MRS. WANDA MILLER (NPI# 1982054102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982054102 |
| Entity Type | Individual |
| Full Name | MRS. WANDA MILLER |
| Practice Address |
972 Main St Forest Park GA 30297-1473 |
| Practice Telephone | 6788335837 |
| Mailing Telephone | 6788335837 |
| Enumeration Date | 2016-06-18 |
| Last Update Date | 2016-06-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699280115 | Wanda Miller | Non-emergency Medical Transport (VAN) | 3184 Millington Rd, Memphis, TN 38127-6112 | 2017-12-06 |
| 1508058132 | Wanda K Miller | Occupational Therapist | 1903 Springhill Ave, Mobile, AL 36607 | 2007-08-17 |
| 1144736687 | Wanda Jean Miller | Social Worker | 262 Chapman Rd, Newark, DE 19702-5448 | 2017-12-20 |
| 1417496605 | Wanda Miller | Psychologist | 1721 W Elfindale St, Springfield, MO 65807-1295 | 2017-02-21 |
| 1710164660 | Wanda Latrice Miller | Counselor | 140 Michigan Ave W, Battle Creek, MI 49017-3602 | 2008-01-23 |
| 1902955495 | Wanda L Miller | Physical Therapist | 4840 W Panther Creek Dr, Suite 206, The Woodlands, TX 77381-3527 | 2007-01-10 |
| 1063515872 | Wanda Miller | Nurse Practitioner | 1 Freedom Way, Augusta, GA 30904-6258 | 2006-09-07 |
| Street Address |
972 MAIN ST |
| City | FOREST PARK |
| State | GA |
| Zip Code | 30297-1473 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548747173 | Ga Peach Medical Transportation, LLC | Ambulance | 5023 Highway 85, Forest Park, GA 30297 | 2018-07-26 |
| 1871940437 | Crystal Harrison | Counselor | 4659 Ruby Ln, Forest Park, GA 30297 | 2016-05-24 |
| 1467807156 | Naundria Jackson | Nurse Practitioner | Apmc, Forest Park, GA 30297 | 2016-04-29 |
| 1891156089 | Gentle Care Medical Trans LLC | Ambulance | 530 Forest Parkway Suite B, Forest Park, GA 30297 | 2016-03-15 |
| 1811318835 | Kim Mckinney | Case Manager/Care Coordinator | 1104 South Parkwood Drive, Forest Park, GA 30297 | 2013-12-17 |
| 1215361910 | Tiffany Nadine Adams | Specialist | 228 Morrow Rd 18h, Forest Park, GA 30297 | 2013-08-29 |
| 1851663124 | Daffodil Pediatrics and Family Medicine | Pediatrics | 4905 Courtney Drive, Forest Park, GA 30297 | 2012-02-02 |
| 1093093759 | Truliant Health Systems | Community/Behavioral Health | 526 Forest Parkway Ste D, Forest Park, GA 30297 | 2011-07-29 |
| 1811134133 | Sharonda Renee Forte | Orthopaedic Surgery | 4940 Governors Park Drive, Forest Park, GA 30297 | 2009-01-08 |
| 1215173737 | Comfort Personal Care Service | Assisted Living Facility | 5530 Old Dixie Highway, D-9, Forest Park, GA 30297 | 2009-01-06 |
| Find all providers in zip 30297 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811318835 | Kim Mckinney | Case Manager/Care Coordinator | 1104 South Parkwood Drive, Forest Park, GA 30297 | 2013-12-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730780768 | Covenant Consulting and Practice Management Corp | Case Manager/Care Coordinator | 2900 Weatherstone Cir Se, Conyers, GA 30094-2021 | 2020-11-05 |
| 1194325779 | Stephanie A Jones | Case Manager/Care Coordinator | 517 Fall Creek Ct, Mcdonough, GA 30253-9245 | 2020-10-31 |
| 1952918484 | Andrea Y Daniel | Case Manager/Care Coordinator | 6040 Walters Loop, Columbus, GA 31907-5368 | 2020-09-29 |
| 1730796772 | Abbigail J Boyd | Case Manager/Care Coordinator | 538 Hunterdale Rd, Evans, GA 30809-3630 | 2020-09-24 |
| 1326653890 | Chosen Care, Inc. | Case Manager/Care Coordinator | 5202 Forest Springs Dr, Atlanta, GA 30338-3506 | 2020-09-11 |
| 1689287112 | Nikki Crew | Case Manager/Care Coordinator | 200 Suddeth St, Winterville, GA 30683-1901 | 2020-08-25 |
| 1205448032 | Leona Ramsey Dorsey | Case Manager/Care Coordinator | 19 Shearwater Dr, Fortson, GA 31808-5316 | 2020-08-22 |
| 1467064428 | Kayla M Sims | Case Manager/Care Coordinator | 6475 Calamar Dr, Cumming, GA 30040-7645 | 2020-08-20 |
| 1821600990 | Johnelle Chambers | Case Manager/Care Coordinator | 4045 S Shelby Ln, Douglasville, GA 30135-4141 | 2020-08-20 |
| 1801408919 | April Scott | Case Manager/Care Coordinator | 267 Roberts Rd, Barnesville, GA 30204-3367 | 2020-08-19 |
| Find all providers with the same taxonomy | ||||
| City | FOREST PARK |
| Zip Code | 30297 |
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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.