DR. PRECIOUS A BRANNON (NPI# 1609005198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609005198 |
| Entity Type | Individual |
| Full Name | DR. PRECIOUS A BRANNON |
| Credential | PHD |
| Practice Address |
3918 Dunaire Dr Stone Mountain GA 30083-4400 |
| Practice Telephone | 4048833244 |
| Mailing Telephone | 4048833244 |
| Enumeration Date | 2009-07-07 |
| Last Update Date | 2015-02-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 171W00000X | Contractor | Other Service Providers | ||
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
3918 DUNAIRE DR |
| City | STONE MOUNTAIN |
| State | GA |
| Zip Code | 30083-4400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558830919 | Patriot Healthcare of Georgia, LLC | Family Medicine | 833 Hairston Road, Stone Mountain, GA 30083 | 2018-11-15 |
| 1710403431 | Trans Med Ems,llc | Ambulance | 4683 Redan Rd, Stone Mountain, GA 30083 | 2017-08-15 |
| 1447770482 | Dispatched Angels Home Care | In Home Supportive Care | 619 El Prado Court, Stone Mountain, GA 30083 | 2017-06-21 |
| 1396191086 | Suzanne Carter | Chore Provider | 1036 Allgood Rd, Stone Mountain, GA 30083 | 2016-05-11 |
| 1437520087 | Meaza Dada | Pharmacist | 1043 Thornwoode Lane, Stone Mountain, GA 30083 | 2015-10-08 |
| 1427436500 | Raeanne Elizabeth Gialanella | Occupational Therapist | 5839 Memorial Drive, Stone Mountain, GA 30083 | 2015-05-11 |
| 1265829824 | Latore Williams | Licensed Practical Nurse | 5300 Ridge Forest Drive, Stone Mountain, GA 30083 | 2015-04-22 |
| 1144625922 | Granville Theodore Freeman IIi | Counselor | 5000 Brittany Drive, Stone Mountain, GA 30083 | 2014-10-23 |
| 1588974208 | Terri R Collins | Counselor | 1020 Strap Hinge Trail, Stone Mountain, GA 30083 | 2010-10-15 |
| 1104064815 | Vistas Medical Center,pc | Clinic/Center | 5329 Memorial Dr Ste A, Stone Mountain, GEORGIA 30083 | 2009-02-03 |
| Find all providers in zip 30083 | ||||
| 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 |
|---|---|---|---|---|
| 1073150934 | Onesource Learning & Development Center | Case Manager/Care Coordinator | 2165 W Park Ct Ste I, Stone Mountain, GA 30087-3564 | 2019-12-10 |
| 1609368422 | Edil Jama | Case Manager/Care Coordinator | 4547 Birch Ridge Trl, Stone Mountain, GA 30083-5605 | 2018-06-06 |
| 1174861801 | Ronda F Gedward | Case Manager/Care Coordinator | 1096 Redan Trail Ct, Stone Mountain, GA 30088-2543 | 2013-01-31 |
| 1881993285 | Cynthia Marie Hammond | Case Manager/Care Coordinator | 5705 Pennybrook Ct, Stone Mountain, GA 30087-5755 | 2011-03-24 |
| 1154506632 | Rosenita Brown | Case Manager/Care Coordinator | 693 Watson Reef, Stone Mountain, GA 30087-6117 | 2008-01-03 |
| 1699961508 | Gwendolyn Gunther | Case Manager/Care Coordinator | 522 Wildwood Gln, Stone Mountain, GA 30083-7438 | 2007-09-25 |
| 1235296203 | Cheryl Williams Tolbert | Case Manager/Care Coordinator | 488 Rock Shadow Ct, Stone Mountain, GA 30087-5641 | 2007-01-02 |
| 1932278926 | Niove Rodriguez | Case Manager/Care Coordinator | 2349 Broad Creek Dr., Stone Mountain, GA 30087-3755 | 2006-11-06 |
| 1356609945 | Latechia Hogue | Case Manager/Care Coordinator | 445 Dixie Lee Ln, Stone Mountain, GA 30083-4203 | 2012-05-02 |
| 1205149598 | Temekia Jenkins | Case Manager/Care Coordinator | 778 Rays Rd, Stone Mountain, GA 30083-3107 | 2010-07-15 |
| Find all providers in STONE MOUNTAIN | ||||
| City | STONE MOUNTAIN |
| Zip Code | 30083 |
Please comment or provide details below to improve the information on DR. PRECIOUS A BRANNON.
| 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.