BIG HART WELLNESS AND SPORTS ACADEMY (NPI# 1396120291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396120291 |
| Entity Type | Organization |
| Organization Name | BIG HART WELLNESS AND SPORTS ACADEMY |
| Practice Address |
2021 W Liddell Rd Suite B Duluth GA 30096-8831 |
| Mailing Address |
5991 Thompson Mill Rd Hoschton GA 30548-4029 |
| Practice Telephone | 7023014432 |
| Mailing Telephone | 7023014432 |
| Enumeration Date | 2015-07-22 |
| Last Update Date | 2015-07-22 |
| Authorized Official Name | MR. EDGERTON HARTWELL (PRESIDENT) |
| Authorized Official Telephone | 7023014432 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251T00000X | PACE Provider Organization | Agencies | ||
| Y | 174H00000X | Health Educator | Other Service Providers |
| Street Address |
2021 W LIDDELL RD SUITE B |
| City | DULUTH |
| State | GA |
| Zip Code | 30096-8831 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922615897 | Georgia Eye Optical, LLC | Ophthalmology | 3800 Pleasant Hill Rd Ste 3, Duluth, GA 30096 | 2020-09-25 |
| 1568090868 | Positive Behavior Services, Inc | Behavior Technician | 3765 Crestwood Pkwy Nw, Duluth, GA 30096 | 2020-03-31 |
| 1861031940 | Elizabeth Ashley Edouard | Counselor | 3464 Duluth Hwy 120, Duluth, GA 30096 | 2020-01-06 |
| 1245701044 | Kathryn Irene Vaughn | Social Worker | 3968 Mainsail Court, Duluth, GA 30096 | 2018-12-06 |
| 1083184626 | Aica Orthopedics, P.C. | Orthopaedic Surgery | 3775 Venture Drive Bldg F, Duluth, GA 30096 | 2018-11-27 |
| 1245709799 | Positive Impact Health Centers, Inc. | Pharmacy | 3350 Breckinridge Blvd, Suite 200a, Duluth, GA 30096 | 2018-11-14 |
| 1235611724 | Katherine Winstead Knott | Counselor | 3460 Summit Ridge Parkway, Suite 503, Duluth, GA 30096 | 2018-08-31 |
| 1710467857 | Envision Optics LLC | Optometrist | 1943 Pleasant Hill Rd, Duluth, GA 30096 | 2018-08-17 |
| 1104314202 | Erin Mckernan Scupham | Chiropractor | 3820 Pleasant Hill Rd. Ne, Suite 4, Duluth, GA 30096 | 2018-04-25 |
| 1053839456 | Rogers Bridge Pediatric Therapy, LLC | Clinic/Center | 2845 Summercrest Ln, Duluth, GA 30096 | 2017-09-06 |
| Find all providers in zip 30096 | ||||
| Taxonomy Code | 174H00000X |
| Grouping | Other Service Providers |
| Classification | Health Educator |
| Health educators work in a variety of settings providing education to individuals or groups of individuals on healthy behaviors, wellness, and health-related topics with the goal of preventing diseases and health problems. Health educators generally require a bachelor’s degree and may receive additional training, such as through mentoring, internships, or volunteer work. |
| Notes: Source: National Uniform Claim Committee, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144872615 | Rosslyn Jean Kendrick | Health Educator | 1926 Lakeview Dr, Duluth, MN 55803 | 2019-07-15 |
| 1295293421 | Cheryl Louise Larson | Health Educator | 1320 Kenwood Ave, Duluth, MN 55811-2342 | 2019-03-06 |
| 1033448865 | Onsite Medical Services, Inc. | Health Educator | 3780 Old Norcross Rd, Suite 103, Pmb 368, Duluth, GA 30096-1740 | 2009-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881201085 | Patricia Yates-rand | Health Educator | 2101 Albany St, Brunswick, GA 31520-5850 | 2020-09-30 |
| 1225642523 | Melissa Hounshell | Health Educator | 423 Georgia Ave Se Apt 201, Atlanta, GA 30312-3163 | 2020-09-03 |
| 1346851458 | Melanie N Prasad-dehaney | Health Educator | 2150 Indian Ivey Ln, Dacula, GA 30019-3303 | 2020-08-12 |
| 1154949014 | Tonya Obryan | Health Educator | 123 Glynn Addy Dr, Stockbridge, GA 30281-7639 | 2020-07-08 |
| 1861011850 | Meghan Meredith | Health Educator | 2000 Westwood Cir Se, Smyrna, GA 30080-5851 | 2020-04-10 |
| 1730715806 | Ashia James | Health Educator | 484 E Valley Rd Ne, Rydal, GA 30171-1674 | 2020-03-20 |
| 1366078628 | Raul Enrique Hiteshew | Health Educator | 16285 Laconia Ln, Alpharetta, GA 30004-2700 | 2020-03-19 |
| 1477185197 | Allen Henderson | Health Educator | 152 Arlington Ct, Newnan, GA 30263-2970 | 2020-02-11 |
| 1598309270 | Dana Melvin | Health Educator | 639 Metromont Rd Ste A, Hiram, GA 30141-2805 | 2019-11-05 |
| 1659927408 | Corine Godfrey Walker | Health Educator | 1364 Tucker Rd, Moultrie, GA 31768-8305 | 2019-08-16 |
| 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.