TRACY SMALLS (NPI# 1902376064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902376064 |
| Entity Type | Individual |
| Full Name | TRACY SMALLS |
| Practice Address |
270 Carpenter Dr Ste 400 Atlanta GA 30328-4933 |
| Mailing Address |
4604 Golf Vista Cir Decatur GA 30035-3036 |
| Practice Telephone | 6784600345 |
| Enumeration Date | 2018-12-03 |
| Last Update Date | 2018-12-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
270 CARPENTER DR STE 400 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30328-4933 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386946168 | Michelle D Mansfield | Counselor | 270 Carpenter Dr Ste 400, Atlanta, GA 30328-4933 | 2010-11-29 |
| 1467926196 | Aisha Marcia Jones | Student in an Organized Health Care Education/Training Program | 270 Carpenter Dr Ste 400, Atlanta, GA 30328-4933 | 2019-01-16 |
| 1942774831 | Clifton Coleman | Social Worker | 270 Carpenter Dr Ste 400, Atlanta, GA 30328-4933 | 2019-01-14 |
| 1922578061 | Bridget Harris | Counselor | 270 Carpenter Dr Ste 400, Atlanta, GA 30328-4933 | 2018-12-02 |
| 1912477183 | Robin Easterling | Counselor | 270 Carpenter Dr Ste 400, Atlanta, GA 30328-4933 | 2018-11-30 |
| 1578033049 | Shanta Hayes | Social Worker | 270 Carpenter Dr Ste 400, Atlanta, GA 30328-4933 | 2018-11-27 |
| 1477020378 | Renae Dudley | Community/Behavioral Health | 270 Carpenter Dr Ste 400, Atlanta, GA 30328-4933 | 2018-10-29 |
| 1346723046 | Jhadrian Lawrence | Counselor | 270 Carpenter Dr Ste 400, Atlanta, GA 30328-4933 | 2018-09-10 |
| 1164904777 | Margarita Maria Betancourt Benjamin | Student in an Organized Health Care Education/Training Program | 270 Carpenter Dr Ste 400, Atlanta, GA 30328-4933 | 2018-08-30 |
| 1396224291 | Garrick Emmanuel Lawton | Student in an Organized Health Care Education/Training Program | 270 Carpenter Dr Ste 400, Atlanta, GA 30328-4933 | 2018-08-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467910042 | Amber Andrews | Behavior Technician | 750 Hammond Drive Bldg 7 Suite 100, Atlanta, GA 30328 | 2019-03-04 |
| 1215492830 | Ryan William Dubinin | Behavior Technician | 750 Hammond Drive, Building 7, Suite 100, Atlanta, NJ 30328 | 2019-02-07 |
| 1346710142 | Emily Rose Lloyd Swavely | Speech-Language Pathologist | 5825 Glenridge Rd., Building 1, Suite 133, Atlanta, GA 30328 | 2018-12-05 |
| 1063994481 | Mark Edward Brachmanski | Optometrist | 800 Mount Vernon Highway Ne, Suite 130, Atlanta, GA 30328 | 2018-09-01 |
| 1407352578 | Nina Brown | Massage Therapist | 7100 Peachtree Dunwoody Rd Ste 110, Sandy Springs, GA 30328 | 2018-04-05 |
| 1336657741 | Renee Usher Reeves | Assistant Behavior Analyst | 750 Hammond Dr Building 7, Suite 100, Atlanta, GA 30328 | 2018-01-19 |
| 1487168274 | Patricia Nicole Felder | Student in an Organized Health Care Education/Training Program | 270 Carpenter Dr, Ne, Suite # 400, Atlanta, GA 30328 | 2017-12-01 |
| 1447762927 | Ponders Podiatry LLC | Podiatrist | 275 Carpenter Drive Ne, Suite 106, Atlanta, GA 30328 | 2017-10-24 |
| 1770093601 | Syed M Rasheed | Physician Assistant | 5788 Roswell Rd Ste 100, Atlanta, GA 30328 | 2017-10-05 |
| 1437678190 | Jeanette Denise Jones | Counselor | 270 Carpenter Drive, Suite 400, Sandy Springs, GA 30328 | 2017-09-13 |
| Find all providers in zip 30328 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801495411 | Bianca Tiara Abrams | Counselor | 916 Glenwood Park Dr Se, Atlanta, GA 30316-6845 | 2020-10-23 |
| 1780283713 | Stacey Dougan | Counselor | 696 Mountain Dr Ne, Atlanta, GA 30342-3904 | 2020-10-21 |
| 1851998744 | Amanda Hock | Counselor | 3565 Piedmont Rd Ne Ste 510, Atlanta, GA 30305-8202 | 2020-10-05 |
| 1023625985 | Nathlie Dowdell | Counselor | 1939 Sylvan Rd Sw, Atlanta, GA 30310-5019 | 2020-09-24 |
| 1598371304 | Nissa Christina White | Counselor | 3520 Piedmont Rd Ne Ste 300, Atlanta, GA 30305-1512 | 2020-09-17 |
| 1194339689 | Harry Scott Gordon | Counselor | 3342 Rose Rdg, Atlanta, GA 30340-4074 | 2020-09-02 |
| 1023621869 | Naquia Scott | Counselor | 3330 Cumberland Blvd Se # 3330, Atlanta, GA 30339-5995 | 2020-08-30 |
| 1023621653 | Lindsey Hutchins | Counselor | 55 Mcdonough Blvd Se, Atlanta, GA 30315-2316 | 2020-08-24 |
| 1285246009 | Nickesha Melisa Douglas | Counselor | 1976 Flat Shoals Rd Se Ste A, Atlanta, GA 30316-2857 | 2020-08-21 |
| 1407467434 | Life Changes Counseling and Consultant Services, LLC | Counselor | 1003 Virginia Ave Ste 104, Atlanta, GA 30354-1366 | 2020-08-13 |
| Find all providers in ATLANTA | ||||
Please comment or provide details below to improve the information on TRACY SMALLS.
| 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.