MUSCOGEE MENTAL HEALTH AND WELLNESS SERVICES LLC (NPI# 1437761566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437761566 |
| Entity Type | Organization |
| Organization Name | MUSCOGEE MENTAL HEALTH AND WELLNESS SERVICES LLC |
| Practice Address |
9111 White Bluff Rd Savannah GA 31406-4606 |
| Practice Telephone | 3345604132 |
| Mailing Telephone | 9214834490 |
| Enumeration Date | 2020-08-19 |
| Last Update Date | 2020-08-19 |
| Authorized Official Name | TRINA SANDERS (ADMINISTRSATOR) |
| Authorized Official Telephone | 3345604132 |
| Authorized Official Credential | PMHNP-BC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
9111 WHITE BLUFF RD |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31406-4606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942821483 | Taylor Depol | Behavior Technician | 9111 White Bluff Rd, Savannah, GA 31406-4606 | 2020-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891324042 | Magnolia Home Health, LLC Dba Home Instead Senior Care | Homemaker | 6709 Forest Park Drive, Suite B, Savannah, GA 31406 | 2020-04-08 |
| 1831737949 | Sumona Mitchell | Specialist | 1100 Eisenhower Drive 15, Suite 7, Savannah, GA 31406 | 2019-12-19 |
| 1295373090 | Gateway Behavioral Health Services | Community/Behavioral Health | 2121 East Derenne Ave, Savannah, GA 31406 | 2019-12-12 |
| 1114578820 | Kenya Burns | Technician | 6 Castle Ct, Savannah, GA 31406 | 2019-09-24 |
| 1841755287 | Southside Emergency Dental Center LLC | Dentist | 10515 White Bluff Rd., Savannah, GA 31406 | 2019-02-08 |
| 1639651003 | Rachael Putman | Physical Therapist | 37 W Fairmont Ave Suite 323, Savannah, GA 31406 | 2018-09-03 |
| 1417439852 | Happy Kids Therapies, LLC | Physical Therapist | 37 W. Fairmont Avenue Suite 102, Savannah, GA 31406 | 2018-09-01 |
| 1487146619 | Georgia Occmed LLC | Clinic/Center | 310 Eisenhower Dr Bldg 12 Ste C, Savannah, GA 31406 | 2018-06-04 |
| 1023517505 | Antioch Vascular Center, LLC | Surgery | 9104 Middleground Road, Suite 2, Savannah, GA 31406 | 2018-02-09 |
| 1518496116 | Janay C Russell | Counselor | 6711 Forest Park Drive, Savannah, GA 31406 | 2017-06-07 |
| Find all providers in zip 31406 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326687690 | Lisa Marie Hogan | Nurse Practitioner | 135 Betsy Dr, Savannah, TN 38372-8907 | 2020-01-03 |
| 1619442951 | Leah Jean Carter | Nurse Practitioner | 1309 Trafford Ln, Savannah, GA 31410-5120 | 2018-10-12 |
| 1013525005 | Dhariniben Patel | Nurse Practitioner | 1915 Eisenhower Dr, Savannah, GA 31406-5027 | 2020-07-16 |
| 1336775550 | Tshaun Grant | Nurse Practitioner | 633 Stephenson Ave, Savannah, GA 31405-5970 | 2020-03-19 |
| 1720611379 | Emilie Taulbee | Nurse Practitioner | 601 E 66th St, Savannah, GA 31405-4519 | 2020-02-21 |
| 1922631670 | Joseph Anthony Walker | Nurse Practitioner | 601 E 66th St, Savannah, GA 31405-4519 | 2020-02-20 |
| 1942833009 | Lauren Brittany Tatum | Nurse Practitioner | 633 Stephenson Ave, Savannah, GA 31405-5970 | 2020-02-18 |
| 1558992974 | Faqueta Kenisha Green | Nurse Practitioner | 633 Stephenson Ave, Savannah, GA 31405-5970 | 2020-02-04 |
| 1154817906 | Mary Alice Gillingham | Nurse Practitioner | 1915 Eisenhower Dr, Savannah, GA 31406-5027 | 2018-07-05 |
| 1205246899 | Boles Global Telepsychiatry | Nurse Practitioner | 785 King George Blvd, Suite 101, Savannah, GA 31419-9501 | 2014-05-05 |
| Find all providers in SAVANNAH | ||||
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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.