HERO HOUSE PHYSICIANS GROUP LLC (NPI# 1316213101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316213101 |
| Entity Type | Organization |
| Organization Name | HERO HOUSE PHYSICIANS GROUP LLC |
| Practice Address |
1318 Shiloh Trail East Nw Kennesaw GA 30144-2044 |
| Mailing Address |
510 Glengate Cv Sandy Springs GA 30328-7255 |
| Practice Telephone | 9492155795 |
| Mailing Telephone | 9492155795 |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2014-01-27 |
| Authorized Official Name | RANDY HAVESON (CEO) |
| Authorized Official Telephone | 9492155796 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
Behavioral Health & Social Service Providers |
| Street Address |
1318 SHILOH TRAIL EAST NW |
| City | KENNESAW |
| State | GA |
| Zip Code | 30144-2044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205440054 | Physician Assistant Surgical Solutions | Surgery | 4290 Bells Ferry Road, Suite 134 - 1032, Kennesaw, GA 30144 | 2020-08-31 |
| 1487149340 | Creative Family Care Inc. | Social Worker | 1275 Shiloh Rd Nw Ste 3030, Kennesaw, GA 30144 | 2018-06-24 |
| 1033632203 | Octavio Andres Tobar | Specialist/Technologist | 1950 Barrett Lakes Blvd Nw Apt 1213, Kennesaw, GA 30144 | 2017-07-19 |
| 1851829220 | Sharon Mcmillan | Counselor | 1301 Shiloh Rd Nw Ste 1840, Kennesaw, GA 30144 | 2017-05-31 |
| 1073054680 | Metropolitan Health Care Plus Inc | Home Health | 445 Laurian Way, Kennesaw, GA 30144 | 2017-03-15 |
| 1649627969 | Caresouth Hha Holdings of Gainesville, LLC | Hospice Care, Community Based | 1000 Cobb Place Blvd Nw Ste 310, Kennesaw, GA 30144 | 2016-05-17 |
| 1851745988 | Joseph Mulligan | Social Worker | 1301 Shiloh Rd., Ste. 849, Kennesaw, GA 30144 | 2016-04-14 |
| 1629438601 | Youfit Health Clubs | Clinic/Center | 3895 Cherokee St Suite 100, Kennesaw, GA 30144 | 2016-03-03 |
| 1598156317 | Jodie Evans | Specialist | 1925 Vaughn Rd, Ste 200, Kennesaw, GA 30144 | 2015-02-16 |
| 1912302134 | Sleepmed Therapies, Inc. | Durable Medical Equipment & Medical Supplies | 1000 Cobb Place Blvd Nw Ste 510, Kennesaw, GA 30144 | 2014-10-30 |
| Find all providers in zip 30144 | ||||
| Taxonomy Code | 103TP2701X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Group Psychotherapy |
| Definition to come... |
| Notes: [1/1/2007: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114498581 | Latoya N Rembert | Psychologist | 288 S Main St Ste 500&600, Alpharetta, GA 30009-7916 | 2018-12-11 |
| 1063860336 | Hallmark Care Services Ltd | Psychologist | 1950 Lexington Ave, East Point, GA 30344-3050 | 2016-05-27 |
| 1275962417 | Step In Faith Management Services of Georgia, Inc | Psychologist | 1018 Hambrick Rd, Stone Mountain, GA 30083-2479 | 2013-11-07 |
| 1831752146 | A. T. L. Psychotherapy and Consulting Services | Psychologist | 5835 Campbellton Rd Sw Ste 102, Atlanta, GA 30331-8014 | 2019-04-22 |
| 1093285777 | Lauren M Kraemer | Psychologist | 335 Washngtn St Se, Gainesville, GA 30501-3616 | 2018-11-26 |
| 1376019141 | The Margie Ree Hansford Thurmond Family Life Center | Psychologist | 710 King Rd, Riverdale, GA 30274-2027 | 2018-10-19 |
| 1700305646 | Populations and Interventions Team Company (pitc) | Psychologist | 3182 Berthas Overlook, Douglasville, GA 30135-8458 | 2017-09-12 |
| 1952820086 | Mercedes Merritt Williams | Psychologist | 3182 Berthas Overlook, Douglasville, GA 30135-8458 | 2017-09-09 |
| 1578007845 | Akhabue Onobun | Psychologist | 3300 Highlands Pkwy Se, Ste 110, Smyrna, GA 30082-5131 | 2016-12-06 |
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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.