PROVIDER RESOURCE SOLUTIONS OF GEORGIA, INC (NPI# 1417251810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417251810 |
| Entity Type | Organization |
| Organization Name | PROVIDER RESOURCE SOLUTIONS OF GEORGIA, INC |
| Practice Address |
101 Beckett Ln Suite 505 Fayetteville GA 30214-7155 |
| Practice Telephone | 4048292715 |
| Mailing Telephone | 4048292715 |
| Enumeration Date | 2010-12-29 |
| Last Update Date | 2010-12-29 |
| Authorized Official Name | RHONDA CROCKETT (CEO) |
| Authorized Official Telephone | 4048292715 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251C00000X | Day Training, Developmentally Disabled Services | Agencies | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
101 BECKETT LN SUITE 505 |
| City | FAYETTEVILLE |
| State | GA |
| Zip Code | 30214-7155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083668271 | Salih O Faldon | Emergency Medicine | 101 Beckett Ln, 506, Fayetteville, GA 30214-7155 | 2006-05-20 |
| 1821461484 | Children 1st Pediatrics | Clinic/Center | 101 Beckett Ln, Suite 502, Fayetteville, GA 30214-7155 | 2015-11-04 |
| 1699146738 | Turning Point Counseling Services, LLC | Counselor | 101 Beckett Ln, Suite 505, Fayetteville, GA 30214-7155 | 2015-10-15 |
| 1033595566 | Omolola Otubaga | Nurse Practitioner | 101 Beckett Ln, Ste. 304, Fayetteville, GA 30214-7155 | 2015-08-06 |
| 1467858068 | Augusta Abbey | Secured Medical Transport (VAN) | 101 Beckett Ln, Suite 505, Fayetteville, GA 30214-7155 | 2014-11-08 |
| 1649549775 | Md 1 Care | Clinic/Center | 101 Beckett Ln, Suite 506, Fayetteville, GA 30214-7155 | 2011-12-19 |
| 1164702288 | God's In Control Transportation Services | Non-emergency Medical Transport (VAN) | 101 Beckett Ln, Suite 505, Fayetteville, GA 30214-7155 | 2011-08-20 |
| 1508155037 | Easy Walk Foot Clinic LLC | Podiatrist | 101 Beckett Ln, Suite 104, Fayetteville, GA 30214-7155 | 2011-04-05 |
| 1710284369 | Provider Resource Solutions of Georgia Inc | Foster Care Agency | 101 Beckett Ln, Suite 505, Fayetteville, GA 30214-7155 | 2011-02-17 |
| 1205145414 | Provider Resource Solutions LLC | Supports Brokerage | 101 Beckett Ln, Fayetteville, GA 30214-7155 | 2010-10-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548872468 | Phyllis Kelly Wood | Nurse Practitioner | 217 Banks Rd, Suite 31, Fayetteville, GA 30214 | 2020-08-21 |
| 1073139317 | Tyisha Salter Scott | Counselor | 110 Habersham Drive, Suite 142, Fayetteville, GA 30214 | 2020-06-23 |
| 1194341412 | Camille Franncine Bolton | Physical Therapist | 500 Floy Farr Parkway, Suite 303, Fayetteville, GA 30214 | 2020-06-23 |
| 1205465895 | Gillian Vaughan Heard | Physician Assistant | 1275 Ga-54 #201, Fayetteville, GA 30214 | 2020-04-06 |
| 1881234557 | Peach Fits,inc | Mastectomy Fitter | 285 Glynn Street South, Suites 102 and 104, Fayetteville, GA 30214 | 2020-01-10 |
| 1255981072 | Delta Healthcare Providers | Clinic/Center | 1275 W Lanier Ave, #200, Fayetteville, GA 30214 | 2019-09-13 |
| 1861965592 | Hierarchy for Wellness | Specialist | 805 S Glynn St Bldg 127 142, Fayetteville, GA 30214 | 2019-01-04 |
| 1356810634 | Fayette Dental Group PC | Clinic/Center | 720 W Lanier Ave, Fayetteville, GA 30214 | 2018-11-16 |
| 1891263299 | Mattie Mae Farmer Clark | Specialist/Technologist, Other | Piedmont Fayette Hospital, 1255 Highway 54 West, Fayetteville, GA 30214 | 2018-11-05 |
| 1093293607 | Allyson Holland | Pharmacist | 880 Highway 85 South, Fayetteville, GA 30214 | 2018-08-06 |
| Find all providers in zip 30214 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528696796 | Faith Springs Eternal (fase), Pllc | Community/Behavioral Health | 2537 Gray Goose Loop, Fayetteville, NC 28306-3550 | 2020-04-01 |
| 1134684392 | Carolina Outreach, LLC | Community/Behavioral Health | 324 Person St, Fayetteville, NC 28301-5736 | 2019-02-01 |
| 1124591094 | Changing Places Therapeutic Center, Company | Community/Behavioral Health | 1044 Bragg Blvd Ste B, Fayetteville, NC 28301-4512 | 2019-01-03 |
| 1538632518 | Benevolent Counseling, Pllc | Community/Behavioral Health | 2929 Breezewood Ave Ste 203, Fayetteville, NC 28303-5357 | 2019-01-02 |
| 1386128031 | Alexander Youth Network | Community/Behavioral Health | 2115 Hope Mills Rd, Fayetteville, NC 28304-4256 | 2018-09-19 |
| 1811497639 | Alexander Youth Network | Community/Behavioral Health | 1608 Camden Rd, Rooms #16 & #17, Fayetteville, NC 28306-1734 | 2018-02-19 |
| 1629578851 | Jeanette Bostick | Community/Behavioral Health | 1628 Turkey Run, Fayetteville, NC 28312-7643 | 2018-02-14 |
| 1942718325 | A Mother's Pursuit, LLC | Community/Behavioral Health | 511 N Reilly Rd Ste A, Fayetteville, NC 28303-2440 | 2018-01-18 |
| 1992213771 | Deborah A Atkinson Phd Pllc | Community/Behavioral Health | 501 Executive Pl Ste B, Fayetteville, NC 28305-5391 | 2018-01-16 |
| 1841739455 | Aci Support Specialists | Community/Behavioral Health | 414 Snowhill Rd, Fayetteville, NC 28306-9073 | 2017-02-15 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 30214 |
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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.