MS. GLADYS KYRIMA DAVIS (NPI# 1821592478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821592478 |
| Entity Type | Individual |
| Full Name | MS. GLADYS KYRIMA DAVIS |
| Other Name | KYRIMA ANDERSON |
| Practice Address |
1392 Preserve Park Dr Loganville GA 30052-5828 |
| Mailing Address |
910 Athens Hwy Ste K312 Loganville GA 30052-4952 |
| Practice Telephone | 4049927747 |
| Mailing Telephone | 6786971567 |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2019-12-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251E00000X | Home Health | Agencies | ||
| N | 372600000X | Adult Companion | Nursing Service Related Providers | ||
| N | 373H00000X | Day Training/Habilitation Specialist | Nursing Service Related Providers | ||
| N | 374U00000X | Home Health Aide | Nursing Service Related Providers | ||
| N | 376K00000X | Nurse's Aide | Nursing Service Related Providers | ||
| N | 385H00000X | Respite Care | Respite Care Facility | ||
| N | 385HR2060X |
Respite Care Specialization: Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
Respite Care Facility | ||
| N | 172V00000X | Community Health Worker | Other Service Providers | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881151082 | Gladys Davis | Licensed Practical Nurse | 2411 Ernest St, Lake Charles, LA 70601-7265 | 2019-02-23 |
| Street Address |
1392 PRESERVE PARK DR |
| City | LOGANVILLE |
| State | GA |
| Zip Code | 30052-5828 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588170641 | Wesdyda Dorival Gassant | Licensed Practical Nurse | 1392 Preserve Park Dr, Loganville, GA 30052-5828 | 2017-12-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609482397 | A Better Life Together, Inc | Day Training, Developmentally Disabled Services | 3343 Woodshade Drive, Loganville, GA 30052 | 2020-09-18 |
| 1184285025 | Felicia Maria Anderson | Counselor | 272 Fox Run, Loganville, GA 30052 | 2019-06-21 |
| 1225502768 | Jackie Kabahuma Zziwa | Registered Nurse | 4072 Atlanta High Way, Loganville, GA 30052 | 2019-01-17 |
| 1598243024 | Afolasade A Adeyemo | In Home Supportive Care | 154 Towler Shoals Dr, Loganville, GA 30052 | 2018-08-06 |
| 1831688654 | Julia Smith | Physician Assistant | 2745 Loganville Hwy, Loganville, GA 30052 | 2018-05-07 |
| 1306335534 | Emily Jannine Jamshedi | Physician Assistant | 3461 Skyland Ridge Ct, Loganville, GA 30052 | 2018-05-03 |
| 1346738655 | Laura Martha Avila | Nurse Practitioner | 221 The Esplanade Way Se, Loganville, GA 30052 | 2018-04-23 |
| 1942738901 | Local Dental Partners, LLC | Clinic/Center | 4353 Atlanta Highway Suite. 300, Loganville, GA 30052 | 2017-06-02 |
| 1649702804 | Cynthia Reeves | Counselor | 4160 Logan Drive, Loganville, GA 30052 | 2017-03-28 |
| 1689049330 | Samuel S Kwon - Loganville Dmd PC | Dentist | 2101 Baker Carter Drive, Suite 200, Loganville, GA 30052 | 2015-12-07 |
| Find all providers in zip 30052 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659817179 | C&c Care Consultants,llc | Community/Behavioral Health | 3621 Preserve Wood Ln, Loganville, GA 30052-5885 | 2017-01-07 |
| 1295158699 | Life Enrichment and Wellness Services | Community/Behavioral Health | 608 Stonecrest Drive, Loganville, GA 30052 | 2014-01-22 |
| 1952606899 | Morningstar Christian Counseling Center | Community/Behavioral Health | 7712 Hampton Pl, Loganville, GA 30052-6770 | 2011-01-25 |
| 1124253679 | Loganville Community Ministry Village, Inc. | Community/Behavioral Health | 678 Tom Brewer Rd, Loganville, GA 30052-4005 | 2009-05-27 |
| 1932616109 | The Mind Renewed LLC | Community/Behavioral Health | 299 Cooper Rd Ste A, Loganville, GA 30052-2579 | 2018-01-09 |
| 1760871537 | Michelle Alden | Community/Behavioral Health | 1410 Compton Woods Dr, Loganville, GA 30052-2494 | 2015-01-17 |
| 1760871685 | Office of Rhonda S Mcginnis, LLC | Community/Behavioral Health | 299 Cooper Rd, Suite A, Loganville, GA 30052-2579 | 2015-01-15 |
| 1851780779 | Office of Mandy E Schultze | Community/Behavioral Health | 299 Cooper Rd, Suite A, Loganville, GA 30052-2579 | 2015-01-15 |
| 1619255338 | Extended Grace Counseling, LLC | Community/Behavioral Health | 678 Tom Brewer Rd, Loganville, GA 30052-4005 | 2011-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699376160 | Love, Breanna Olivia Zion Enterprise,llc(lboz): | Community/Behavioral Health | 9802 N Ivy Park Dr, Fortson, GA 31808-7130 | 2020-11-02 |
| 1578170882 | Helping Hearts Behavioral Health Services, LLC | Community/Behavioral Health | 504 Hamlet Dr, Hampton, GA 30228-4829 | 2020-09-30 |
| 1982219523 | Future Seekers, Inc. | Community/Behavioral Health | 3475 N. Desert Drive, Building 1, Suite 2100, East Point, GA 30344-3034 | 2020-09-10 |
| 1396359840 | Just Like Family Caregivers | Community/Behavioral Health | 2628 Lovejoy Crossing St, Hampton, GA 30228-5995 | 2020-09-02 |
| 1285247270 | Hudu Yoga & Therapy | Community/Behavioral Health | 3900 Springleaf Ct, Stone Mountain, GA 30083-4692 | 2020-08-28 |
| 1952914632 | Brighter Dayz, Incorporated | Community/Behavioral Health | 1016 Howell Mill Rd Nw Apt 4408, Atlanta, GA 30318-5592 | 2020-08-24 |
| 1699387688 | Rise Rehabilitation Services, LLC | Community/Behavioral Health | 738 Highland Park Trl, Atlanta, GA 30350-6706 | 2020-08-20 |
| 1104438373 | Pivotal Counseling LLC | Community/Behavioral Health | 75 N Broad St, Winder, GA 30680-1907 | 2020-08-19 |
| 1295347888 | Freemans Early Intervention Services | Community/Behavioral Health | 13 Peach St, Butler, GA 31006 | 2020-08-17 |
| 1861017634 | Trinity Care Counseling | Community/Behavioral Health | 3475 Northwinds Parkway, 200, Alpharetta, GA 30009 | 2020-06-08 |
| Find all providers with the same taxonomy | ||||
| City | LOGANVILLE |
| Zip Code | 30052 |
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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.