COMMUNITY INNOVATIONS (NPI# 1285845610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285845610 |
| Entity Type | Organization |
| Organization Name | COMMUNITY INNOVATIONS |
| Practice Address |
410 Peanut Plant Road Elizabethtown NC 28337 |
| Mailing Address |
801 Wilson St Whiteville NC 28472-4713 |
| Practice Telephone | 9108628363 |
| Mailing Telephone | 9196425697 |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2007-11-29 |
| Authorized Official Name | ANDY ANDERSON (PRESIDENT) |
| Authorized Official Telephone | 9106425697 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5906101 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154532596 | Community Innovations | Psychiatry & Neurology | 704 Progress Place, Suite B, Laurinburg, NC 28352-5545 | 2007-05-25 |
| 1912099623 | Community Innovations | Community/Behavioral Health | 801 Wilson St, Whiteville, NC 28472-4713 | 2006-09-29 |
| 1760854681 | Community Innovations | In Home Supportive Care | 3210 Fairhill Dr, Raleigh, NC 27612-3215 | 2015-10-30 |
| 1629207774 | Community Innovations | Community/Behavioral Health | 1015 West Blvd, Laurinburg, NC 28352-4328 | 2009-07-10 |
| 1447452073 | Community Innovations | Community/Behavioral Health | 2003 Godwin Ave, Suite A, Lumberton, NC 28358-3197 | 2007-06-05 |
| 1003017179 | Community Innovations | Psychiatry & Neurology | 118 E Walter St, Whiteville, NC 28472-4142 | 2007-05-29 |
| 1427259548 | Community Innovations | Community/Behavioral Health | 704 Progress Pl, Laurinburg, NC 28352-5545 | 2007-05-29 |
| 1184825259 | Community Innovations | Community/Behavioral Health | 118 E Walter St, Whiteville, NC 28472-4142 | 2007-05-29 |
| 1407057524 | Community Innovations | Community/Behavioral Health | 410 Peanut Plant Road, Elizabethtown, NC 28337 | 2007-05-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | COMMUNITY INNOVATIONS & DYNAMICS INCORPORATED | P.o. Box 2602, Chesapeake, Virginia 23327 |
| New York State Corporations | COMMUNITY INNOVATIONS, INC. | 120 Bloomingdale Rd #100, White Plains, Ny 10605 |
| Street Address |
410 PEANUT PLANT ROAD |
| City | ELIZABETHTOWN |
| State | NC |
| Zip Code | 28337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275614893 | Community Innovations, Inc. | Case Management | 410 Peanut Plant Road, Elizabethtown, NC 28337-7103 | 2006-10-18 |
| 1407057524 | Community Innovations | Community/Behavioral Health | 410 Peanut Plant Road, Elizabethtown, NC 28337 | 2007-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801439799 | John Archie Jackson Jr. | Counselor | 209 Martin Luther King Dr, Elizabethtown, NC 28337 | 2019-10-23 |
| 1649826447 | Donna Marie Gray | Technician | 1797 Mercer Mill Rd, Elizabethtown, NC 28337 | 2019-08-16 |
| 1053972877 | Professional Eye Care Optometry, Pa | Optometrist | 432 W Broad St, Elizabethtown, NC 28337 | 2019-06-24 |
| 1255896015 | Andersons Drug Store LLC | Durable Medical Equipment & Medical Supplies | 206 S. Poplar St., Elizabethtown, NC 28337 | 2019-02-06 |
| 1336618602 | Genese Anderson Peed | Pharmacist | 206 South Poplar, Elizabethtown, NC 28337 | 2018-11-16 |
| 1528559671 | Bladen Healthcare LLC | Clinic/Center | 273 White Lake Dr, White Lake, NC 28337 | 2018-05-24 |
| 1821586918 | Coastal Horizons Center Inc. | Community/Behavioral Health | Coastal Horizons Center, Inc. - Bladen Day Treatment, 1496 Hwy 701 S., Elizabethtown, NC 28337 | 2018-04-25 |
| 1205353117 | Brianna Stalnaker | Pharmacist | 371 S Poplar St, Elizabethtown, NC 28337 | 2017-08-23 |
| 1982124681 | Justin M Degarmo Dmd & Ann Hamill Greene Dds Pa | Dentist | 401 Doctors Drive, Elizabethtown, NC 28337 | 2017-06-23 |
| 1336676121 | Megan Mcwhorter | Physical Therapy Assistant | 804 South Poplar Street, Elizabethtown, NC 28337 | 2017-05-11 |
| Find all providers in zip 28337 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063981967 | Carter Clinic, P A | Psychiatry & Neurology | 1104 W Broad St, Elizabethtown, NC 28337-9482 | 2018-11-20 |
| 1922427517 | Astra Behavioral Health LLC | Psychiatry & Neurology | 2000 Ring Rd, Elizabethtown, KY 42701-9454 | 2014-04-10 |
| 1821352824 | Sufian Ahmad | Psychiatry & Neurology | 151 Drexler Cir Ste 1, Elizabethtown, KY 42701-7843 | 2012-06-25 |
| 1639473572 | Sharad C. Patel | Psychiatry & Neurology | 1506 Bristol Ct, Elizabethtown, KY 42701-7906 | 2011-01-07 |
| 1306070040 | Imran Javed Iqbal | Psychiatry & Neurology | 120 Helmwood Plaza Dr Ste 103, Elizabethtown, KY 42701-3459 | 2009-05-10 |
| 1922256619 | Irwin H Forman | Psychiatry & Neurology | 80 Sycamore Dr, Apt, 202, Elizabethtown, PA 17022-3008 | 2008-09-05 |
| 1548352156 | Suresh Babu Kodali | Psychiatry & Neurology | 708 Westport Rd Ste 103, Elizabethtown, KY 42701-2866 | 2006-09-29 |
| 1427140359 | Navinchandra Ramji Shah | Psychiatry & Neurology | 790 N Dixie Ave, Suite # 700, Elizabethtown, KY 42701-2488 | 2006-09-28 |
| 1649371469 | Charles Kim Embry | Psychiatry & Neurology | 107 N Mantle Ave, Elizabethtown, KY 42701 | 2006-09-26 |
| 1578569315 | Thomas Brown | Psychiatry & Neurology | 107 Cranes Roost Ct, Elizabethtown, KY 42701-3650 | 2005-06-27 |
| Find all providers in ELIZABETHTOWN | ||||
| City | ELIZABETHTOWN |
| Zip Code | 28337 |
Please comment or provide details below to improve the information on COMMUNITY INNOVATIONS.
| 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.