DOMINIQUE S PAUL-THOMPSON (NPI# 1063062651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063062651 |
| Entity Type | Individual |
| Full Name | DOMINIQUE S PAUL-THOMPSON |
| Other Name | DOMINIQUE S PAUL-THOMPSON |
| Practice Address |
112 Deercreek Parkway Griffin GA 30224 |
| Practice Telephone | 4707712007 |
| Mailing Telephone | 4707712007 |
| Enumeration Date | 2019-09-16 |
| Last Update Date | 2019-09-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 171WH0202X |
Contractor Specialization: Home Modifications |
Other Service Providers | ||
| N | 251E00000X | Home Health | Agencies | ||
| Y | 251E00000X | Home Health | GA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NA | NA | 01 |
| Street Address |
112 DEERCREEK PARKWAY |
| City | GRIFFIN |
| State | GA |
| Zip Code | 30224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346888971 | Latamika Renee Williams | Counselor | 1710 Ga-16 West, #6, Griffin, GA 30224 | 2019-12-13 |
| 1497303531 | Xiaohui Zhang Brotzge | Physician Assistant | 601 S 8th Street, Griffin, GA 30224 | 2019-09-02 |
| 1548812282 | Andrew Dennis Nesmith | Registered Nurse | 601 South 8th St, Emergency Room, Griffin, GA 30224 | 2019-07-12 |
| 1073009122 | Alicia Skye Ledford | Nurse Practitioner | 619 S 8th St., Suite 200, Griffin, GA 30224 | 2018-07-02 |
| 1649787102 | Judith Fuajong Ngulefac | Nurse Practitioner | 1705 Williamson Rd, Griffin, GA 30224 | 2018-01-05 |
| 1699297077 | Amanda Norman | Speech-Language Pathologist | 106 Garnet Ln, Griffin, GA 30224 | 2017-07-07 |
| 1306214655 | Ruchi P Gandhi | Optometrist | 646 8th Street, Griffin, GA 30224 | 2015-09-03 |
| 1528473881 | Nnenna Ezeilo | Otolaryngology | 619 S 8th St Ste 304, Griffin, GA 30224 | 2014-06-25 |
| 1437436094 | C. B. Reddy Md PC | Preferred Provider Organization | 610 S 8th Street, Suite F, Griffin, GA 30224 | 2011-11-10 |
| 1902188204 | Rocky Mountain Holdings LLC | Ambulance | 215 Midfield Dr, Griffin, GA 30224 | 2011-09-13 |
| Find all providers in zip 30224 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740804723 | Arnisha Smith Newton | Home Health | 1560 Flynt St Apt C1, Griffin, GA 30223-2084 | 2020-06-04 |
| 1871135046 | Gem Care Inc | Home Health | 625 W Taylor St Ste 600, Griffin, GA 30223-2704 | 2019-10-09 |
| 1962822817 | Roshanda Puckett | Home Health | 1309 Greenview Dr, Griffin, GA 30224-4048 | 2014-04-18 |
| 1093130734 | Vital Hearts Htc LLC | Home Health | 424 W Taylor St, Griffin, GA 30223-2818 | 2014-03-04 |
| 1427370311 | Qualitee Care | Home Health | 217 Quincy Avenue, Apt 1, Griffin, GA 30223 | 2010-02-19 |
| 1366587438 | Southern Regional Medical Center Inc | Home Health | 224 E College St, Griffin, GA 30224-4348 | 2007-02-20 |
| 1275686586 | Homenurse Inc. | Home Health | 2920 N Expressway, Griffin, GA 30223-6495 | 2007-01-19 |
| 1245278407 | Pruitthealth Home Health - South Atlanta, Inc. | Home Health | 147 W Ellis Rd, Suites B & C, Griffin, GA 30223-7147 | 2006-06-02 |
| 1336197003 | Amedisys Northwest, L.L.C. | Home Health | 244 Odell Rd, Unit 1, Griffin, GA 30224-4787 | 2006-05-05 |
| 1598804536 | Prn Pool Inc | Home Health | 240 Odell Rd, Griffin, GA 30224-4787 | 2007-02-06 |
| Find all providers in GRIFFIN | ||||
Please comment or provide details below to improve the information on DOMINIQUE S PAUL-THOMPSON.
| 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.