MIRACLE MAKING MINISTRIES, INC. (NPI# 1437259785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437259785 |
| Entity Type | Organization |
| Organization Name | MIRACLE MAKING MINISTRIES, INC. |
| Other Organization Name | DRUID PARK COMMUNITY HEALTH |
| Practice Address |
1127 Druid Park Ave Augusta GA 30904-5849 |
| Mailing Address |
Po Box 10044 Augusta GA 30903-2644 |
| Practice Telephone | 7067228693 |
| Practice Fax Number | 7067228695 |
| Mailing Telephone | 7067228693 |
| Mailing Fax Number | 7067228695 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ROBERT L WILLIAMS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7067228693 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251K00000X | Public Health or Welfare | Agencies |
| Other Name | Type Code |
|---|---|
| Druid Park Community Health | Doing Business As Name - Organization |
| Street Address |
1127 DRUID PARK AVE |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30904-5849 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568661189 | Richard Magruder | Internal Medicine | 1127 Druid Park Ave, Augusta, GA 30904-5849 | 2007-07-13 |
| 1629167580 | Mary Gump Fly | Nurse Practitioner | 1127 Druid Park Ave, Augusta, GA 30904-5849 | 2006-10-11 |
| 1134215593 | Nancy K Schear | Nurse Practitioner | 1127 Druid Park Ave, Augusta, GA 30904-5849 | 2006-10-05 |
| 1457451791 | Robert M Williams | Internal Medicine | 1127 Druid Park Ave, Augusta, GA 30904-5849 | 2006-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518423706 | Lawren Murray Tachias | Registered Nurse | 950 15th Street Downtown, Augusta, GA 30904 | 2019-02-13 |
| 1457851842 | Heba Ahmed | Pharmacist | 912 15th Street, Augusta, GA 30904 | 2018-02-13 |
| 1124552690 | Jenny Liles | Student in an Organized Health Care Education/Training Program | 1004 Chafee Ave, Augusta, GA 30904 | 2017-04-11 |
| 1932640836 | Claudia Crawford | Student in an Organized Health Care Education/Training Program | 2624 Oakland Ave., Augusta, GA 30904 | 2017-03-13 |
| 1801240528 | F. Marion Durst IIi Dmd PC | Clinic/Center | 2325 Washington Road, Augusta, GA 30904 | 2016-04-19 |
| 1689031296 | Teresa Maria Martin | Counselor | 1e-148, Charlie Norwood Vamc One Freedom Way, Augusta, GA 30904 | 2016-01-27 |
| 1598122269 | Jillian Wilkerson | Counselor | Charlie Norwood Veteran Affairs One Freedom Way, Substance Use Recovery Clinic, Augusta, GA 30904 | 2016-01-26 |
| 1760855241 | Chase King | Occupational Therapist | 1735 Berkeley Rd, Augusta, GA 30904 | 2015-11-05 |
| 1962832246 | April Underwood Fox | Physician Assistant | 1417 Pendleton Rd, Augusta, GA 30904 | 2013-11-22 |
| 1861734378 | John Graham Theisen | Obstetrics & Gynecology | 810 Chafee Avenue, Augusta, GA 30904 | 2013-03-22 |
| Find all providers in zip 30904 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356678387 | State of Maine | Public Health or Welfare | 286 Water Street, 9th Floor, Augusta, ME 04333-0011 | 2009-11-12 |
| 1659505451 | Maine Cdc Public Health Nursing | Public Health or Welfare | 286 Water St Key Plz Fl 7, State House Station # 11, Augusta, ME 04333-0011 | 2009-05-07 |
| 1205988631 | East Central Health District | Public Health or Welfare | 2401 Crystal Ct, Augusta, GA 30906 | 2007-01-17 |
| 1750489415 | Hampshire County Board of Health | Public Health or Welfare | Hc 71 Box 9, Augusta, WV 26704-9502 | 2006-09-20 |
| 1225089824 | Richmond County Board of Health | Public Health or Welfare | 950 Laney Walker Blvd, Augusta, GA 30901-2960 | 2006-05-16 |
| 1366492035 | East Central Health District | Public Health or Welfare | 1916 N Leg Rd, Augusta, GA 30909-4402 | 2006-05-11 |
| 1598911851 | East Central Health District | Public Health or Welfare | 950 Laney Walker Blvd, Augusta, GA 30901-2960 | 2008-08-18 |
| 1992991160 | Richmond County Board of Health | Public Health or Welfare | 2420 Windsor Spring Rd, Augusta, GA 30906-4668 | 2007-09-20 |
| 1508928771 | Richmond County Health Dept. | Public Health or Welfare | 950 Laney Walker Blvd, Augusta, GA 30901-2960 | 2006-12-14 |
| 1639230725 | East Central Public Health District | Public Health or Welfare | 950 Laney Walker Blvd, Augusta, GA 30901-2960 | 2006-12-12 |
| Find all providers in AUGUSTA | ||||
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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.