MRS. ANGILIA EGBOSIMBAH (NPI# 1750700035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750700035 |
| Entity Type | Individual |
| Full Name | MRS. ANGILIA EGBOSIMBAH |
| Practice Address |
1916 N Leg Rd Augusta GA 30909-4402 |
| Mailing Address |
473 Old Evans Rd Apt 109 Martinez GA 30907-4324 |
| Practice Telephone | 7066674279 |
| Practice Fax Number | 7066674278 |
| Mailing Telephone | 7067504431 |
| Mailing Fax Number | 7067504432 |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2014-04-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 101YS0200X |
Counselor Specialization: School |
Behavioral Health & Social Service Providers | ||
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000612356 | 05 |
| Street Address |
1916 N LEG RD |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30909-4402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366492035 | East Central Health District | Public Health or Welfare | 1916 N Leg Rd, Augusta, GA 30909-4402 | 2006-05-11 |
| 1104220557 | Malcolm Irving Page | Internal Medicine | 1916 N Leg Rd, Augusta, GA 30909-4402 | 2014-10-14 |
| 1124421607 | Richmond Co. Health Dept. | Early Intervention Provider Agency | 1916 N Leg Rd, Augusta, GA 30909-4402 | 2014-09-29 |
| 1982943270 | Marcia B. Crowther | Case Manager/Care Coordinator | 1916 N Leg Rd, Augusta, GA 30909-4402 | 2013-02-06 |
| 1780957126 | Tommie Sue Bianchi-rossi | Registered Nurse | 1916 N Leg Rd, Augusta, GA 30909-4402 | 2012-02-15 |
| 1275777385 | Robin Danelle Murphey | Registered Nurse | 1916 N Leg Rd, Augusta, GA 30909-4402 | 2009-04-21 |
| 1184881104 | Debbie E Stanley | Registered Nurse | 1916 N Leg Rd, Augusta, GA 30909-4402 | 2008-05-19 |
| 1598935330 | Kathy Ann Sundberg | Registered Nurse | 1916 N Leg Rd, Augusta, GA 30909-4402 | 2008-03-07 |
| 1427277672 | Ketty M Gonzalez | Preventive Medicine | 1916 N Leg Rd, Augusta, GA 30909-4402 | 2007-04-25 |
| 1144368580 | Margaret Beasley | Licensed Practical Nurse | 1916 N Leg Rd, Augusta, GA 30909-4402 | 2007-02-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912513888 | Lauran Simpson | Behavior Technician | 1237 Augusta West Parkway, Augusta, GA 30909 | 2020-09-16 |
| 1487273884 | Still Perspectives Counseling LLC | Counselor | 1265 Inerstate Prwy, Suite B, Augusta, GA 30909 | 2020-04-15 |
| 1598397838 | Mjra Medical LLC | Psychologist | 3675 J Dewey Gray Cr Ste 300, Augusta, GA 30909 | 2020-02-05 |
| 1003452319 | Danny Robinson | Counselor | 2609 Commons Boulevard, Augusta, GA 30909 | 2019-11-21 |
| 1407498637 | Candice M Cruse | Social Worker | 2609 Commons Blvd, Augusta, GA 30909 | 2019-10-09 |
| 1902363385 | Mary D Jodon | Pharmacist | 3338 Wrightsboro Rd., Augusta, GA 30909 | 2019-02-21 |
| 1447790514 | Burn Critical Care Associates, LLC | Internal Medicine | 3614 J. Dewey Gray Circle, Bldg B., Augusta, GA 30909 | 2017-03-08 |
| 1124561766 | Sasha Latara Mccraw | Counselor | 7303 Palomino Court, Augusta, GA 30909 | 2016-11-30 |
| 1174974620 | Warren Umansky, Ph.d. | Psychologist | 302 Wheeler Executive Ctr, Augusta, GA 30909 | 2016-06-27 |
| 1811358955 | Theodora Mcleskey | Nurse Practitioner | 1215 George C. Wilson Drive, Augusta, GA 30909 | 2016-03-17 |
| Find all providers in zip 30909 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720624844 | Marie Bullock | Case Manager/Care Coordinator | 128 Sims Ct, Augusta, GA 30909-9014 | 2019-11-24 |
| 1063876407 | Maxlife Therapeutic Solutions Inc | Case Manager/Care Coordinator | 204b Pitcarin Way, Suite #1, Augusta, GA 30909-5766 | 2016-04-12 |
| 1952703068 | Connie Patten | Case Manager/Care Coordinator | 2821 Brookside Dr., Augusta, KS 67010 | 2014-09-19 |
| 1841607199 | Eleanor Willingham | Case Manager/Care Coordinator | 2225 Woodbluff Way, Augusta, GA 30909-2093 | 2014-07-18 |
| 1982018370 | Stacy L Willis | Case Manager/Care Coordinator | 1007 Caddenwoods Dr, Augusta, GA 30906-5618 | 2014-06-13 |
| 1568885119 | Larictor Tomlin | Case Manager/Care Coordinator | 1871 Heathers Way, Augusta, GA 30906-8110 | 2014-01-31 |
| 1275809576 | Jeanette Diane Wiggleton | Case Manager/Care Coordinator | 3216 Peninsula Dr, Augusta, GA 30909-0603 | 2012-03-30 |
| 1942588587 | Agape Living LLC | Case Manager/Care Coordinator | 1840 Phinizy Rd, Augusta, GA 30906-5144 | 2011-08-01 |
| 1285922823 | Cathy Kelsey | Case Manager/Care Coordinator | 704 Hall St, Augusta, GA 30901-3010 | 2011-07-18 |
| 1841400082 | Shlonda Brown Smith | Case Manager/Care Coordinator | 1928 Kissingbower Rd, Augusta, GA 30904-5158 | 2007-05-23 |
| Find all providers in AUGUSTA | ||||
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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.