336-2659 | 2012-07-28 |
1336361377 | New Beginnings Today LLC | Skilled Nursing Facility | 5680 Fulton Industrial Blvd Sw, Atlanta, GA 30336-2659 | 2007-05-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053500751 | American Current Care Pa | Clinic/Center | 5670 Fulton Industrial Blvd, Atlanta, GA 30336 | 2007-10-18 |
1891899050 | Chanda Monee' Gordon | Dentist | 5626 Fulton Industrial Blvd., Suite 110, Atlanta, GA 30336 | 2006-09-11 |
1508875188 | Occupational Health Centers of Georgia PC | Clinic/Center | 5670 Fulton Industrial Blvd., Atlanta, GA 30336 | 2006-08-05 |
1760905566 | Ashia Rallings | Chiropractor | 1311a Fulton Industrial Blvd Nw, Ste 3, Atlanta, GA 30336-1533 | 2017-07-24 |
1255870119 | Daniel Riase | Chiropractor | 1311a Fulton Industrial Blvd Nw Ste 3, Atlanta, GA 30336-1533 | 2017-02-13 |
1386744233 | Miranda White | Physical Therapist | 1311a Fulton Industrial Blvd Nw Ste 5, Atlanta, GA 30336-1533 | 2006-09-22 |
1134642077 | Chiropractic Healthcare Group LLC | Chiropractor | 1311a Fulton Industrial Blvd Nw Ste 3, Atlanta, GA 30336-1533 | 2017-07-23 |
1235211996 | Touch of Therapy Health and Wellness Services, LLC | Physical Therapist | 1311a Fulton Industrial Blvd Nw Ste 5, Atlanta, GA 30336-1533 | 2006-10-20 |
1275947277 | Mind-head Solutions, LLC | Community/Behavioral Health | 630 Interchange Dr Sw, Atlanta, GA 30336-1604 | 2014-06-17 |
1558706820 | Harvester Center for Growth | Community/Behavioral Health | 4002 Wendell Dr Sw, Atlanta, GA 30336-1722 | 2013-05-01 |
Find all providers in zip 30336 |
Taxonomy Code | 175T00000X |
Grouping | Other Service Providers |
Classification | Peer Specialist |
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386195774 | Scott Kerns Jr. | Peer Specialist | 433 Highland Ave Ne, Apt 1156, Atlanta, GA 30312-1391 | 2016-10-20 |
1982203311 | The Recovery Coach, LLC | Peer Specialist | 6100 Lake Forrest Dr Ste 450, Atlanta, GA 30328-3837 | 2020-10-17 |
1992352421 | Courtney Jackson | Peer Specialist | 250 Georgia Ave Se, Suite 206, Atlanta, GA 30312 | 2019-08-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538760103 | Green Zone Counseling | Peer Specialist | 432 Canton Rd Ste G, Cumming, GA 30040-2000 | 2020-11-02 |
1225678386 | John William Burdeshaw | Peer Specialist | 3916 Valley Rd, Columbus, GA 31907-5657 | 2020-01-07 |
1851953962 | Jamie Greshawn Hudgens | Peer Specialist | 1734 Ridge Ct Se, Conyers, GA 30013-1726 | 2019-06-28 |
1497213748 | Ronald E. Johnson | Peer Specialist | Carl Vinson Va Medical Center, 1826 Veterans Blvd., Dublin, GA 31021 | 2019-03-06 |
1669941761 | Paul-david Arthur Cooper | Peer Specialist | 117 Shawnee Street, Va Savannah Clinic, Savannah, GA 31419 | 2018-11-19 |
1477069292 | Penny Campbell Foskey | Peer Specialist | 2041 W Elm St, Wrightsville, GA 31096-5156 | 2017-12-15 |
1568913945 | Michelle Little | Peer Specialist | 6828 Sarah Jane Ln, Riverdale, GA 30296-2600 | 2016-10-20 |
1558713479 | Safe Place Atlanta | Peer Specialist | 6612 Pamplona Pl, College Park, GA 30349-8491 | 2016-07-02 |
1194196329 | Mary Williams | Peer Specialist | 277 E Big Indian Trl Ne, Rome, GA 30165-7413 | 2015-10-14 |
1750771531 | Michael O'bannon | Peer Specialist | 3708 Chinaberry Ln, Snellville, GA 30039-4053 | 2015-01-30 |
Find all providers with the same taxonomy |
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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.