MICHAEL O'BANNON


Address: 3708 Chinaberry Ln, Snellville, GA 30039-4053
Phone: 6787684096

MICHAEL O'BANNON (NPI# 1750771531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750771531
Entity Type Individual
Full Name MICHAEL O'BANNON
Practice Address 3708 Chinaberry Ln
Snellville
GA 30039-4053
Practice Telephone 6787684096
Mailing Telephone 6787684096
Enumeration Date 2015-01-30
Last Update Date 2015-01-30
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 175T00000X Peer Specialist 175T00000X GA Other Service Providers

Office Location

Street Address 3708 CHINABERRY LN
City SNELLVILLE
State GA
Zip Code 30039-4053

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710593819 David Spellings Physical Therapist 3991 Us-78, Suite 200, Snellville, GA 30039 2020-09-23
1245849785 Tanner Brown Physical Therapist 3991 Us-78 Suite 200, Snellville, GA 30039 2020-07-30
1215571294 Ora Gylbryne Brown Behavioral Analyst 4189 White Road, Snellville, GA 30039 2019-11-01
1780174953 Kolawole J Adeyeye Nursing Care 4729 Polly Pl, Snellville, GA 30039 2018-05-14
1255820007 Bacchus Private Home Care LLC Home Health 4925 Bridle Point Parkway, Snellville, GA 30039 2018-05-08
1508368051 Sovereign Medical Services, Inc Community/Behavioral Health 3806 Wood Hollow Way, Snellville, GA 30039 2018-03-01
1356865265 Shanique Griffiths Counselor 2580 Broadmoor Ct, Snellville, GA 30039 2017-08-01
1265952584 Miracles In Motion Foundation Case Management 4276 Burgomeister Place, Snellville, GA 30039 2017-06-27
1194245704 Loliya Joy Stewart Dentist 3966 Annistown Rd, Snellville, GA 30039 2017-06-24
1023543014 Natasha Marie Smith Nurse's Aide 2423 Northbrook Rd, Snellville, GA 30039 2017-04-27
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Taxonomy Information

Taxonomy Code 175T00000X
Grouping Other Service Providers
Classification Peer Specialist

Taxonomy Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Notes: Source: National Uniform Claim Committee [7/1/2014: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1538760103 Green Zone Counseling Peer Specialist 432 Canton Rd Ste G, Cumming, GA 30040-2000 2020-11-02
1225678386 John William Burdeshaw Peer Specialist 3916 Valley Rd, Columbus, GA 31907-5657 2020-01-07
1851953962 Jamie Greshawn Hudgens Peer Specialist 1734 Ridge Ct Se, Conyers, GA 30013-1726 2019-06-28
1497213748 Ronald E. Johnson Peer Specialist Carl Vinson Va Medical Center, 1826 Veterans Blvd., Dublin, GA 31021 2019-03-06
1669941761 Paul-david Arthur Cooper Peer Specialist 117 Shawnee Street, Va Savannah Clinic, Savannah, GA 31419 2018-11-19
1477069292 Penny Campbell Foskey Peer Specialist 2041 W Elm St, Wrightsville, GA 31096-5156 2017-12-15
1568913945 Michelle Little Peer Specialist 6828 Sarah Jane Ln, Riverdale, GA 30296-2600 2016-10-20
1386195774 Scott Kerns Jr. Peer Specialist 433 Highland Ave Ne, Apt 1156, Atlanta, GA 30312-1391 2016-10-20
1558713479 Safe Place Atlanta Peer Specialist 6612 Pamplona Pl, College Park, GA 30349-8491 2016-07-02
1194196329 Mary Williams Peer Specialist 277 E Big Indian Trl Ne, Rome, GA 30165-7413 2015-10-14
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Competitor

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City SNELLVILLE
Zip Code 30039

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Dataset Information

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.

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