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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 175T00000X | Peer Specialist | 175T00000X | GA | Other Service Providers |
Street Address |
3708 CHINABERRY LN |
City | SNELLVILLE |
State | GA |
Zip Code | 30039-4053 |
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 |
Find all providers in zip 30039 |
Taxonomy Code | 175T00000X |
Grouping | Other Service Providers |
Classification | Peer Specialist |
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] |
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 |
Find all providers with the same taxonomy |
City | SNELLVILLE |
Zip Code | 30039 |
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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.