KEYONNA TILLMAN


Address: 1023 Crestmark Blvd, Lithia Springs, GA 30122-2645
Phone: 4702347612

KEYONNA TILLMAN (NPI# 1407281165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407281165
Entity Type Individual
Full Name KEYONNA TILLMAN
Credential CD
Practice Address 1023 Crestmark Blvd
Lithia Springs
GA 30122-2645
Practice Telephone 4702347612
Mailing Telephone 4702347612
Enumeration Date 2013-09-12
Last Update Date 2013-09-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171M00000X Case Manager/Care Coordinator Other Service Providers

Office Location

Street Address 1023 CRESTMARK BLVD
City LITHIA SPRINGS
State GA
Zip Code 30122-2645

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NPI Name Taxonomy Address Enumeration
1043798838 Vivian Adu-aboagye Registered Nurse 7603 Forest Glen Way, Lithia Springs, GA 30122 2018-08-02
1588150510 Vanessa Levet Hayes Driver 2100 Mesa Valleyway Apt1507, Lithiasprings, GA 30122 2018-07-02
1699279141 Ariel Shell Massage Therapist 2060 Rolling Rock Ct, Lithia Springs, GA 30122 2018-03-20
1013323872 First Choice Supportive Services, Incorporated Personal Emergency Response Attendant 3423 Summerlin Parkway, Lithia Springs, GA 30122 2014-07-01
1245659275 Thumbs-up Transportation Non-emergency Medical Transport (VAN) 1517 Fenmore St., Lithia Springs, GA 30122 2014-04-07
1205262789 Diana C Harris Counselor 561 Thornton Rd. Unit R, Lithia Springs, GA 30122 2013-09-17
1497910475 Valissa Ann Dixon Counselor 6852 Florence Drive, Lithia Springs, GA 30122 2008-07-18
1548473267 Lawrence Vision, Inc. Ophthalmology 939 Bob Arnold Blvd., Suite G, Lithia Springs, GA 30122 2007-05-08
1790903342 Nahid Bahrami Dentist 524 Thornton Rd., Lithia Springs, GA 30122 2007-04-20
1831231828 Harley Alan Belinky Dentist 1515 Westfork Dr., Lithia Springs, GA 30122 2007-02-13
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Taxonomy Information

Taxonomy Code 171M00000X
Grouping Other Service Providers
Classification Case Manager/Care Coordinator

Taxonomy Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new]

Providers in the same taxonomy and state

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1730780768 Covenant Consulting and Practice Management Corp Case Manager/Care Coordinator 2900 Weatherstone Cir Se, Conyers, GA 30094-2021 2020-11-05
1194325779 Stephanie A Jones Case Manager/Care Coordinator 517 Fall Creek Ct, Mcdonough, GA 30253-9245 2020-10-31
1952918484 Andrea Y Daniel Case Manager/Care Coordinator 6040 Walters Loop, Columbus, GA 31907-5368 2020-09-29
1730796772 Abbigail J Boyd Case Manager/Care Coordinator 538 Hunterdale Rd, Evans, GA 30809-3630 2020-09-24
1326653890 Chosen Care, Inc. Case Manager/Care Coordinator 5202 Forest Springs Dr, Atlanta, GA 30338-3506 2020-09-11
1689287112 Nikki Crew Case Manager/Care Coordinator 200 Suddeth St, Winterville, GA 30683-1901 2020-08-25
1205448032 Leona Ramsey Dorsey Case Manager/Care Coordinator 19 Shearwater Dr, Fortson, GA 31808-5316 2020-08-22
1467064428 Kayla M Sims Case Manager/Care Coordinator 6475 Calamar Dr, Cumming, GA 30040-7645 2020-08-20
1821600990 Johnelle Chambers Case Manager/Care Coordinator 4045 S Shelby Ln, Douglasville, GA 30135-4141 2020-08-20
1801408919 April Scott Case Manager/Care Coordinator 267 Roberts Rd, Barnesville, GA 30204-3367 2020-08-19
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Competitor

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City LITHIA SPRINGS
Zip Code 30122

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Dataset Information

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.

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