JESSICA BOLTON (NPI# 1457669079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457669079 |
| Entity Type | Individual |
| Full Name | JESSICA BOLTON |
| Credential | L.A.P.C |
| Practice Address |
756 Woodbury Hwy Greenville GA 30222-1514 |
| Mailing Address |
11 Frontier Rd Sharpsburg GA 30277-1569 |
| Practice Telephone | 7067750544 |
| Mailing Telephone | 6784598788 |
| Enumeration Date | 2010-09-16 |
| Last Update Date | 2013-03-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
APC003769 | GA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104398833 | Jessica Marie Bolton | Nurse Practitioner | 3512 Stellhorn Rd, Fort Wayne, IN 46815 | 2018-12-19 |
| 1073810388 | Jessica Noelle Bolton | Ophthalmology | 307 Boatner Rd, Suite 114, Eglin Afb, FL 32542-1302 | 2011-02-23 |
| 1215186127 | Jessica L Bolton | Counselor | 1500 Ne Irving St, Suite 250, Portland, OR 97232-2243 | 2008-09-16 |
| Street Address |
756 WOODBURY HWY |
| City | GREENVILLE |
| State | GA |
| Zip Code | 30222-1514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275131971 | Sanita Elizabeth Griffies | Case Manager/Care Coordinator | 756 Woodbury Hwy, Greenville, GA 30222-1514 | 2020-10-14 |
| 1831731033 | Mary Katherine Nix | Counselor | 756 Woodbury Hwy, Greenville, GA 30222-1514 | 2019-10-09 |
| 1730654666 | Charles Hudson | Counselor | 756 Woodbury Hwy, Greenville, GA 30222-1514 | 2018-10-08 |
| 1740785310 | Ashley Martin | Counselor | 756 Woodbury Hwy, Greenville, GA 30222-1514 | 2018-03-27 |
| 1457860090 | Sharita Everett | Marriage & Family Therapist | 756 Woodbury Hwy, Greenville, GA 30222-1514 | 2017-09-27 |
| 1154787943 | Theresa Christian | Counselor | 756 Woodbury Hwy, Greenville, GA 30222-1514 | 2016-01-08 |
| 1063816643 | Hattie English | Registered Nurse | 756 Woodbury Hwy, Greenville, GA 30222-1514 | 2014-10-10 |
| 1043634355 | Stephanie Leigh Catrett | Counselor | 756 Woodbury Hwy, Building B Suite 101, Greenville, GA 30222-1514 | 2014-02-06 |
| 1922431691 | Pathways | Clinic/Center | 756 Woodbury Hwy, Greenville, GA 30222-1514 | 2013-08-16 |
| 1205273109 | Jennifer Bennett Clay | Counselor | 756 Woodbury Hwy, Greenville, GA 30222-1514 | 2013-05-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003232042 | U Save It Pharmacy Inc | Pharmacy | 121 S Court Square, Greenville, GA 30222 | 2014-03-14 |
| 1700134475 | Selma Luella Smith | Registered Nurse | 775 Woodbury Road, Building B, Greenville, GA 30222 | 2012-08-28 |
| 1609911262 | Charles Allen Tigner | Pharmacist | 121 South Court Square, Greenville, GA 30222 | 2007-02-21 |
| 1124096334 | Southwest Medical Clinic,inc. | Internal Medicine | 7007 Williams Street, Suite C, Box 1120, Greenville, GA 30222 | 2006-03-14 |
| 1598394314 | Catherine Callahan | Counselor | 756 Woodbury Rd, Greenville, GA 30222 | 2020-04-03 |
| 1669721478 | Ada Scott | Registered Nurse | 756 Woodbury Rd, Greenville, GA 30222 | 2012-09-07 |
| 1417084252 | Greenville Drug Co., Inc | Pharmacy | 121 South Court Square, Greenville, GA 30222 | 2007-02-28 |
| 1932177102 | Patricia Chinwenwa Ubani-ebere | Internal Medicine | 7007 Williams Street, Suite C Box 120, Greenville, GA 30222 | 2006-03-14 |
| 1740310382 | Lori Ann Berdo | Physical Therapist | 1441 Clifton Road, Atlanta, GA 30222-1004 | 2007-03-06 |
| 1992036685 | Pathways Center for Behavioral and Developmental Growth | Community/Behavioral Health | 756 Woodbury Rd, Greenville, GA 30222-1514 | 2010-01-20 |
| Find all providers in zip 30222 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073112348 | Stacy A Shock | Counselor | 4115 Joe Ramsey Blvd E Apt 258, Greenville, TX 75401-7771 | 2020-10-19 |
| 1174130298 | Emily Zoino | Counselor | 12 Maple Tree Ct Ste 101, Greenville, SC 29615-4079 | 2020-09-24 |
| 1265055149 | Awaken Hope Counseling, LLC | Counselor | 1 Chick Springs Rd Ste 210d, Greenville, SC 29609-4971 | 2020-05-26 |
| 1891333902 | Angel Marie Henning | Counselor | 55 Smith Hines Rd, Greenville, SC 29607-5706 | 2019-12-19 |
| 1124662010 | Ryan N Murphy | Counselor | 2802 Mulberry Ln Apt F, Greenville, NC 27858-7840 | 2019-11-04 |
| 1164076238 | Jessica Nicole Newman | Counselor | 3824 St Augustine Dr, Greenville, NC 27834-1079 | 2019-07-27 |
| 1871145599 | Vanessa Robertson Solis | Counselor | 5503 Kayway Dr, Greenville, TX 75402-6411 | 2019-07-12 |
| 1316404031 | Quinnisha Pollard | Counselor | 49 Orchard Park Dr Apt 85, Greenville, SC 29615-3521 | 2019-02-28 |
| 1710441399 | Joshua Neuer, LLC | Counselor | 207 Mitchell Rd, Greenville, SC 29615-2644 | 2019-01-28 |
| 1881165264 | Samantha Anne Monson | Counselor | 14 Sitka Ave, Greenville, SC 29607-1737 | 2018-12-11 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 30222 |
Please comment or provide details below to improve the information on JESSICA BOLTON.
| 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.