RHONDA A CROCKETT (NPI# 1487213930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487213930 |
| Entity Type | Individual |
| Full Name | RHONDA A CROCKETT |
| Practice Address |
401 Westpark Ct Ste 200 Peachtree City GA 30269-3572 |
| Mailing Address |
120 Wyonia Way Fayetteville GA 30215-2421 |
| Practice Telephone | 8003410120 |
| Practice Fax Number | 8663413403 |
| Mailing Telephone | 4047199549 |
| Mailing Fax Number | 8663413403 |
| Enumeration Date | 2019-06-09 |
| Last Update Date | 2020-03-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | CERTIFIED PEER SPECIALIST | 000111222333 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 755 W Big Beaver Rd Ste 2020, Troy, MI 480844925 | 8003410120 | 8663413403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023076585 | Rhonda S Crockett | Massage Therapist | 2000 Kenny Road, Columbus, OH 43221 | 2006-05-03 |
| Street Address |
401 WESTPARK CT STE 200 |
| City | PEACHTREE CITY |
| State | GA |
| Zip Code | 30269-3572 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538254206 | Kendy Verpile | Obstetrics & Gynecology | 401 Westpark Ct Ste 200, Peachtree City, GA 30269 | 2006-10-04 |
| 1942863204 | A New Well, Inc | Case Management | 401 Westpark Ct Ste 200, Peachtree City, GA 30269-3572 | 2019-04-22 |
| 1861956195 | Center for Women's Health and Aesthetics LLC | Obstetrics & Gynecology | 401 Westpark Ct Ste 200, Peachtree City, GA 30269-3572 | 2019-01-31 |
| 1104390459 | The Quality Improvement Team, LLC | Home Health | 401 Westpark Ct Ste 200, Peachtree City, GA 30269-3572 | 2019-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750992772 | Brian Voyles | Pharmacist | 130 Peachtree East Ct, Ste #4, Peachtree City, GA 30269 | 2020-08-13 |
| 1871133066 | Imani Scott | Physical Therapist | 1280 Hwy 74 S Ste 210, Peachtree City, GA 30269 | 2020-01-15 |
| 1477191898 | Sandra Jo Aletraris | Counselor | 105 Camp Creek Trail, Peachtree City, GA 30269 | 2019-12-16 |
| 1295372696 | Jovon Erika Caldwell Taylor | Nurse Practitioner | 125 Governors Square, Suite B, Peachtree City, GA 30269 | 2019-12-04 |
| 1376191106 | Ryan Goldfine Dpm LLC | Podiatrist | 3451 Ernest W Barrett Pkwy Suite 170, Mariettta, GA 30269 | 2019-08-26 |
| 1740834092 | Shenitta Guyton | Psychologist | 619 Grecken Grn, Peachtree City, GA 30269 | 2019-07-25 |
| 1063971463 | Sarah Elizabeth Epps | Speech-Language Pathologist | 156 Peachtree East #149, Peachtree City, GA 30269 | 2019-03-15 |
| 1689139362 | Resiliency Behavioral Health Services LLC | Counselor | 145 Govenors Square, Ste A, Fayetteville, GA 30269 | 2019-02-06 |
| 1790256931 | Change of Life Companion Homecare LLC | Nurse Anesthetist, Certified Registered | 401 Topaz Trail, Peachtree City, Fayetteville, GA 30269 | 2018-12-16 |
| 1447753686 | Kelli M Shelton | Counselor | 145 A Governor's Sq., Peachtree City, GA 30269 | 2018-03-14 |
| Find all providers in zip 30269 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1386195774 | Scott Kerns Jr. | Peer Specialist | 433 Highland Ave Ne, Apt 1156, Atlanta, GA 30312-1391 | 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 |
| Find all providers with the same taxonomy | ||||
| City | PEACHTREE CITY |
| Zip Code | 30269 |
Please comment or provide details below to improve the information on RHONDA A CROCKETT.
| 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.