BRANDY GATLIN (NPI# 1366084154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366084154 |
| Entity Type | Individual |
| Full Name | BRANDY GATLIN |
| Practice Address |
5597 Emerald Gln Stone Mountain GA 30088-3468 |
| Practice Telephone | 4043999313 |
| Mailing Telephone | 4043999313 |
| Enumeration Date | 2019-10-13 |
| Last Update Date | 2019-10-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| Street Address |
5597 EMERALD GLN |
| City | STONE MOUNTAIN |
| State | GA |
| Zip Code | 30088-3468 |
| 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 | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457993636 | Priscilla Bookman | Technician | 1779 Kanawha Trl, Stone Mountain, GA 30087-2139 | 2019-10-09 |
| 1538525258 | Katina Ponder | Technician | 70 Trevitt Dr Apt E, Stone Mountain, GA 30083-7266 | 2016-01-11 |
| 1306468228 | Masalon Personal Care Home Inc. | Technician | 3952 Rockbridge Rd, Stone Mountain, GA 30083-4170 | 2020-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639779481 | Karen Maria Jefferson | Technician | 1350 Ridenour Blvd Nw Apt 1303, Kennesaw, GA 30152-4588 | 2020-10-30 |
| 1114525193 | Bivens Nursing Services | Technician | 1123 Brown Ave, Columbus, GA 31906-2404 | 2020-10-13 |
| 1114539723 | Lisa Anita Riley | Technician | 3020 Bedrock Dr, Villa Rica, GA 30180-3422 | 2020-08-17 |
| 1770194458 | Michelle Perdue | Technician | 611 Trove Dr Nw, Rome, GA 30165-1065 | 2020-08-14 |
| 1972129914 | My Healing Angels LLC | Technician | 15 Mary Jane Ln, Covington, GA 30016-2325 | 2020-06-24 |
| 1053934802 | Simplicitys Personal Care Home LLC | Technician | 6741 Church St Ste 2, Riverdale, GA 30274-2249 | 2020-05-27 |
| 1811519622 | Torina L Collins | Technician | 103 Lavender St, Fort Valley, GA 31030-2625 | 2020-05-14 |
| 1225650658 | Melinda Frank | Technician | 2409 Mallard Ln # B, Hephzibah, GA 30815-5831 | 2020-05-07 |
| 1083248066 | Comfort Care Solutions Inc. | Technician | 2760 Broxton Mill Ct, Snellville, GA 30039-4437 | 2020-02-27 |
| 1942843792 | Ladonna Griffin | Technician | 813 Oakland Ave Sw, Rome, GA 30165-4125 | 2019-10-24 |
| Find all providers with the same taxonomy | ||||
| City | STONE MOUNTAIN |
| Zip Code | 30088 |
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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.