LATANGA MONTGOMERY (NPI# 1255686390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255686390 |
| Entity Type | Individual |
| Full Name | LATANGA MONTGOMERY |
| Practice Address |
639 Post Road Dr Suite 1a Stone Mountain GA 30088-2226 |
| Practice Telephone | 6786835913 |
| Mailing Telephone | 6786835913 |
| Enumeration Date | 2012-07-16 |
| Last Update Date | 2012-07-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
639 POST ROAD DR SUITE 1A |
| City | STONE MOUNTAIN |
| State | GA |
| Zip Code | 30088-2226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565902 | Edward Edeh | Pharmacist | 1232 South Hairstoh Road, Stone Mountain, GA 30088 | 2020-10-16 |
| 1588124879 | Birds of Paradise Physical Therapy Services,llc | Physical Therapy Assistant | 754 Post Road Ln, Address Line 2, Stone Mountain, GA 30088 | 2019-03-22 |
| 1710467923 | Stephanie Patrice Mccray | In Home Supportive Care | 1058 Millard Road, Stone Mountain, GA 30088 | 2018-08-16 |
| 1912365321 | Audrey Perry | Respiratory Therapist, Certified | 1588 Linkview Close, Stone Mountain, GA 30088 | 2016-02-01 |
| 1689041428 | Reaching Above Poverty | Counselor | 5401 Megan Rd, Stone Mountain, GA 30088 | 2015-08-27 |
| 1043692254 | Bethany Johnson | Home Health Aide | 981 Deer Chase Court, Stone Mountain, GA 30088 | 2015-06-24 |
| 1073859666 | Whitney's Place Inc. | Custodial Care Facility | 5451 Rockbeidge Road, Stone Mountain, GA 30088 | 2012-12-31 |
| 1831468818 | The Art of Living Cla LLC. | Community/Behavioral Health | 1668 South Hairston Rd, Stone Mountain, GA 30088 | 2011-12-21 |
| 1659670792 | Atarah Ranit Kimmons | Occupational Therapist | 2045 County Down Lane, Stone Moutain, GA 30088 | 2011-03-15 |
| 1104060219 | William Tyrell Reid Jr. | Dentist | 1183 South Hairstron Rd., Suite D, Stone Mountain, GA 30088 | 2009-04-21 |
| Find all providers in zip 30088 | ||||
| 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 |
|---|---|---|---|---|
| 1073150934 | Onesource Learning & Development Center | Case Manager/Care Coordinator | 2165 W Park Ct Ste I, Stone Mountain, GA 30087-3564 | 2019-12-10 |
| 1609368422 | Edil Jama | Case Manager/Care Coordinator | 4547 Birch Ridge Trl, Stone Mountain, GA 30083-5605 | 2018-06-06 |
| 1174861801 | Ronda F Gedward | Case Manager/Care Coordinator | 1096 Redan Trail Ct, Stone Mountain, GA 30088-2543 | 2013-01-31 |
| 1881993285 | Cynthia Marie Hammond | Case Manager/Care Coordinator | 5705 Pennybrook Ct, Stone Mountain, GA 30087-5755 | 2011-03-24 |
| 1154506632 | Rosenita Brown | Case Manager/Care Coordinator | 693 Watson Reef, Stone Mountain, GA 30087-6117 | 2008-01-03 |
| 1699961508 | Gwendolyn Gunther | Case Manager/Care Coordinator | 522 Wildwood Gln, Stone Mountain, GA 30083-7438 | 2007-09-25 |
| 1235296203 | Cheryl Williams Tolbert | Case Manager/Care Coordinator | 488 Rock Shadow Ct, Stone Mountain, GA 30087-5641 | 2007-01-02 |
| 1932278926 | Niove Rodriguez | Case Manager/Care Coordinator | 2349 Broad Creek Dr., Stone Mountain, GA 30087-3755 | 2006-11-06 |
| 1356609945 | Latechia Hogue | Case Manager/Care Coordinator | 445 Dixie Lee Ln, Stone Mountain, GA 30083-4203 | 2012-05-02 |
| 1205149598 | Temekia Jenkins | Case Manager/Care Coordinator | 778 Rays Rd, Stone Mountain, GA 30083-3107 | 2010-07-15 |
| Find all providers in STONE MOUNTAIN | ||||
| City | STONE MOUNTAIN |
| Zip Code | 30088 |
Please comment or provide details below to improve the information on LATANGA MONTGOMERY.
| 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.