MR. ROBERT DENNIS JR. (NPI# 1376100321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376100321 |
Entity Type | Individual |
Full Name | MR. ROBERT DENNIS JR. |
Practice Address |
608 Hardeman Ave Fort Valley GA 31030-3438 |
Practice Telephone | 4789578447 |
Mailing Telephone | 4789578447 |
Enumeration Date | 2019-05-24 |
Last Update Date | 2019-05-24 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP1600X |
Counselor Specialization: Pastoral |
Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 222116373732 | 05 | |
GA | IRS | 84-1880551 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437339348 | Robert Henry Dennis II | Plastic Surgery | 5207 Janesdale Ct, Glenn Dale, MD 20769-2307 | 2007-11-08 |
1295349025 | Robert Wayne Dennis | Case Manager/Care Coordinator | 5400 Edalbert Dr, Cincinnati, OH 45239-7604 | 2020-08-31 |
1548600463 | Robert Louis Dennis | Dentist | 738 S Cleveland Ave, Mogadore, OH 44260-2205 | 2013-06-25 |
1629217625 | Robert Norton Dennis | Physical Therapist | 4601 Hartford St, Abilene, TX 79605-4603 | 2009-02-13 |
1437220159 | Robert I Dennis | Orthopaedic Surgery | 2040 6th Ave, Suite 1 Door B, Neptune, NJ 07753-6101 | 2006-11-13 |
1346321056 | Robert Steven Dennis | Specialist | 4100 W 3rd St, Bldg 410, Room 322, Dayton, OH 45428-9000 | 2006-10-18 |
1972579332 | Robert Wright Dennis | Physical Therapist | 700 Fettler Park, Dumfries Health Center, Dumfries, VA 22025 | 2006-02-27 |
1467448159 | Robert Wayne Dennis | Orthopaedic Surgery | 3414 Golden Rd, Tyler, TX 75701-8336 | 2005-09-27 |
1447252614 | Robert Charles Dennis | Family Medicine | 9400 Reading Rd, Reading, OH 45215-3401 | 2005-06-01 |
Street Address |
608 HARDEMAN AVE |
City | FORT VALLEY |
State | GA |
Zip Code | 31030-3438 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801302997 | Careconnect Health, Inc. | Clinic/Center | 209 North Camellia Blvd., Fort Valley, GA 31030 | 2017-12-27 |
1902345408 | Latrina Avant | Counselor | 164 Mahoney Lane, Fort Valley, GA 31030 | 2017-02-16 |
1447648159 | Five Points Pharmacy, LLC | Pharmacy | 115 Commercial Heights, Fort Valley, GA 31030 | 2015-01-05 |
1316208341 | Ulysses L. Marable IIi, Dmd, LLC | Dentist | 1030 Peach Parkway, Ste 9, Fort Valley, GA 31030 | 2012-06-06 |
1083901706 | Church Home Rehabilitation and Healthcare, LLC | Skilled Nursing Facility | 2470 Hwy 41 North, Fort Valley, GA 31030 | 2011-07-01 |
1295054393 | Melanie Marie Henson | Counselor | 410 East Church Street, Fort Valley, GA 31030 | 2010-05-28 |
1538329016 | First Born Outreach Center Inc | Assisted Living Facility | 103 Lavender Street, Fort Valley, GA 31030 | 2008-06-10 |
1871507640 | Gayton Health Centre | Optometrist | 440 Taylors Mill Rd, Fort Valley, GA 31030 | 2006-07-28 |
1215906136 | Renal Treatment Centers Mid Atlantic Inc | Clinic/Center | 557 Bluebird Blvd, Fort Valley, GA 31030 | 2006-03-14 |
1871568550 | Patricia S Winter | Counselor | 700 Mlk Dr, Ft Valley, GA 31030 | 2006-02-17 |
Find all providers in zip 31030 |
Taxonomy Code | 101YP1600X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Pastoral |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770124943 | Ikestines Family Solution | Counselor | 22 Calico Ln, Fort Valley, GA 31030-7202 | 2019-09-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689275703 | Tamiko Sirena Hobbs | Counselor | 15 Perry St # 113, Newnan, GA 30263-1918 | 2020-11-04 |
1912506346 | Dale Allen Zarlenga | Counselor | 50 Eastbrook Bnd Ste B, Peachtree City, GA 30269-1530 | 2020-10-16 |
1336755198 | Deborah Mae Adams | Counselor | 1631 Bentwood Dr Sw, Lilburn, GA 30047-4507 | 2020-09-17 |
1265046858 | Yvette Wright Etheridge | Counselor | 112 Courts of Hampton, Hampton, GA 30228-2099 | 2020-09-01 |
1588275184 | Bridgette Morris | Counselor | 4989 Peachtree Pkwy # 230, Peachtree Corners, GA 30092-2589 | 2020-08-17 |
1043828932 | Primary Medical Homecare LLC | Counselor | 2480 Windy Hill Rd Se Ste 206, Marietta, GA 30067-8656 | 2020-07-17 |
1982220513 | Jennifer Lynn Harper | Counselor | 46 Rice Lewis Gilliard Way, Toccoa, GA 30577 | 2020-06-19 |
1477187573 | Vicki Jackson | Counselor | 200 Grover Turner Way, Mcdonough, GA 30253-5976 | 2020-02-27 |
1053943878 | Naylecia Monique Watkins | Counselor | 5701 Mableton Pkwy Sw Ste 300, Mableton, GA 30126-3364 | 2020-02-10 |
1306476296 | Turrender Meshell Bates | Counselor | 1313 Emmett St, Augusta, GA 30904-5726 | 2020-01-21 |
Find all providers with the same taxonomy |
City | FORT VALLEY |
Zip Code | 31030 |
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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.