MR. TYREE JAMAR WILLIAMS (NPI# 1073071502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073071502 |
| Entity Type | Individual |
| Full Name | MR. TYREE JAMAR WILLIAMS |
| Practice Address |
1826 Veterans Blvd Dublin GA 31021-3620 |
| Practice Telephone | 4782721210 |
| Mailing Telephone | 4782721210 |
| Enumeration Date | 2019-03-04 |
| Last Update Date | 2019-03-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | GA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699298760 | Tyree Williams | Pharmacist | 7512 50th St W, University Place, WA 98467-4572 | 2017-07-20 |
| 1912431545 | Tyree Williams Sr. | Dietitian, Registered | 10757 Meadow Lea Dr, Jacksonville, FL 32218-4503 | 2017-04-20 |
| 1972042646 | Tyree Williams | Driver | 19630 Stratford Rd, Detroit, MI 48221-3500 | 2017-02-14 |
| Street Address |
1826 VETERANS BLVD |
| City | DUBLIN |
| State | GA |
| Zip Code | 31021-3620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306848924 | Kathleen Lindauer Greer | Pharmacist | 1826 Veterans Blvd, Dublin, GA 31021-3620 | 2005-08-12 |
| 1396351359 | Lanira Postell | Social Worker | 1826 Veterans Blvd, Dublin, GA 31021-3620 | 2020-09-16 |
| 1780298398 | Jane Frances Helsing | Recreation Therapist | 1826 Veterans Blvd, Dublin, GA 31021-3620 | 2020-09-01 |
| 1154931996 | Maria Danielle Hall | Speech-Language Pathologist | 1826 Veterans Blvd, Dublin, GA 31021-3620 | 2020-08-06 |
| 1093325060 | Jessica Williams | Counselor | 1826 Veterans Blvd, Dublin, GA 31021-3620 | 2020-08-05 |
| 1528683083 | Jean Elizabeth Evans | Social Worker | 1826 Veterans Blvd, Dublin, GA 31021-3620 | 2020-06-10 |
| 1518581628 | Georgette Lacosta Brown | Social Worker | 1826 Veterans Blvd, Dublin, GA 31021-3620 | 2020-06-04 |
| 1760020150 | Lauren Avery | Pharmacist | 1826 Veterans Blvd, Dublin, GA 31021-3620 | 2019-12-16 |
| 1285279737 | Mia Denise Pickard | Nurse Practitioner | 1826 Veterans Blvd, Dublin, GA 31021-3620 | 2019-11-07 |
| 1083258057 | Shannon Nayasha Johnson | Social Worker | 1826 Veterans Blvd, Dublin, GA 31021-3620 | 2019-11-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497213748 | Ronald E. Johnson | Peer Specialist | Carl Vinson Va Medical Center, 1826 Veterans Blvd., Dublin, GA 31021 | 2019-03-06 |
| 1902384811 | Nieka Jackson | Pharmacist | 75 Woodlawn Dr, Apt. C-1, Dublin, GA 31021 | 2018-08-02 |
| 1407341522 | Empower Psychiatry & Weight Loss, LLC | Nurse Practitioner | 112 Rowe St Ste B, Dublin, GA 31021 | 2018-06-30 |
| 1619462207 | Kara Emily Frost | Speech-Language Pathologist | 1406 Bellevue Rd, Dublin, GA 31021 | 2018-06-26 |
| 1376035410 | Owens Speech Services, LLC | Speech-Language Pathologist | 401 Barfield Court, Dublin, GA 31021 | 2018-06-05 |
| 1558878884 | Tattnall Hospital Company, LLC | Neurological Surgery | 242 Industrial Blvd, Dublin, GA 31021 | 2018-01-09 |
| 1376991000 | Eatonton Facility Development Company, LLC | Hospice, Inpatient | 155 Greensboro Rd, Eatonton, GA 31021 | 2016-06-03 |
| 1801261177 | Jones Community Health Center, LLC | Clinic/Center | 115 Shadow Pond, Dublin, GA 31021 | 2015-12-11 |
| 1508237561 | Cancer Center of Middle Georgia | Specialist | 26 Erin Office Park, Dublin, GA 31021 | 2015-10-15 |
| 1922477249 | Mickey Jackson | Non-emergency Medical Transport (VAN) | 610 John Robinson Tl., Dublin, GA 31021 | 2015-09-16 |
| Find all providers in zip 31021 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184260200 | Sarah Faye Lockhart | Peer Specialist | 5198 Wildcat Falls Dr, Dublin, OH 43016-6320 | 2019-11-24 |
| 1497213748 | Ronald E. Johnson | Peer Specialist | Carl Vinson Va Medical Center, 1826 Veterans Blvd., Dublin, GA 31021 | 2019-03-06 |
| 1780142299 | Zenaida Auquonta Constant-coats | Peer Specialist | 1826 Veterans Blvd, Dublin, GA 31021-3620 | 2019-03-05 |
| 1346708856 | Henry Gene Davis Jr. | Peer Specialist | 1826 Veterans Blvd, Dublin, GA 31021-3620 | 2019-03-05 |
| 1811455355 | Anthony Morrell Brown | Peer Specialist | 1826 Veterans Blvd, Dublin, GA 31021-3620 | 2019-03-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538760103 | Green Zone Counseling | Peer Specialist | 432 Canton Rd Ste G, Cumming, GA 30040-2000 | 2020-11-02 |
| 1225678386 | John William Burdeshaw | Peer Specialist | 3916 Valley Rd, Columbus, GA 31907-5657 | 2020-01-07 |
| 1851953962 | Jamie Greshawn Hudgens | Peer Specialist | 1734 Ridge Ct Se, Conyers, GA 30013-1726 | 2019-06-28 |
| 1669941761 | Paul-david Arthur Cooper | Peer Specialist | 117 Shawnee Street, Va Savannah Clinic, Savannah, GA 31419 | 2018-11-19 |
| 1477069292 | Penny Campbell Foskey | Peer Specialist | 2041 W Elm St, Wrightsville, GA 31096-5156 | 2017-12-15 |
| 1568913945 | Michelle Little | Peer Specialist | 6828 Sarah Jane Ln, Riverdale, GA 30296-2600 | 2016-10-20 |
| 1386195774 | Scott Kerns Jr. | Peer Specialist | 433 Highland Ave Ne, Apt 1156, Atlanta, GA 30312-1391 | 2016-10-20 |
| 1558713479 | Safe Place Atlanta | Peer Specialist | 6612 Pamplona Pl, College Park, GA 30349-8491 | 2016-07-02 |
| 1194196329 | Mary Williams | Peer Specialist | 277 E Big Indian Trl Ne, Rome, GA 30165-7413 | 2015-10-14 |
| 1750771531 | Michael O'bannon | Peer Specialist | 3708 Chinaberry Ln, Snellville, GA 30039-4053 | 2015-01-30 |
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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.