BOBBY DODD INSTITUTE (NPI# 1497307425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497307425 |
| Entity Type | Organization |
| Organization Name | BOBBY DODD INSTITUTE |
| Other Organization Name | BDI |
| Practice Address |
2120 Marietta Blvd Nw Atlanta GA 30318-2122 |
| Practice Telephone | 6783650071 |
| Mailing Telephone | 6783650071 |
| Enumeration Date | 2019-07-10 |
| Last Update Date | 2020-01-17 |
| Authorized Official Name | MR. LARRY GLUTH (PRESIDENT AND CEO) |
| Authorized Official Telephone | 6783650071 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251C00000X | Day Training, Developmentally Disabled Services | Agencies | ||
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 251T00000X | PACE Provider Organization | Agencies | ||
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 225C00000X | Rehabilitation Counselor | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 253Z00000X | In Home Supportive Care | Agencies | ||
| N | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
Ambulatory Health Care Facilities | ||
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| N | 251X00000X | Supports Brokerage | Agencies | ||
| Y | 251B00000X | Case Management | Agencies |
| Other Name | Type Code |
|---|---|
| BDI | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 125 Clairemont Ave Ste 300, Decatur, GA 300302551 | 6783650071 | |
| 221 Stockbridge Rd, Jonesboro, GA 302363628 | 6783650071 |
| Street Address |
2120 MARIETTA BLVD NW |
| City | ATLANTA |
| State | GA |
| Zip Code | 30318-2122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720628068 | Cara Darise Waiswilos | Counselor | 2120 Marietta Blvd Nw, Atlanta, GA 30318-2122 | 2020-01-15 |
| 1760022909 | Jessica Daniela Sullivan | Counselor | 2120 Marietta Blvd Nw, Atlanta, GA 30318-2122 | 2020-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659970408 | Laura N Gillespie | Physician Assistant | 1800 Howell Mill Rd., Suite 450, Atlanta, GA 30318 | 2020-10-22 |
| 1639793664 | 100 Percent Chiropractic Sberger LLC | Chiropractor | 2250 Marietta Blvd, Suite 303, Atlanta, GA 30318 | 2020-06-05 |
| 1326518945 | Sharon Emancia Joseph | Nurse Practitioner | 1517 Whitehead Bluff Nw, Atlanta, GA 30318 | 2018-11-27 |
| 1124597646 | Cindy Denise Oden | Registered Nurse | 1903 Drew Dr Nw, Apt 2200, Atlanta, GA 30318 | 2018-11-14 |
| 1558838052 | Amanda Renee Wilson | Social Worker | 2118 Adams Overlook Nw, Atlanta, GA 30318 | 2018-11-01 |
| 1386135010 | Missions Possible of Atlanta Day Program LLC. | Counselor | 805 Ayrshire Cir Nw, Atlanta, GA 30318 | 2018-05-29 |
| 1295254639 | Danielle Olivia Jones | Counselor | 1391 Collier Road Nw, Apt 1304, Atlanta, GA 30318 | 2017-09-18 |
| 1104372317 | Kera Baker | Massage Therapist | 1397 B Carroll Drive Nw, Atlanta, GA 30318 | 2016-08-28 |
| 1588015648 | Meridian Corporate Healthcare of Georgia P C | Clinic/Center | 1000 Techwood Dr Nw, Atlanta, GA 30318 | 2016-06-29 |
| 1104286707 | B Webb, Inc | Specialist | 1675 Lower Roswell Rd, Marietta, GA 30318 | 2016-02-25 |
| Find all providers in zip 30318 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942814959 | The Evolve Center of Counseling & Coaching | Case Management | 8509 Dunwoody Pl, Atlanta, GA 30350-3330 | 2020-09-08 |
| 1477173706 | Patientory | Case Management | 3423 Piedmont Rd Ne Ste 373, Atlanta, GA 30305-1751 | 2020-04-16 |
| 1821626516 | Created2empower Counseling Services,llc | Case Management | 1001 Virginia Ave Ste 330, Atlanta, GA 30354-1367 | 2020-03-30 |
| 1184273922 | Deadrea Jean Miller | Case Management | 3227 Verdant Dr Sw Apt 1511, Atlanta, GA 30331-3086 | 2019-09-04 |
| 1891353868 | Charm Health Services | Case Management | 3620 Piedmont Rd Ne, Atlanta, GA 30305-1442 | 2019-06-04 |
| 1316404767 | Atlanta Harm Reduction Coalition | Case Management | 1231 Joseph E Boone Blvd Nw, Atlanta, GA 30314-2395 | 2019-02-21 |
| 1588147698 | Dynamik Community Partners, LLC | Case Management | 120 Rill Ct, Atlanta, GA 30349-3532 | 2018-09-13 |
| 1568983831 | Medxoom, Inc. | Case Management | 675 Ponce De Leon Ave Ne Ste 8500, Atlanta, GA 30308-1884 | 2017-06-27 |
| 1386171833 | Ace Care Management LLC | Case Management | 236 Auburn Ave Ne, Atlanta, GA 30303-2605 | 2017-05-15 |
| 1952717522 | Pinnacle Behavioral Health Services, LLC | Case Management | 250 Georgia Ave. Sw, Suite 346, Atlanta, GA 30312-2623 | 2014-07-03 |
| Find all providers in ATLANTA | ||||
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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.