KALYN L MATTIS VI (NPI# 1417500794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417500794 |
| Entity Type | Individual |
| Full Name | KALYN L MATTIS VI |
| Practice Address |
2602 Queen Anne Ct Atlanta GA 30350-6300 |
| Practice Telephone | 4047590707 |
| Mailing Telephone | 4047590707 |
| Enumeration Date | 2019-07-16 |
| Last Update Date | 2019-07-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 172V00000X | Community Health Worker | Other Service Providers | ||
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers | ||
| N | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
2602 QUEEN ANNE CT |
| City | ATLANTA |
| State | GA |
| Zip Code | 30350-6300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427605971 | Aya & Houze Enterprises | Case Management | 2602 Queen Anne Ct, Atlanta, GA 30350-6300 | 2019-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659970697 | Conor John O'brien | Behavior Technician | 1218 Hightower Trail, B120, Atlanta, GA 30350 | 2020-10-21 |
| 1346853975 | Jessica Bernstein | Behavioral Analyst | 500 Vinington Court, Atlanta, GA 30350 | 2020-08-24 |
| 1619489390 | Breast Cancer Breast Care Products, LLC Dba Pink Ribbon Consulting | Durable Medical Equipment & Medical Supplies | 55 Saddleview Run, Atlanta, GA 30350 | 2017-11-02 |
| 1679090724 | Deliluz Roubert Echevarria | Speech-Language Pathologist | 8404 Roswell Rd Apt Q, Atlanta, GA 30350 | 2017-08-29 |
| 1164962882 | Ipsum Diagnostics LLC | Clinical Medical Laboratory | 8607 Roberts Dr Ste 125, Atlanta, GA 30350 | 2017-02-28 |
| 1700335627 | Juma Gassim | Specialist/Technologist, Other | 7949 Roswell Rd., Apt. F, Atlanta, GA 30350 | 2016-10-04 |
| 1902297153 | Hope Stoney | Chiropractor | 701 Harbor Pointe Parkway, Sandy Springs, GA 30350 | 2015-02-10 |
| 1942698386 | Laurie Johnson | Counselor | 1605 Lazy River Lane, Atlanta, GA 30350 | 2015-01-08 |
| 1497175905 | Ispm Labs, LLC | Clinical Medical Laboratory | 8601 Dunwoody Pl Ste 444, Atlanta, GA 30350 | 2014-04-23 |
| 1295097236 | Ginger Liane Hill | Behavioral Analyst | 1215 Hightower Trail, Bldg. B #120, Atlanta, GA 30350 | 2012-06-14 |
| Find all providers in zip 30350 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326653890 | Chosen Care, Inc. | Case Manager/Care Coordinator | 5202 Forest Springs Dr, Atlanta, GA 30338-3506 | 2020-09-11 |
| 1811519069 | Tasheika Vinson | Case Manager/Care Coordinator | 2905 E Point St # 91046, Atlanta, GA 30344-4202 | 2020-05-11 |
| 1033759386 | Mark Bush | Case Manager/Care Coordinator | 50 Hurt Plaza Se Suite 1108, Atlanta, GA 30303 | 2020-01-14 |
| 1922658939 | Jasmine Allecia Lowery | Case Manager/Care Coordinator | 7741 Roswell Rd Ste 101, Atlanta, GA 30350-4845 | 2019-09-12 |
| 1730646522 | Revenue Cycle and Managed Care Consulting LLC | Case Manager/Care Coordinator | 342 Nelson St Sw Unit 220, Atlanta, GA 30313-1341 | 2019-02-27 |
| 1861970501 | Kristy Andrews | Case Manager/Care Coordinator | 485 County Road 3319, Atlanta, TX 75551-5539 | 2018-08-03 |
| 1326545534 | Teri Lynn Hill | Case Manager/Care Coordinator | 2300 Global Forum Blvd Apt 511, Atlanta, GA 30340 | 2018-04-12 |
| 1659874493 | Gift Transitional Home, Inc. | Case Manager/Care Coordinator | 2001 Martin Luther King Jr Dr Sw Ste 420, Atlanta, GA 30310-5806 | 2018-03-16 |
| 1902309206 | Ladinea James | Case Manager/Care Coordinator | 3200 Lenox Rd Ne Apt D409, Atlanta, GA 30324-2662 | 2018-03-13 |
| 1194235150 | Lee Angelia Moses | Case Manager/Care Coordinator | 330 Auburn Pointe Dr Se Unit 8306, Atlanta, GA 30312-1778 | 2017-10-04 |
| Find all providers in ATLANTA | ||||
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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.