MARCIA MAHONEY (NPI# 1649713785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649713785 |
| Entity Type | Individual |
| Full Name | MARCIA MAHONEY |
| Practice Address |
2899 Five Forks Trickum Rd Lawrenceville GA 30044-5803 |
| Mailing Address |
175 Chandler Ridge Ln Lawrenceville GA 30045-6524 |
| Practice Telephone | 7706339213 |
| Mailing Telephone | 4049154639 |
| Enumeration Date | 2016-11-21 |
| Last Update Date | 2016-11-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | OTA000845 | GA | Managed Care Organizations |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780695924 | Marcia Cochran Mahoney | Speech-Language Pathologist | 2 Austin Ln, Byfield, MA 01922-1600 | 2006-08-11 |
| 1063683860 | Marcia Mahoney | Speech-Language Pathologist | 1210 13th St, Parkersburg, WV 26101-4144 | 2008-03-19 |
| Street Address |
2899 FIVE FORKS TRICKUM RD |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30044-5803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972931590 | Judy Carol Franscoviak | Physical Therapy Assistant | 2899 Five Forks Trickum Rd, Lawrenceville, GA 30044-5803 | 2013-10-16 |
| 1154872356 | Greg Brooks | Physical Therapy Assistant | 2899 Five Forks Trickum Rd, Lawrenceville, GA 30044-5803 | 2016-10-22 |
| 1518418714 | Rachel Brooks | Physical Therapy Assistant | 2899 Five Forks Trickum Rd, Lawrenceville, GA 30044-5803 | 2016-10-22 |
| 1457730764 | Jamie Sackett | Physical Therapist | 2899 Five Forks Trickum Rd, Lawrenceville, GA 30044-5803 | 2015-05-20 |
| 1881024883 | Kathy Martin-wagner | Physical Therapy Assistant | 2899 Five Forks Trickum Rd, Lawrenceville, GA 30044-5803 | 2013-11-13 |
| 1649608068 | Denise Nicole Durham | Physical Therapist | 2899 Five Forks Trickum Rd, Lawrenceville, GA 30044-5803 | 2013-10-22 |
| 1811325236 | Estelle Froehbrodt | Physical Therapy Assistant | 2899 Five Forks Trickum Rd, Lawrenceville, GA 30044-5803 | 2013-10-22 |
| 1881022382 | Colleen Curcillo Brennan | Speech-Language Pathologist | 2899 Five Forks Trickum Rd, Lawrenceville, GA 30044-5803 | 2013-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740811892 | Berry and Mitchell Hands of Caring | Nurse's Aide | 1180 Market Square Lane, Lawrenceville, GA 30044 | 2020-01-28 |
| 1457995045 | Reagan Urgent Care | Clinic/Center | 2878 Five Forks Trickum Rd Ste 2a, Lawrenceville, GA 30044 | 2019-11-06 |
| 1194373621 | Kaseem Beck | Dentist | Gwinnett Family Dental Care, 3455 Lawrenceville Hwy, Lawrenceville, GA 30044 | 2019-08-28 |
| 1053965525 | Imani Anderson | Speech-Language Pathologist | 2775 Cruse Rd Suite 2002, Lawrenceville, GA 30044 | 2019-08-01 |
| 1598329625 | Zam Zam Family Clinic LLC | Clinic/Center | 965 Oakland Road, Bldg 3 Ste D & E, Lawrenceville, GA 30044 | 2019-04-24 |
| 1659858991 | Apex Eyecare | Optometrist | 3694 Club Drive Unit 101, Lawrenceville, GA 30044 | 2018-07-19 |
| 1538657549 | Georgia Comprehensive Family Clinic & Natural Health | Naturopath | 1065 Pleasant Hill Rd, Lawrenceville, GA 30044 | 2018-04-25 |
| 1316434095 | Children's Dentistry of Lithonia, LLC | Dentist | 4850 Sugarloaf Parkway, Ste 611, Lawrenceville, GA 30044 | 2018-04-18 |
| 1831619337 | Legacy Healthcare Services, Inc. | Occupational Therapist | 2899 Five Forks Trickum Rd Apt 204, Lawrenceville, GA 30044 | 2017-06-26 |
| 1326582859 | Ana Coronado | Social Worker | 965 Oakland Road Nw, Suite 3b, Lawrenceville, GA 30044 | 2016-12-19 |
| Find all providers in zip 30044 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689047771 | Shevon Valentine | Point of Service | 1807 Piney Woods Rd, Lawrenceville, VA 23868 | 2015-11-11 |
| 1245478908 | Young Business Solutions | Point of Service | 1830 Angus Lee Dr, Lawrenceville, GA 30045-2764 | 2009-02-03 |
| 1720139389 | Griffith, Spelios and Associates LLC | Point of Service | 2003 Riverside Pkwy, Suite 104, Lawrenceville, GA 30043-5939 | 2007-01-12 |
| 1477003283 | Lawrence County Health Department | Point of Service | 11362 Country Club Rd, Lawrenceville, IL 62439-4325 | 2016-10-05 |
| 1497021489 | Family Guidance LLC | Point of Service | 2775 Cruse Rd, Suite 1601, Lawrenceville, GA 30044-7140 | 2012-03-24 |
| 1629128988 | Sugarloaf Crossing Dental Center LLC | Point of Service | 4850 Sugarloaf Pkwy, Suite 204, Lawrenceville, GA 30044-2859 | 2007-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811597461 | Nanoresearch, Inc | Point of Service | 58 Edgewood Ave Ne, Suite 122, Collabtech., Gsu, Atlanta, GA 30303 | 2020-10-31 |
| 1558990911 | Telemedicine Essentials of America, LLC | Point of Service | 2001 Montreal Rd Ste 105, Tucker, GA 30084-5219 | 2020-04-06 |
| 1033745088 | Assure Elder Care Incorporated | Point of Service | 1047 Alford Rd, Lithonia, GA 30058-3007 | 2020-03-20 |
| 1437712122 | Wish You Well Youth Faith Foundation Inc | Point of Service | 9456 S Main St Ste D4, Jonesboro, GA 30236-6074 | 2019-04-17 |
| 1114412632 | Healthy Living Now Inc | Point of Service | 8174 Spring Ct, Riverdale, GA 30274-4317 | 2018-06-27 |
| 1629519202 | Nurse Practioner | Point of Service | 4044 George Busbee Pkwy Nw Apt 4207, Kennesaw, GA 30144-6890 | 2017-03-15 |
| 1033657143 | Glam She LLC | Point of Service | 4070 San Marco Way, Douglasville, GA 30135-2769 | 2017-02-09 |
| 1992248298 | New Legacy Counseling and Training Center | Point of Service | 3350 Riverwood Parkway, Suite 1925, Atlanta, GA 30339 | 2016-11-18 |
| 1245682079 | Butterfly Gardens Hopice & Palliative Care, LLC | Point of Service | 3112 Blackmon Ct, Hephzibah, GA 30815-7064 | 2016-07-05 |
| 1194179861 | A Humbling Spirit Family Practice, Inc. | Point of Service | 2412 Horseshoe Bend Rd Sw, Marietta, GA 30064-4412 | 2016-04-19 |
| Find all providers with the same taxonomy | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30044 |
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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.