GODLY AMBITION OF NEW GENERATION (NPI# 1366855876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366855876 |
| Entity Type | Organization |
| Organization Name | GODLY AMBITION OF NEW GENERATION |
| Practice Address |
3501 E Winlark Dr Florence SC 29506-8637 |
| Practice Telephone | 8436212696 |
| Mailing Telephone | 8436212696 |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2014-06-03 |
| Authorized Official Name | DEANN G LESANE (PROGRAM DIRECTOR) |
| Authorized Official Telephone | 8436212696 |
| Authorized Official Credential | MA, AS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | 1042065 | SC | Managed Care Organizations |
| Street Address |
3501 E WINLARK DR |
| City | FLORENCE |
| State | SC |
| Zip Code | 29506-8637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073989737 | Adoption Workz | Exclusive Provider Organization | 3501 E Winlark Dr, Florence, SC 29506-8637 | 2015-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871001693 | Med Way Ambulance Service, LLC | Ambulance | 1627 E Palmetto St, Florence, SC 29506 | 2018-01-15 |
| 1851810261 | Daijavon Jaquita Mccall | Specialist/Technologist | 1207 Malloy Street, Florence, SC 29506 | 2017-09-18 |
| 1629453873 | Rebecca Diboni | Pharmacist | 501 E Cheves St, Suite D, Florence, SC 29506 | 2015-07-29 |
| 1710365846 | Tiffany Joann Williams | Counselor | 205 Pearl Cir Florence, Sc, SC 29506 | 2015-05-08 |
| 1275925091 | Joe Brice Williamson Jr. | Pharmacist | 501 E. Cheves St., Suite D, Florence, SC 29506 | 2015-03-03 |
| 1528474632 | La'keisha Coker | Dietitian, Registered | 145 E. Cheves St., Florence County Health Department, Florence, SC 29506 | 2014-07-09 |
| 1275948085 | Patrick Kevin Mccarthy | Dietitian, Registered | 145 East Cheves Street, Florence County Health Dept., Florence, SC 29506 | 2014-07-01 |
| 1073931655 | Gwen A Davis | Registered Nurse | 145 E Cheves Street, Sc Dhec Pee Dee Region, Florence, SC 29506 | 2014-04-01 |
| 1205267879 | Jessica Turner | Physical Therapist | 555 E Cheves St., Inpatient Rehab Department, Florence, SC 29506 | 2013-12-09 |
| 1700213923 | Pamela Orange | Nurse's Aide | 2501 Sparklberry Lane, Florence, SC 29506 | 2013-10-02 |
| Find all providers in zip 29506 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376958546 | Daniels Discovery Dynamics, LLC | Preferred Provider Organization | 1803 Cherokee Rd, Florence, SC 29501-4184 | 2014-06-26 |
| 1396173977 | Children's Assessment Center for Maltreated Children | Preferred Provider Organization | 805 Pamplico Hwy, Suite A310, Florence, SC 29505-6047 | 2013-10-17 |
| 1699960054 | Domenic J Demichele,md,pc | Preferred Provider Organization | 125 S Cashua Dr, Suite A, Florence, SC 29501-4001 | 2007-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568906394 | Behavioral Innovations Therapy, LLC | Preferred Provider Organization | 328 Glen St, Summerville, SC 29483-4653 | 2016-12-13 |
| 1295285153 | A&t Care | Preferred Provider Organization | 207 W Sumter St, Kershaw, SC 29067-1422 | 2016-10-04 |
| 1124473228 | Griswold Home Care | Preferred Provider Organization | 120 Springhall Dr Ste F, Goose Creek, SC 29445-5335 | 2016-04-27 |
| 1568830149 | J & C Mobile, LLC | Preferred Provider Organization | 333 Whites Creek Rd, 333 Whites Creek Road, Georgetown, SC 29440-4544 | 2015-09-12 |
| 1316331127 | Victory Dental Center | Preferred Provider Organization | 9787 Charlotte Hwy Ste 201, Indian Land, SC 29707-5511 | 2015-03-19 |
| 1982096509 | Loving Hands of Sc | Preferred Provider Organization | 918 Poinsett Hwy Ste D, Greenville, SC 29609-4400 | 2015-02-19 |
| 1962809509 | Cherokee Pediatrics | Preferred Provider Organization | 1419 N Limestone St, Gaffney, SC 29340-4748 | 2014-11-25 |
| 1497189930 | Natural Home Care, LLC | Preferred Provider Organization | 203 W Main St Ofc G-6, Lexington, SC 29072-2633 | 2013-09-01 |
| 1477831063 | Angelhands of The Upstate | Preferred Provider Organization | 150 Hendrix Dr, Boiling Springs, SC 29316-8385 | 2011-07-29 |
| 1942508742 | Carolina Urgent and Family Care | Preferred Provider Organization | 1130 Highway 9 Bypass W, Lancaster, SC 29720 | 2011-03-03 |
| Find all providers with the same taxonomy | ||||
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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.