COMMUNITY CARE ADOLESCENT ADULT SERVICES, LLC (NPI# 1609136209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609136209 |
| Entity Type | Organization |
| Organization Name | COMMUNITY CARE ADOLESCENT ADULT SERVICES, LLC |
| Practice Address |
1201 Peachtree St Ne 400 Colony Square, Ste 400 Atlanta GA 30361-3503 |
| Practice Telephone | 9193450261 |
| Mailing Telephone | 9193450261 |
| Enumeration Date | 2012-05-17 |
| Last Update Date | 2012-05-17 |
| Authorized Official Name | MR. DARIUS SMITH (CEO/EXEC. DIRECTOR) |
| Authorized Official Telephone | 9193450261 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
1201 PEACHTREE ST NE 400 COLONY SQUARE, STE 400 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30361-3503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922166339 | Alexandra Giannopoulous Karamanolis | Dentist | 1201 Peachtree St Ne, 400 Colony Square, Suite #1515, Atlanta, GA 30361-6302 | 2006-12-05 |
| 1083029706 | Altegra Health Connections, LLC | Nurse Practitioner | 1201 Peachtree St Ne, Atlanta, GA 30361-3503 | 2014-06-23 |
| 1801218755 | Kamyar Simian | Dentist | 1201 Peachtree St Ne, Building 400 - Suite 1515, Atlanta, GA 30361-3503 | 2014-01-13 |
| 1376775676 | Omega Health Care of Georgia Inc | Hospice Care, Community Based | 1201 Peachtree St Ne, Suite 1240, Atlanta, GA 30361-6302 | 2009-08-20 |
| 1396908158 | David Reeder Md PC | Anesthesiology | 1201 Peachtree St Ne, Atlanta, GA 30361-6302 | 2008-07-02 |
| 1700946266 | Stephan Gary Drescher Dds, Pa | Dentist | 1201 Peachtree St Ne, 400 Colony Square, Suite 1515, Atlanta, GA 30361-6302 | 2006-12-12 |
| 1942369459 | Stephen Gary Drescher | Dentist | 1201 Peachtree St Ne, 400 Colony Square, Suite 1515, Atlanta, GA 30361-6302 | 2006-12-08 |
| 1386703635 | Solomon Cohen | Dentist | 1201 Peachtree St Ne, 400 Colony Square, Suite # 1515, Atlanta, GA 30361-6308 | 2006-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679697817 | Brenda Twyner Robinson | Social Worker | 1201 Peachtree Street, Suite 200, Atlanta, GA 30361 | 2007-03-16 |
| 1649214214 | Darren S Levine | Optometrist | 1197 Peachtree St Ne, Atlanta, GA 30361-3502 | 2006-06-15 |
| 1801190905 | Medicus Health Group LLC | General Practice | 1197 Peachtree St Ne, Suite 522, Atlanta, GA 30361-3502 | 2011-01-04 |
| 1205009669 | Intown Optics Inc | Optometrist | 1197 Peachtree St Ne, Ste 520, Atlanta, GA 30361-3502 | 2008-04-08 |
| 1750773115 | Denice Crowe Clark | Marriage & Family Therapist | 1201 Peachtree St, Suite 200, Atlanta, GA 30361-3503 | 2015-02-23 |
| 1235401423 | Long Term Care Nurse Practitioner Services, LLC | Nurse Practitioner | 1201 Peachtree St, 400 Colony Square, Suite 200, Atlanta, GA 30361-3503 | 2012-02-02 |
| 1790064053 | T.l.c.transportation.org | Non-emergency Medical Transport (VAN) | 1201 Peachtree St, 400, Atlanta, GA 30361-3503 | 2011-08-04 |
| 1174138564 | Divine Angels Home Care | Home Health | 1201 Peachtree St Ne Bldg 400, Atlanta, GA 30361-3507 | 2020-09-11 |
| 1982195061 | Awc Networks, LLC | Registered Nurse | 1175 Peachtree St Ne Ste 100010th, Atlanta, GA 30361-3528 | 2018-05-23 |
| 1497007991 | Feather Touch Dental Care LLC | Dentist | 1175 Peachtree St Ne, Suite 1204, Atlanta, GA 30361-3528 | 2012-10-08 |
| Find all providers in zip 30361 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952914632 | Brighter Dayz, Incorporated | Community/Behavioral Health | 1016 Howell Mill Rd Nw Apt 4408, Atlanta, GA 30318-5592 | 2020-08-24 |
| 1699387688 | Rise Rehabilitation Services, LLC | Community/Behavioral Health | 738 Highland Park Trl, Atlanta, GA 30350-6706 | 2020-08-20 |
| 1700427820 | Trust2change, LLC. | Community/Behavioral Health | 2900 Chamblee Tucker Rd Bldg 8, Atlanta, GA 30341-4100 | 2019-09-30 |
| 1538712088 | Ferris Healthcare Group | Community/Behavioral Health | 2900 Paces Ferry Rd Se Bldg C, Atlanta, GA 30339-5702 | 2019-07-23 |
| 1245890987 | Soc Integrated Services, LLC | Community/Behavioral Health | 130 Wynfield Way Sw, Atlanta, GA 30331-6837 | 2019-06-15 |
| 1770046740 | Z-one Incorporated | Community/Behavioral Health | 505 Tufton Trl Se, Atlanta, GA 30354-2867 | 2019-04-08 |
| 1003377086 | Chris 180, Inc. | Community/Behavioral Health | 3700 Martin Luther King Dr Sw, Atlanta, GA 30331-3674 | 2019-03-30 |
| 1144790783 | Danielle Smith | Community/Behavioral Health | 880 Glenwood Ave Se Unit 3185, Atlanta, GA 30316-1955 | 2018-11-27 |
| 1073083762 | Michael Pollock | Community/Behavioral Health | 3725 Princeton Lakes Pkwy Sw Apt 7003, Atlanta, GA 30331-5560 | 2018-11-26 |
| 1851881353 | Atlanta Life Journeys Services, LLC | Community/Behavioral Health | 3196 Dogwood Dr, Atlanta, GA 30354-1149 | 2018-05-10 |
| 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.