SANDRA MALONE (NPI# 1073137980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073137980 |
| Entity Type | Individual |
| Full Name | SANDRA MALONE |
| Credential | CADC |
| Practice Address |
5 Sw Broad St Metter GA 30439-4433 |
| Mailing Address |
210 N Lewis St Metter GA 30439-4135 |
| Practice Telephone | 9125155026 |
| Mailing Telephone | 9123144433 |
| Mailing Fax Number | 9127852008 |
| Enumeration Date | 2020-06-05 |
| Last Update Date | 2020-06-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
GA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447878335 | Sandra Malone | Developmental Therapist | 2112 W Galena Blvd Ste 8-316, Aurora, IL 60506-3255 | 2020-07-08 |
| 1669985164 | Sandra Malone | Community Health Worker | 380 S Portage Path, Akron, OH 44320-2326 | 2017-11-07 |
| 1265642714 | Sandra J. Malone | Counselor | 2108 63rd St, Kenosha, WI 53143-4454 | 2007-05-23 |
| 1174645220 | Sandra Germain Malone | Psychologist | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2007-04-06 |
| 1548276587 | Sandra Beth Malone | Clinical Nurse Specialist | 4801 E Linwood Blvd, Kansas City, MO 64128-2226 | 2006-07-31 |
| Street Address |
5 SW BROAD ST |
| City | METTER |
| State | GA |
| Zip Code | 30439-4433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467771212 | Timothy Jay Strickland | Counselor | 5 Sw Broad St, Metter, GA 30439-4433 | 2010-05-19 |
| 1225654262 | Michael Edward Wood-miles | Counselor | 5 Sw Broad St, Metter, GA 30439-4433 | 2020-06-24 |
| 1215551015 | Lauren Foster | Peer Specialist | 5 Sw Broad St, Metter, GA 30439-4433 | 2020-06-08 |
| 1952925711 | Wendy Glisson Bird | Counselor | 5 Sw Broad St, Metter, GA 30439-4433 | 2020-06-07 |
| 1336763192 | Tammy Porter | Counselor | 5 Sw Broad St, Metter, GA 30439-4433 | 2020-06-07 |
| 1699176537 | Creative Counseling Solutions, LLC | Case Management | 5 Sw Broad St, Metter, GA 30439-4433 | 2014-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285132415 | Tattnall Hospital Company, LLC | Family Medicine | 380a Cedar St, Metter, GA 30439 | 2018-01-23 |
| 1356718050 | Fred's Stores of Tennessee Inc | Pharmacy | 978 Ga Highway 46 E., Metter, GA 30439 | 2015-08-28 |
| 1235548447 | Southern Home Care Services, Inc. | In Home Supportive Care | 11 South Roundtree St, Metter, GA 30439 | 2014-08-13 |
| 1013261312 | Tattnall Hospital Company, LLC | Physical Medicine & Rehabilitation | 8. North Williams Street, Metter, GA 30439 | 2012-11-08 |
| 1598913394 | Julie Marshall Karpinsky | Nurse's Aide | 4830 White Way Circle, Metter, GA 30439 | 2008-09-04 |
| 1578623955 | Mary H. Jackson | Counselor | Route 1, Metter, GA 30439 | 2006-12-08 |
| 1467538454 | Cheryl Rogers Allen | Pharmacist | 19 North Broad Sreet, Metter, GA 30439 | 2006-10-31 |
| 1407963853 | William W Clance Dmd PC | Dentist | 500 N Lewis St, Metter, GA 30439 | 2006-08-23 |
| 1568482644 | R Gary Branch | Family Medicine | 10 Doctors Street, Metter, GA 30439 | 2006-07-20 |
| 1093973406 | John Robert Bowen Jr. | Pharmacist | 745 S Lewis St, Metter, GA 30439 | 2008-06-02 |
| Find all providers in zip 30439 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467771212 | Timothy Jay Strickland | Counselor | 5 Sw Broad St, Metter, GA 30439-4433 | 2010-05-19 |
| 1225654262 | Michael Edward Wood-miles | Counselor | 5 Sw Broad St, Metter, GA 30439-4433 | 2020-06-24 |
| 1952925711 | Wendy Glisson Bird | Counselor | 5 Sw Broad St, Metter, GA 30439-4433 | 2020-06-07 |
| 1336763192 | Tammy Porter | Counselor | 5 Sw Broad St, Metter, GA 30439-4433 | 2020-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497354864 | Our Voice Matters LLC | Counselor | 1258 Cedar Ave Unit 701, Columbus, GA 31906-2446 | 2020-10-18 |
| 1659978294 | Brett Lowrey | Counselor | 400 Dawson Commons Cir Ste 400, Dawsonville, GA 30534-6269 | 2020-10-07 |
| 1972110674 | Tiffany Scott | Counselor | 9071 Jimmy Lee Cir, Jonesboro, GA 30238-7009 | 2020-09-26 |
| 1346856853 | Mahaly H Ashley | Counselor | 367 Richardson Rd, Calhoun, GA 30701 | 2020-09-21 |
| 1780296723 | Janet Brown | Counselor | 166b Mount Pleasant Church Rd, Pineview, GA 31071-5248 | 2020-08-20 |
| 1598377038 | Angie Hamilton | Counselor | 5101 Waterford Dr Sw, Mableton, GA 30126-1742 | 2020-08-17 |
| 1255942355 | Sonia Diane Glass | Counselor | 6285 Littleton Dr, Union City, GA 30291-1071 | 2020-08-12 |
| 1679198410 | Lorri Michelle Strickland | Counselor | 1040 Us Hwy 280 W, Pembroke, GA 31321 | 2020-06-08 |
| 1184246118 | Christopher White | Counselor | 1430 Desoto Ave Sw, Atlanta, GA 30310-4340 | 2020-05-13 |
| 1316569619 | G.r.a.y.s. Group, LLC | Counselor | 1227 Augusta West Pkwy Ste 15, Augusta, GA 30909-6671 | 2020-05-11 |
| 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.