DAVINA G SAMUEL (NPI# 1265976435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265976435 |
| Entity Type | Individual |
| Full Name | DAVINA G SAMUEL |
| Credential | LPC |
| Practice Address |
334 Tifton Eldorado Rd Tifton GA 31794-9497 |
| Practice Telephone | 2293912300 |
| Practice Fax Number | 2293863221 |
| Mailing Telephone | 2293912300 |
| Mailing Fax Number | 2293863221 |
| Enumeration Date | 2016-12-07 |
| Last Update Date | 2016-12-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC008789 | GA | Behavioral Health & Social Service Providers |
| Street Address |
334 TIFTON ELDORADO RD |
| City | TIFTON |
| State | GA |
| Zip Code | 31794-9497 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558457655 | South Georgia Csb | Community/Behavioral Health | 334 Tifton Eldorado Rd, Tifton, GA 31794-9497 | 2006-10-05 |
| 1043844418 | Amanda L Cofield | Social Worker | 334 Tifton Eldorado Rd, Tifton, GA 31794-9497 | 2020-02-25 |
| 1124674767 | Robin Meadows | Social Worker | 334 Tifton Eldorado Rd, Tifton, GA 31794-9497 | 2019-08-09 |
| 1487219770 | Nyesia Knight | Counselor | 334 Tifton Eldorado Rd, Tifton, GA 31794-9497 | 2019-05-02 |
| 1275090086 | Daniel Jason Spratlin | Social Worker | 334 Tifton Eldorado Rd, Tifton, GA 31794-9497 | 2019-02-28 |
| 1487146932 | Norma Ann Chin | Counselor | 334 Tifton Eldorado Rd, Tifton, GA 31794-9497 | 2018-05-31 |
| 1235621897 | Jodi Evans Lott | Nurse Practitioner | 334 Tifton Eldorado Rd, Tifton, GA 31794-9497 | 2018-05-30 |
| 1760929228 | Tyundreya Lindsey | Marriage & Family Therapist | 334 Tifton Eldorado Rd, Tifton, GA 31794-9497 | 2017-01-23 |
| 1255875910 | Behavioral Health Services of South Georgia | Community/Behavioral Health | 334 Tifton Eldorado Rd, Tifton, GA 31794-9497 | 2016-12-14 |
| 1437523859 | Aneisa Marie Young | Social Worker | 334 Tifton Eldorado Rd, Tifton, GA 31794-9497 | 2015-11-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982234043 | Deloris Lunsford | Licensed Practical Nurse | 903 Washington St., Tifton, GA 31794 | 2020-01-17 |
| 1194383075 | William Jordan Kinnett | Registered Nurse | 1205 Tift Ave N, Tifton, GA 31794 | 2019-06-05 |
| 1598321200 | Courtlyn Christanna Fussell | Pharmacist | 2201 Hwy 41 N, Tifton, GA 31794 | 2019-05-17 |
| 1376027722 | Martha Gibbs | Nurse Practitioner | Affinity Clinic/west Campus, 2225 Us Hwy 41 North, Tifton, GA 31794 | 2018-09-21 |
| 1427541044 | Rebekah F Cottle | Speech-Language Pathologist | 2227 Highway 41 North, Tifton, GA 31794 | 2018-06-08 |
| 1790280857 | Tift Regional Health System Inc | Ophthalmology | 1803 Old Ocilla Road, Tifton, GA 31794 | 2018-03-29 |
| 1568975431 | Skyler Clark | Pharmacist | 2201 North 12th Street, Tifton, GA 31794 | 2017-11-14 |
| 1538606306 | Imagine Peace Counseling LLC | Counselor | 223 E 2nd Street, Suite B, Tifton, GA 31794 | 2017-01-31 |
| 1073056347 | Jessica Tumbling | Contractor | 219 Savannah Way, Tifton, GA 31794 | 2016-11-18 |
| 1992159503 | Joseph Thomas Seagraves Jr. | Nurse Practitioner | 901 East 18th Street, Tifton, GA 31794 | 2016-04-20 |
| Find all providers in zip 31794 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417429226 | Crossroads Psychology Center, LLC | Counselor | 1017 Central Ave N, Tifton, GA 31794-3967 | 2018-12-19 |
| 1538606306 | Imagine Peace Counseling LLC | Counselor | 223 E 2nd Street, Suite B, Tifton, GA 31794 | 2017-01-31 |
| 1902208655 | Christy Bell-withers | Counselor | 223 E 2nd St Suite B, Tifton, GA 31794 | 2014-09-24 |
| 1902163660 | Angeanette Mccall Nixon | Counselor | 223 2nd St E, Suite B, Tifton, GA 31794-4493 | 2012-04-19 |
| 1386996643 | Junetta Watson | Counselor | 334 Tifton Eldorado Rd, Tifton, GA 31794-9497 | 2012-10-11 |
| 1932243292 | Lesley A Clack | Counselor | 334 Tifton Eldorado Rd, Tifton, GA 31794-9497 | 2007-02-19 |
| 1649360983 | Cheryl Evadne Ellerbee | Counselor | 334 Tifton Eldorado Rd, Tifton, GA 31794-9497 | 2006-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033070 | Joseph Barber | Counselor | 114 Hope Dr, Dallas, GA 30157-2569 | 2020-11-06 |
| 1114528957 | Takelia Hughey | Counselor | 2875 Spring Villa Ln Se, Smyrna, GA 30080-3644 | 2020-11-06 |
| 1083215685 | Peace of Mind Counseling and Therapeutic Services | Counselor | 290 Baywood Way, Hiram, GA 30141-3186 | 2020-11-02 |
| 1780284513 | Hogue Counseling and Consulting Services, LLC | Counselor | 7861 Waterlace Dr, Fairburn, GA 30213-4648 | 2020-10-30 |
| 1245830140 | Tiffany Alberto | Counselor | 350 Lyndale Dr Se, Atlanta, GA 30316-2692 | 2020-10-29 |
| 1013517465 | Tequila Olivia Banks | Counselor | 8303 Dunleaf Arc Way Nw, Norcross, GA 30093 | 2020-10-27 |
| 1598365033 | Tiffany Johnson | Counselor | 309 Ivy Chase Ln, Peachtree Corners, GA 30092-4641 | 2020-10-26 |
| 1568061331 | Justin White | Counselor | 1025 Powers Pl, Alpharetta, GA 30009-8356 | 2020-10-22 |
| 1295334209 | Mark Alan Beach | Counselor | 320 Victory Home Ln, Clarkesville, GA 30523 | 2020-10-21 |
| 1396344339 | Savannah Therapeutic Services, LLC | Counselor | 2431 Habersham St Ste C, Savannah, GA 31401-9360 | 2020-10-21 |
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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.