DR. TONI L MASON (NPI# 1043382021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043382021 |
| Entity Type | Individual |
| Full Name | DR. TONI L MASON |
| Credential | PH.D. |
| Practice Address |
1361 Jennings Mill Rd Suite 201 Bogart GA 30622-2579 |
| Practice Telephone | 7063161908 |
| Practice Fax Number | 7063162062 |
| Mailing Telephone | 7063161908 |
| Mailing Fax Number | 7063162062 |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2007-09-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | 2674 | GA | Behavioral Health & Social Service Providers |
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
2674 | GA | Behavioral Health & Social Service Providers |
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
2674 | GA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | AMERIGROUP | 10034544 | 01 |
| Street Address |
1361 JENNINGS MILL RD SUITE 201 |
| City | BOGART |
| State | GA |
| Zip Code | 30622-2579 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104196799 | Rita Macari | Counselor | 1361 Jennings Mill Rd, 201, Bogart, GA 30622-2579 | 2012-01-12 |
| 1902026347 | Athens Behavioral Medicine | Psychiatry & Neurology | 1361 Jennings Mill Rd, Ste 201, Bogart, GA 30622-2592 | 2007-04-26 |
| 1083736961 | Edward J Fisher Jr Md Inc | Psychiatry & Neurology | 1361 Jennings Mill Rd, Bldg 200 Ste 201, Bogart, GA 30622 | 2007-04-04 |
| 1720113434 | Ronald Blaine Everson | Marriage & Family Therapist | 1361 Jennings Mill Rd, Suite 201, Bogart, GA 30622-2579 | 2007-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780108266 | Catherine Colquitt | Specialist/Technologist | 1081 Rocky Branch Rd, Bogart, GA 30622 | 2017-07-27 |
| 1154864775 | Hampton Valley Health Center, Inc. | Chiropractor | 2881 Monroe Highway, Suite 701, Bogart, GA 30622 | 2016-11-30 |
| 1740298728 | Thomas W Mccormack Jr. | Psychiatry & Neurology | 1361 Jennings Mill Road, Building 200 Suite 201, Bogart, GA 30622 | 2006-08-04 |
| 1659308872 | Blue Laser Group | Ophthalmology | 1747 Langford Drive, Building 400, Suite 101, Bogart, GA 30622 | 2006-06-26 |
| 1225076821 | Pruitthealth Hospice, Inc. | Hospice Care, Community Based | 1751 Meriweather Dr, Bogart, GA 30622 | 2006-06-03 |
| 1205837374 | Terrance L Hughes | Specialist | 1500 Langford Medical Dr., Bldg 200, Bogart, GA 30622 | 2005-08-10 |
| 1922590892 | Inside Out Therapy Services | Occupational Therapist | 1450 Eden Ave, Bogart, GA 30622 | 2018-06-05 |
| 1144517038 | Gentry Broach Tolbert | Nurse Practitioner | 1500 Langford Medical Drive, Bldg 200, Bogart, GA 30622 | 2011-06-30 |
| 1760504641 | Andrew Philip Heidesch | Marriage & Family Therapist | 1361 Jennings Mill Road, Suite 201, Bogart, GA 30622 | 2007-04-04 |
| 1629109863 | Deborah C Miller | Registered Nurse | 1361 Jennings Mill Road, Building 200 Suite 201, Bogart, GA 30622 | 2007-03-08 |
| Find all providers in zip 30622 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538693254 | Rachel Yosick | Psychologist | 520 Wembley Cir, Sandy Springs, GA 30328-6753 | 2017-04-19 |
| 1174974620 | Warren Umansky, Ph.d. | Psychologist | 302 Wheeler Executive Ctr, Augusta, GA 30909 | 2016-06-27 |
| 1245655893 | Tiffany Gilmore Randell | Psychologist | 101 Devant Street, Office 401, Fayetteville, GA 30214 | 2014-02-19 |
| 1972927861 | Tyrone D. Lane Enterprises, Incorporated | Psychologist | 5304 Panola Industrial Boulevard, Suite L, Decatur, GA 30035 | 2014-02-12 |
| 1720409493 | Tonya Favors | Psychologist | 311 S Lee St, Apt C, Americus, GA 31709-3971 | 2013-12-26 |
| 1912336546 | Francine Adams | Psychologist | 324 Trace Ln, Lawrenceville, GA 30046-2896 | 2013-11-04 |
| 1447542691 | Erin Marie Jones | Psychologist | 1256 Briarcliff Rd Ne Ste 322e, Atlanta, GA 30306-2636 | 2011-05-06 |
| 1164729901 | Tiffany Whitworth | Psychologist | 4139 Hospital Dr Ne, Covington, GA 30014-2565 | 2011-02-14 |
| 1548573264 | Kimberley Blaker Saye | Psychologist | 4695 Mahonia Way Nw, Acworth, GA 30102-3575 | 2010-07-22 |
| 1316269350 | Caitlin Herzinger Delfs | Psychologist | 4994 Lower Roswell Rd Ste 10, Marietta, GA 30068-4332 | 2010-02-18 |
| Find all providers with the same taxonomy | ||||
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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.