BEYOND YOUR ORDINARY, INC. (NPI# 1396365094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396365094 |
Entity Type | Organization |
Organization Name | BEYOND YOUR ORDINARY, INC. |
Other Organization Name | BEYOND YOUR ORDINARY TREATMENT CENTER |
Practice Address |
97 Atlanta St Ste 100 Mcdonough GA 30253-2192 |
Practice Telephone | 3362686469 |
Mailing Telephone | 3362686469 |
Enumeration Date | 2020-04-22 |
Last Update Date | 2020-08-12 |
Authorized Official Name | MYA CULLINS (CEO) |
Authorized Official Telephone | 3362686469 |
Authorized Official Credential | MS, MAT SPECIALI |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 251S00000X | Community/Behavioral Health | Agencies | ||
Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Beyond Your Ordinary Treatment Center | Doing Business As Name - Organization |
Street Address |
97 ATLANTA ST STE 100 |
City | MCDONOUGH |
State | GA |
Zip Code | 30253-2192 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558727149 | T'osha Lee | Behavioral Analyst | 97 Atlanta St Ste 100, Mcdonough, GA 30253-2192 | 2016-01-12 |
1750853420 | Lynette Holland | Behavioral Analyst | 97 Atlanta St Ste 100, Mcdonough, GA 30253-2192 | 2018-12-19 |
1083186738 | Misty Leigh Quiroz | Behavioral Analyst | 97 Atlanta St Ste 100, Mcdonough, GA 30253-2192 | 2018-12-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518565159 | First Choice Home Health Care LLC | In Home Supportive Care | 600 Westridge Parkway, Suite 707, Mcdonough, GA 30253 | 2020-10-15 |
1164033783 | Tanequa S Dorsey | Counselor | 40 Macon Street, Suite D, Mcdonough, GA 30253 | 2020-08-17 |
1396369195 | Ikponmwosa Obakpolor | Physical Therapist | 234 Village Drive, Mcdonough, GA 30253 | 2020-06-08 |
1205392305 | Healthstat Onsite Clinic-henry County | Preventive Medicine | 141 Henry Parkway, Healthstat Clinic, Mcdonough, GA 30253 | 2019-02-13 |
1588128557 | Vernette R Mathurin | Licensed Practical Nurse | 97 Atl Street Suite 100, Mcdonough, GA 30253 | 2019-01-24 |
1083196836 | Peta-gaye C Pilote | Registered Nurse | 319 Regal Way E, Mcdonough, GA 30253 | 2018-08-29 |
1275021586 | Heritage Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 155 Westridge Pkwy Ste 217, Mcdonough, GA 30253 | 2018-04-23 |
1457853236 | Sherrille Greene | Counselor | 609 Autumn Leaf Circle, Mcdonough, GA 30253 | 2018-03-07 |
1376052696 | Kendra Oreggio | Private Vehicle | 117 Janney Circle, Mcdonough, GA 30253 | 2017-09-29 |
1245758788 | Pamela Hobbs | Home Health Aide | 5011 Monarch Dr, Mcdonough, GA 30253 | 2017-09-05 |
Find all providers in zip 30253 |
Taxonomy Code | 261QM1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Multi-Specialty |
Definition to come... |
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1366068728 | Wood Health LLC | Clinic/Center | 310 Gold Creek Trl Ste 100, Woodstock, GA 30188-5436 | 2020-06-22 |
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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.