MRS. GENNIENE LYNETT DOLLISON (NPI# 1497095665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497095665 |
Entity Type | Individual |
Full Name | MRS. GENNIENE LYNETT DOLLISON |
Other Name | MS. GENNIENE LYNETT SIMON |
Practice Address |
7071 Stephens Ct Morrow GA 30260-3236 |
Practice Telephone | 4049014108 |
Mailing Telephone | 4049014108 |
Enumeration Date | 2013-02-25 |
Last Update Date | 2015-09-03 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 372600000X | Adult Companion | Nursing Service Related Providers | ||
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | DEFENSIVE DRIVER CERTIFICATION | 771094 | 01 |
Street Address |
7071 STEPHENS CT |
City | MORROW |
State | GA |
Zip Code | 30260-3236 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538766605 | C. Alexander Pediatrics LLC | Emergency Medicine | 2180 Rex Road, Morrow, GA 30260 | 2020-10-02 |
1578127627 | Osara Dhevmi Malalasekara | Student in an Organized Health Care Education/Training Program | Amc Family Medicine Residency Program, 1000 Corporate Center Dr Suite 200, Morrow, GA 30260 | 2019-04-24 |
1902360860 | Katrina Samuels | Technician | 5771 Trammell Rd. Morrow Ga, Morrow, GA 30260 | 2019-01-24 |
1679067870 | Atl Sport | Community/Behavioral Health | 5376 Jonesboro Rd, Lake City, GA 30260 | 2018-06-20 |
1487184099 | Mamie Rochell Jinks | Driver | 1541 Lakeland Cir, Lake City, GA 30260 | 2017-06-15 |
1598202079 | Grace Misi Nteff | Nurse Practitioner | 1000 Clayton Village, Clayton State University, School of Nursing Community, Morrow, GA 30260 | 2017-01-23 |
1902357908 | Morrow Family Dentistry, P.C. | Clinic/Center | 6319a Jonesboro Road, Morrow, GA 30260 | 2016-10-14 |
1043679418 | Elite Rehab and Weightloss | Chiropractor | 1568 Southlake Pkwy Ste C, Morrow, GA 30260 | 2016-02-15 |
1659758985 | Clayton State University | Nurse Practitioner | 5809 Northlake Drive, Bldg 1000, Morrow, GA 30260 | 2015-05-06 |
1255731519 | Care First Private Home Care | In Home Supportive Care | 2380 Fairfield Court, Morrow, GA 30260 | 2014-08-23 |
Find all providers in zip 30260 |
Taxonomy Code | 372600000X |
Grouping | Nursing Service Related Providers |
Classification | Adult Companion |
An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548861156 | Angela Emanuel Morris | Adult Companion | 3805 Bayside Psge Nw, Acworth, GA 30101-4384 | 2020-11-02 |
1194330787 | Quanisha Aliyah Vera | Adult Companion | 3805 Nicoll Dr, Augusta, GA 30906-9242 | 2020-09-10 |
1720690852 | Shermaine Demetric Cleveland | Adult Companion | 1508 Teakwood Dr, Griffin, GA 30223-1062 | 2020-08-19 |
1780202960 | Shabaka Fletcher | Adult Companion | 901 Stoneview Trl Nw, Lilburn, GA 30047-7127 | 2020-07-14 |
1235747403 | Abundant Heart Healthcare Solution, LLC | Adult Companion | 6361 Talokas Lane, Ste C 140-279, Columbus, GA 31909 | 2020-07-14 |
1447878020 | Shanta Lafaye Watkins | Adult Companion | 103 Ashlund Dr, Centerville, GA 31028-1262 | 2020-07-09 |
1437775764 | The Maines Group, LLC | Adult Companion | The Maines Group, LLC Dba Maines Health and Wellness, 3461 Jessica Run, Decatur, GA 30034 | 2020-06-23 |
1174146682 | Atrianon, LLC | Adult Companion | 9048 River Bend Ct, Villa Rica, GA 30180-4157 | 2020-05-19 |
1811518616 | Laquinta A Hutchins | Adult Companion | 7684 Bernardo Dr, Riverdale, GA 30296-7191 | 2020-05-03 |
1932737046 | Samagas House Org | Adult Companion | 1500 Mountain View Cirlcle, Conyers, GA 30014 | 2020-04-01 |
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.