MR. CLAY DEXTER GILL (NPI# 1720257132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720257132 |
| Entity Type | Individual |
| Full Name | MR. CLAY DEXTER GILL |
| Credential | LPC |
| Practice Address |
5920 Reese St Patterson GA 31557-5131 |
| Mailing Address |
5920 Reese St Po Box 151 Patterson GA 31557-5131 |
| Practice Telephone | 9122820992 |
| Practice Fax Number | 9126470510 |
| Mailing Telephone | 9122820992 |
| Mailing Fax Number | 9126470510 |
| Enumeration Date | 2008-02-29 |
| Last Update Date | 2008-02-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC004088 | GA | Behavioral Health & Social Service Providers |
| Street Address |
5920 REESE ST |
| City | PATTERSON |
| State | GA |
| Zip Code | 31557-5131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023173804 | Sara Mcarthur | Clinical Neuropsychologist | 5920 Reese St, Patterson, GA 31557-5131 | 2006-12-22 |
| 1649511544 | Stefany Raye Morgan | Counselor | 5920 Reese St, Patterson, GA 31557-5131 | 2013-03-04 |
| 1316230899 | Cord of Three Counseling Services, Inc. | Community/Behavioral Health | 5920 Reese St, Patterson, GA 31557-5131 | 2011-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891071296 | Phyllis Susan Raulerson | Early Intervention Provider Agency | 5955 Owens Road, Patterson, GA 31557 | 2011-10-30 |
| 1376966317 | Brandy Marie Scott | Pharmacist | 3436 Hopewell Rd, Patterson, GA 31557-2424 | 2014-01-28 |
| 1023135316 | Patterson Pharmacare, Inc. | Durable Medical Equipment & Medical Supplies | 6460 Hwy 84, Patterson, GA 31557-5016 | 2007-03-23 |
| 1679193130 | Boobil, LLC | Pharmacy | 6460 Hwy 84, Patterson, GA 31557-5016 | 2020-04-24 |
| 1053400689 | Bacon Co. Health Services, Inc. | General Acute Care Hospital | 3406 Wildwood Ave., Patterson, GA 31557-5065 | 2006-10-12 |
| 1770956765 | Marrian Daniels | Counselor | 3350 Tyre Bridge Rd, Patterson, GA 31557-5083 | 2015-11-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083220453 | Sasha Jackson, LLC | Clinic/Center | 480 Ridge Creek Ln, Patterson, CA 95363-8776 | 2020-09-21 |
| 1932713104 | Bibin Chacko | Speech-Language Pathologist | 535 Peregrine Dr, Patterson, CA 95363-8703 | 2020-09-03 |
| 1407460017 | Sneha Kommu | Speech-Language Pathologist | 775 N Hartley St, Patterson, CA 95363-2477 | 2020-09-01 |
| 1386257368 | Luis Castillo | Behavior Technician | 1513 Minnie St, Patterson, CA 95363-9456 | 2020-08-28 |
| 1457969511 | Dawn Louise Garcia | Nurse Practitioner | 547 Nicastro Dr, Patterson, CA 95363-9780 | 2020-07-15 |
| 1174146062 | Samantha Donahue | Licensed Practical Nurse | 94 Patterson Village Ct, Patterson, NY 12563-2420 | 2020-05-26 |
| 1518587302 | Cler Vicentina Aquillas | Nurse Practitioner | 1108 Ward Ave Ste 1, Patterson, CA 95363-8529 | 2020-04-21 |
| 1962032318 | Salutem C, LLC | Hospice Care, Community Based | 254 Sperry Ave Ste 6, Patterson, CA 95363-2762 | 2020-01-23 |
| 1609419688 | Brooke Ashley Umfleet | Occupational Therapist | Rr 1 Box 11470, Patterson, MO 63956-8712 | 2019-10-23 |
| 1255988176 | Gwynderlyn Patreac Jenkins | Specialist | 220 N El Circulo Ave, Patterson, CA 95363-2521 | 2019-08-26 |
| Find all providers in PATTERSON | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649511544 | Stefany Raye Morgan | Counselor | 5920 Reese St, Patterson, GA 31557-5131 | 2013-03-04 |
| 1174859383 | Pedro Heredia | Counselor | 200 C St, Patterson, CA 95363-2701 | 2009-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033070 | Joseph Barber | Counselor | 114 Hope Dr, Dallas, GA 30157-2569 | 2020-11-06 |
| 1114528957 | Takelia Hughey | Counselor | 2875 Spring Villa Ln Se, Smyrna, GA 30080-3644 | 2020-11-06 |
| 1083215685 | Peace of Mind Counseling and Therapeutic Services | Counselor | 290 Baywood Way, Hiram, GA 30141-3186 | 2020-11-02 |
| 1780284513 | Hogue Counseling and Consulting Services, LLC | Counselor | 7861 Waterlace Dr, Fairburn, GA 30213-4648 | 2020-10-30 |
| 1245830140 | Tiffany Alberto | Counselor | 350 Lyndale Dr Se, Atlanta, GA 30316-2692 | 2020-10-29 |
| 1013517465 | Tequila Olivia Banks | Counselor | 8303 Dunleaf Arc Way Nw, Norcross, GA 30093 | 2020-10-27 |
| 1598365033 | Tiffany Johnson | Counselor | 309 Ivy Chase Ln, Peachtree Corners, GA 30092-4641 | 2020-10-26 |
| 1568061331 | Justin White | Counselor | 1025 Powers Pl, Alpharetta, GA 30009-8356 | 2020-10-22 |
| 1295334209 | Mark Alan Beach | Counselor | 320 Victory Home Ln, Clarkesville, GA 30523 | 2020-10-21 |
| 1396344339 | Savannah Therapeutic Services, LLC | Counselor | 2431 Habersham St Ste C, Savannah, GA 31401-9360 | 2020-10-21 |
| 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.