JERVON HAMILTON (NPI# 1952819435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952819435 |
| Entity Type | Individual |
| Full Name | JERVON HAMILTON |
| Practice Address |
5538 Old National Hwy #250 College Park GA 30349 |
| Mailing Address |
5538 Old National Hwy Ste 250 College Park GA 30349-3297 |
| Practice Telephone | 4046657718 |
| Enumeration Date | 2018-01-18 |
| Last Update Date | 2018-01-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC009947 | GA | Behavioral Health & Social Service Providers |
| Street Address |
5538 OLD NATIONAL HWY #250 |
| City | COLLEGE PARK |
| State | GA |
| Zip Code | 30349 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316066673 | Felicia Jones Jenkins | Counselor | 5538 Old National Hwy, 350, College Park, GA 30349-3278 | 2007-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376185686 | Kmb Diagnostics | Durable Medical Equipment & Medical Supplies | 941 Flat Shoals Rd, Atlanta, GA 30349 | 2019-10-09 |
| 1114575859 | Justin Vassell | Registered Nurse | 1903 Phoenix Boulevard, Suite 200, College Park, GA 30349 | 2019-08-27 |
| 1841856663 | Kennyetta Danielle Watkins | Counselor | 1431 Riverwalk Ln, Apt. F, College Park, GA 30349 | 2019-05-16 |
| 1275002636 | Patriot Healthcare of Georgia, LLC | Family Medicine | 1587 Phoenix Boulevard, Suite 6, College Park, GA 30349 | 2018-11-15 |
| 1669971875 | Ee Consulting Solution | Case Management | 6320 Topaz Tral, Arlanta, GA 30349 | 2018-02-03 |
| 1629595640 | Shayla Bouie | Contractor | 5420 Riverdale Rd Apt D17, Atlanta, GA 30349 | 2017-08-30 |
| 1114475563 | Jasmine V Mccully | Social Worker | 5864 Summergien Lane, College Park, GA 30349 | 2016-09-14 |
| 1639537681 | Shelia Thornton | Counselor | 5856 Seabright Lane, Atlanta, GA 30349 | 2016-02-05 |
| 1346610177 | Joanne Resilard | Nurse Practitioner | 2931 Herron Ln Sw, Atlanta, GA 30349 | 2015-10-06 |
| 1063805091 | Southwest Atlanta Medical & Rehabilitation Clinic LLC | Family Medicine | 495 85 Circle, Suite 100, Atlanta, GA 30349 | 2015-03-16 |
| Find all providers in zip 30349 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841856663 | Kennyetta Danielle Watkins | Counselor | 1431 Riverwalk Ln, Apt. F, College Park, GA 30349 | 2019-05-16 |
| 1245719426 | Antonia Lamoi Taylor | Counselor | 2459 Roosevelt Hwy # B1516, College Park, GA 30337-5512 | 2018-08-09 |
| 1174029441 | Sticks In A Bundle Mentoring & Outreach, LLC | Counselor | 1865 Harvard Ave, College Park, GA 30337-3526 | 2018-04-04 |
| 1972850790 | Felicia R Perry | Counselor | 2245 Godby Rd Ste 102/104, College Park, GA 30349-5060 | 2012-08-10 |
| 1265721567 | Angela Peoples | Counselor | 5101 Buffington Rd, Ste 3445, College Park, GA 30349-2922 | 2011-04-07 |
| 1154656023 | Nicole Patrich Davis | Counselor | 1862 Princeton Ave # 206, College Park, GA 30337-3519 | 2009-10-12 |
| 1093048324 | Steven Snook, Ph.d., LLC | Counselor | 1651 Phoenix Blvd Ste 2, College Park, GA 30349-5552 | 2009-09-18 |
| 1467684456 | Lisa Andrews | Counselor | 1651 Phoenix Blvd, Suite 2, College Park, GA 30349-5552 | 2009-08-10 |
| 1720274632 | Judith Ann Johnson X | Counselor | 10201 Baltimore Ave, Apt # 1503, College Park, MD 20740-4216 | 2007-09-25 |
| 1316066673 | Felicia Jones Jenkins | Counselor | 5538 Old National Hwy, 350, College Park, GA 30349-3278 | 2007-03-28 |
| Find all providers in COLLEGE PARK | ||||
| City | COLLEGE PARK |
| Zip Code | 30349 |
Please comment or provide details below to improve the information on JERVON HAMILTON.
| 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.