MR. MARK DOUGLAS (NPI# 1508475062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508475062 |
| Entity Type | Individual |
| Full Name | MR. MARK DOUGLAS |
| Credential | LCSW |
| Practice Address |
303 Fraser Dr Hinesville GA 31313-3712 |
| Mailing Address |
178 Finn Cir Savannah GA 31419-8408 |
| Practice Telephone | 9128772227 |
| Practice Fax Number | 9128772332 |
| Mailing Telephone | 9123086735 |
| Enumeration Date | 2020-07-30 |
| Last Update Date | 2020-07-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | CSW007151 | GA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 213 N Mcdonald St Ste A&b, Ludowici, GA 313166075 | 9125459398 | 9125452747 |
| 244 Peachtree St, Jesup, GA 315450212 | 9123852453 | 9125592083 |
| 502 E General Stewart Way Ste A, Hinesville, GA 313132643 | 9123681959 | 9123681966 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306974464 | Mark L Douglas | Internal Medicine | 5098 West Washington St, Ste 408, Cross Lanes, WV 25313-1419 | 2007-03-01 |
| 1144388398 | Mark S Douglas | Dentist | 4827 Laguna Park Dr, Suite 5, Elk Grove, CA 95758-5159 | 2006-12-04 |
| 1649335118 | Mark Stephen Douglas | Dermatology | 2080 Child St, Department of Dermatology - Naval Hospital Jacksonville, Jacksonville, FL 32214-5005 | 2006-12-26 |
| 1033226923 | Mark A Douglas | Recreation Therapist | 2200 Fort Roots Dr, North Little Rock, AR 72114-1709 | 2006-08-24 |
| 1326050410 | Mark A Douglas | Emergency Medicine | 1 Medical Center Drive, Biddeford, ME 04005 | 2006-08-13 |
| 1679576516 | Mark Jason Douglas | Ophthalmology | 2880 Dauphin St, Mobile, AL 36606-2457 | 2005-05-24 |
| Street Address |
303 FRASER DR |
| City | HINESVILLE |
| State | GA |
| Zip Code | 31313-3712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972595312 | Susan Patrice Brown | Nurse Practitioner | 303 Fraser Dr, Hinesville, GA 31313-3712 | 2005-08-22 |
| 1568019081 | Latonya Blevins Turner | Nurse Practitioner | 303 Fraser Dr, Hinesville, GA 31313-3712 | 2019-08-20 |
| 1205396447 | Keshala Anderson Newton | Nurse Practitioner | 303 Fraser Dr, Hinesville, GA 31313-3712 | 2019-03-22 |
| 1255801890 | Diversity Health Center Inc | Pharmacy | 303 Fraser Dr, Hinesville, GA 31313-3712 | 2018-11-27 |
| 1386112456 | Mark Anderson | Nurse Practitioner | 303 Fraser Dr, Hinesville, GA 31313-3712 | 2018-11-07 |
| 1417276536 | Melanie S. Leech | Counselor | 303 Fraser Dr, Hinesville, GA 31313-3712 | 2010-05-28 |
| 1750571956 | Sharifa M Abou-mediene | Pediatrics | 303 Fraser Dr, Hinesville, GA 31313-3712 | 2007-07-25 |
| 1720108590 | Diversity Health Center Inc | Clinic/Center | 303 Fraser Dr, Hinesville, GA 31313 | 2007-03-29 |
| 1164559571 | Noemi Adelina Carcar | Family Medicine | 303 Fraser Dr, Hinesville, GA 31313-3712 | 2007-02-27 |
| 1427077759 | Mary Judith Allen | Pediatrics | 303 Fraser Dr, Hinesville, GA 31313-3712 | 2006-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447877469 | Brennan Roger Milbury | Naturopath | 4876 Ga 196 W, Hinesville, GA 31313 | 2020-06-26 |
| 1558982660 | Hinesville Day Spa LLC | Massage Therapist | 951 E G Miles Pkwy, Suite B, Hinesville, GA 31313 | 2020-04-29 |
| 1104459932 | Johnny Roger Terry | Counselor | 115 W Oglethorpe Hwy, Hinesville, GA 31313 | 2020-02-20 |
| 1043875594 | Liberty Regional Medical Center | Pharmacy | 462 Elma G. Miles Parkway, Hinesville, GA 31313 | 2019-05-09 |
| 1730646811 | Jennifer Lee Reffeor | Nurse Practitioner | 109 W Oglethorpe Highway, Hinesville, GA 31313 | 2019-02-26 |
| 1760907968 | Kenya Dominic | Specialist | 445 E.g. Miles Parkway Ste 207, Hinesville, GA 31313 | 2017-08-08 |
| 1902358393 | Tricia Amelung | Nurse Practitioner | 512 South Main St., Suite 1a, Hinesville, GA 31313 | 2016-11-01 |
| 1881065449 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 801-a East General Stewart Way, Hinesville, GA 31313 | 2015-10-08 |
| 1245614916 | Tracey Bazemore | Counselor | 318 S. Wellborn Street, Suite C, Hinesville, GA 31313 | 2015-07-13 |
| 1831592021 | Jennifer Grisnik | Behavioral Analyst | 306 N. Main St., Suite 1a1, Hinesville, GA 31313 | 2014-10-01 |
| Find all providers in zip 31313 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992983969 | Jonie P Gunn | Social Worker | 1763 Ga Hwy 196, Hinesville, GA 31313 | 2008-02-01 |
| 1902900699 | Kelly H Gonzalez | Social Worker | 500 East Oglethorpe Highway, Hinesville, GA 31313 | 2006-09-12 |
| 1699257758 | Ukia Cassandra Sims | Social Worker | 500 E Oglethorpe Hwy, Hinesville, GA 31313-2804 | 2018-09-05 |
| 1083066369 | Komiya Wilks | Social Worker | 1518 Airport Rd, Hinesville, GA 31313-9439 | 2016-07-11 |
| 1881055234 | Stacy Faison | Social Worker | 500 E Oglethorpe Hwy, Hinesville, GA 31313-2804 | 2016-03-14 |
| 1801289822 | Katreva Dupont | Social Worker | 500 E Oglethorpe Hwy, Hinesville, GA 31313-2804 | 2015-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700788 | Bobbie Jones | Social Worker | 2100 Ellison Lakes Dr Nw Apt 1223, Kennesaw, GA 30152-6741 | 2020-11-06 |
| 1750981510 | Shellie Bigelow | Social Worker | 341 Ponce De Leon Ave Ne Ste 212, Atlanta, GA 30308-2012 | 2020-10-29 |
| 1184224081 | Lisa A Curtin | Social Worker | 341 Ponce De Leon Ave Ne Ste 219, Atlanta, GA 30308-2012 | 2020-10-29 |
| 1982202115 | Lonnekka Pritice Williams | Social Worker | 3798 Catalpa Ln, Ellenwood, GA 30294-1921 | 2020-10-10 |
| 1669079927 | Rachel Beers | Social Worker | 1530 Hilton Ave, Columbus, GA 31906-2063 | 2020-10-08 |
| 1083211015 | Calandra Burke Young | Social Worker | 274 Cedar St, Social Circle, GA 30025-3074 | 2020-10-02 |
| 1659988731 | Marinda Necole Jones | Social Worker | 3513 Brockdale Dr, Augusta, GA 30906-8991 | 2020-09-23 |
| 1306452560 | Brittaney Ryan Ferrell | Social Worker | 1928 Hill Dr Apt D, Fort Gordon, GA 30905-3090 | 2020-09-22 |
| 1700492253 | Zachard Roberson | Social Worker | 960 E Paces Ferry Rd Ne Apt 246, Atlanta, GA 30326-2847 | 2020-09-21 |
| 1154937068 | Katherine Paula Lucas | Social Worker | 104 W Candler St, Winder, GA 30680-1733 | 2020-09-17 |
| Find all providers with the same taxonomy | ||||
| City | HINESVILLE |
| Zip Code | 31313 |
Please comment or provide details below to improve the information on MR. MARK DOUGLAS.
| 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.