RAPHEL RICE (NPI# 1396303731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396303731 |
| Entity Type | Individual |
| Full Name | RAPHEL RICE |
| Practice Address |
853 Battlecreek Rd Jonesboro GA 30236-1919 |
| Mailing Address |
934 Garden Walk Blvd Apt 420 College Park GA 30349-8506 |
| Practice Telephone | 7706034686 |
| Mailing Telephone | 6624041179 |
| Enumeration Date | 2019-05-31 |
| Last Update Date | 2019-05-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Street Address |
853 BATTLECREEK RD |
| City | JONESBORO |
| State | GA |
| Zip Code | 30236-1919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649257791 | Clayton Community Mental Health Substance Ab | Clinic/Center | 853 Battlecreek Rd, Jonesboro, GA 30236-1919 | 2005-12-29 |
| 1518428747 | Terri Anderson Williams | Registered Nurse | 853 Battlecreek Rd, Jonesboro, GA 30236-1919 | 2019-03-29 |
| 1457810095 | Shawn Maria Coleman | Counselor | 853 Battlecreek Rd, Jonesboro, GA 30236-1919 | 2019-03-13 |
| 1851880926 | Jenise Trannell Clark | Counselor | 853 Battlecreek Rd, Jonesboro, GA 30236-1919 | 2018-05-04 |
| 1255873709 | Dorothy A. Fondi | Counselor | 853 Battlecreek Rd, Jonesboro, GA 30236-1919 | 2016-11-15 |
| 1801348131 | Nicole Heather Dawn Holmes | Counselor | 853 Battlecreek Rd, Jonesboro, GA 30236-1919 | 2016-11-03 |
| 1871045187 | Caryn Haire | Counselor | 853 Battlecreek Rd, Jonesboro, GA 30236-1919 | 2016-11-03 |
| 1700338472 | Joy Boyce | Counselor | 853 Battlecreek Rd, Jonesboro, GA 30236-1919 | 2016-10-28 |
| 1194276071 | Stacey Nicole Paxton | Counselor | 853 Battlecreek Rd, Jonesboro, GA 30236-1919 | 2016-10-17 |
| 1922464635 | Angela Robinson | Counselor | 853 Battlecreek Rd, Jonesboro, GA 30236-1919 | 2016-01-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972123362 | Life Source Counseling & Consulting, LLC | Clinic/Center | 118 North Avenue, Suite A, Jonesboro, GA 30236 | 2020-04-25 |
| 1639609555 | New Beginnings Behavioral Counseling,llc | Social Worker | 9456 S Main St Ste E2, Jonesboro, GA 30236 | 2017-06-13 |
| 1437696762 | Clarissa Alexandra Poole | Counselor | 2106 Fair Ridge Ct, Jonesboro, GA 30236 | 2017-01-25 |
| 1588012892 | Sundance Healthcare Service Inc | In Home Supportive Care | 7861 Collinswood Court, Jonesboro, GA 30236 | 2016-05-26 |
| 1942669205 | Adrianne Smiley Gurley | Occupational Therapist | 1299 Battlecreek Rd Ste 210, Jonesboro, GA 30236 | 2016-02-15 |
| 1336505809 | Integrated Health Center | Dentist | 8600 Tara Blvd, Suite D, Jonesboro, GA 30236 | 2016-01-13 |
| 1467827402 | Surrell Porter | Nurse Practitioner | 1287 Georgia Highway 138 Spur, Suite 8, Jonesboro, GA 30236 | 2015-12-02 |
| 1740688910 | Jacqueline Carolyn Edwards | Registered Nurse | 8081 Tara Blvd, 265, Jonesboro, GA 30236 | 2014-12-19 |
| 1770991861 | Lower Extremity Diagnostics, LLC | Podiatrist | 6911 Tara Boulevard, Jonesboro, GA 30236 | 2014-08-01 |
| 1760899710 | Fresenius Medical Care Jonesboro, LLC | Clinic/Center | 8060 Summitt Business Parkway, Jonesboro, GA 30236 | 2014-07-22 |
| Find all providers in zip 30236 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073113650 | Secure Foundation Counseling Pllc | Clinic/Center | 125 N Fisher St, Jonesboro, AR 72401-2116 | 2020-10-31 |
| 1972123362 | Life Source Counseling & Consulting, LLC | Clinic/Center | 118 North Avenue, Suite A, Jonesboro, GA 30236 | 2020-04-25 |
| 1598398802 | Bhg L, LLC | Clinic/Center | 5510 Southwest Drive, Ste 8, Jonesboro, AR 72404-8352 | 2020-02-14 |
| 1548721525 | Essential Medical and Mental Health Institute | Clinic/Center | 486 Luke Ct, Jonesboro, GA 30238-5798 | 2019-03-30 |
| 1033682612 | Gr8-xpressions Behavioral Health, LLC. | Clinic/Center | 8762 Edenton Way, Jonesboro, GA 30238-4494 | 2019-01-07 |
| 1427416577 | Life Rediscovery Center, LLC | Clinic/Center | 522 Flint Trl, Ste A, Jonesboro, GA 30236-1316 | 2016-02-03 |
| 1639358906 | Clayton Mhddad | Clinic/Center | 1585 Pintail Rd, Jonesboro, GA 30238-6641 | 2007-11-02 |
| 1679761373 | Clayton Mhddad | Clinic/Center | 2081 Logan Dr, Jonesboro, GA 30236-7215 | 2007-10-09 |
| 1851589550 | Clayton Mhddad | Clinic/Center | 7814 Fielder Rd, Jonesboro, GA 30236-2610 | 2007-10-09 |
| 1497943104 | Clayton Mhddad | Clinic/Center | 901 Walnut Creek Ln, Jonesboro, GA 30238-6465 | 2007-10-09 |
| Find all providers in JONESBORO | ||||
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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.