CORETTA KING-BRASWELL


Address: 2822 Woodhollow Ln, Jonesboro, GA 30236-2829
Phone: 3863388222

CORETTA KING-BRASWELL (NPI# 1487196044) 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) 1487196044
Entity Type Individual
Full Name CORETTA KING-BRASWELL
Practice Address 2822 Woodhollow Ln
Jonesboro
GA 30236-2829
Mailing Address Po Box 1194
Jonesboro
GA 30237-1194
Practice Telephone 3863388222
Mailing Telephone 3863388222
Enumeration Date 2016-11-14
Last Update Date 2016-11-14
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171M00000X Case Manager/Care Coordinator 81-1453757 GA Other Service Providers

Office Location

Street Address 2822 WOODHOLLOW LN
City JONESBORO
State GA
Zip Code 30236-2829

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972123362 Life Source Counseling & Consulting, LLC Clinic/Center 118 North Avenue, Suite A, Jonesboro, GA 30236 2020-04-25
1639609555 New Beginnings Behavioral Counseling,llc Social Worker 9456 S Main St Ste E2, Jonesboro, GA 30236 2017-06-13
1437696762 Clarissa Alexandra Poole Counselor 2106 Fair Ridge Ct, Jonesboro, GA 30236 2017-01-25
1588012892 Sundance Healthcare Service Inc In Home Supportive Care 7861 Collinswood Court, Jonesboro, GA 30236 2016-05-26
1942669205 Adrianne Smiley Gurley Occupational Therapist 1299 Battlecreek Rd Ste 210, Jonesboro, GA 30236 2016-02-15
1336505809 Integrated Health Center Dentist 8600 Tara Blvd, Suite D, Jonesboro, GA 30236 2016-01-13
1467827402 Surrell Porter Nurse Practitioner 1287 Georgia Highway 138 Spur, Suite 8, Jonesboro, GA 30236 2015-12-02
1740688910 Jacqueline Carolyn Edwards Registered Nurse 8081 Tara Blvd, 265, Jonesboro, GA 30236 2014-12-19
1770991861 Lower Extremity Diagnostics, LLC Podiatrist 6911 Tara Boulevard, Jonesboro, GA 30236 2014-08-01
1760899710 Fresenius Medical Care Jonesboro, LLC Clinic/Center 8060 Summitt Business Parkway, Jonesboro, GA 30236 2014-07-22
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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 city

NPI Name Taxonomy Address Enumeration
1891335519 Mallori Miller Case Manager/Care Coordinator 837 Willett Rd, Jonesboro, AR 72401 2020-01-10
1619516051 Kyjione King Case Manager/Care Coordinator 721 S Gee St Ste A, Jonesboro, AR 72401-3308 2020-01-02
1487205845 Jamie Lynn Echeverria Case Manager/Care Coordinator 837 Willett Road, Jonesboro, AR 72401-7240 2019-09-26
1043877608 Tristan Kole Meador Case Manager/Care Coordinator 1905 Race St, Jonesboro, AR 72401-7212 2019-05-20
1972088425 Kenan Shell Case Manager/Care Coordinator 4009 Clay Dr, Jonesboro, AR 72404-8543 2018-10-01
1710462759 Kelly Seltzer Case Manager/Care Coordinator 320 Monterey Cir, Jonesboro, GA 30236-8242 2018-09-26
1891273546 Charlotte Amos Case Manager/Care Coordinator 248 Collin Rd, Jonesboro, LA 71251 2018-08-04
1407376486 Angelijica Ivey Case Manager/Care Coordinator 8322 Marlborough Dr, Jonesboro, GA 30238-2943 2017-06-21
1275071607 Coral Nicole Burke Case Manager/Care Coordinator 1806 Kathleen St, Apt. B, Jonesboro, AR 72401-9104 2017-02-06
1356889794 Juan Sheppard Case Manager/Care Coordinator 3309 Kingsbury St, Jonesboro, AR 72401-5412 2017-02-06
Find all providers in JONESBORO

Competitor

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City JONESBORO
Zip Code 30236

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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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