NATHANEAL A MADDOX (NPI# 1609366400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609366400 |
| Entity Type | Individual |
| Full Name | NATHANEAL A MADDOX |
| Practice Address |
301 Country Club Dr Stockbridge GA 30281-7350 |
| Mailing Address |
159 Burke St Ste 201 Stockbridge GA 30281-3410 |
| Practice Telephone | 6789487476 |
| Mailing Telephone | 6789487476 |
| Enumeration Date | 2018-05-16 |
| Last Update Date | 2018-05-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | MSW008273 | GA | Behavioral Health & Social Service Providers |
| Street Address |
301 COUNTRY CLUB DR |
| City | STOCKBRIDGE |
| State | GA |
| Zip Code | 30281-7350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124560834 | Charleka Kelley | Counselor | 301 Country Club Dr, Stockbridge, GA 30281-7350 | 2016-11-11 |
| 1033680087 | Benita Campbell | Counselor | 301 Country Club Dr, Stockbridge, GA 30281-7350 | 2018-12-16 |
| 1568951002 | Julie K Whitdford | Counselor | 301 Country Club Dr, Stockbridge, GA 30281-7350 | 2018-05-09 |
| 1033608641 | Mireille Tercier Mackey | Counselor | 301 Country Club Dr, Stockbridge, GA 30281-7350 | 2018-05-09 |
| 1962935890 | Ruffina David | Psychologist | 301 Country Club Dr, Stockbridge, GA 30281-7350 | 2017-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164039095 | Colette Alls | Social Worker | 447 Lakeshore Dr, Stockbridge, GA 30281 | 2020-09-24 |
| 1982216800 | Pediatric and Family Behavioral Health of Georgia | Counselor | 1004 Ulster Court, Stockbridge, GA 30281 | 2020-08-21 |
| 1518577659 | Qunique Taveka Toxey | Behavior Technician | 115 N Park Trail, Suite 123, Stockbridge, GA 30281 | 2020-08-04 |
| 1497377675 | Melanie Harvey | Pharmacist | 4467 North Henry Boulevard, Stockbridge, GA 30281 | 2020-05-11 |
| 1114550571 | Cecile Maria Dunkley Layne | Counselor | 255 Corporte Drive, Stockbridge, GA 30281 | 2020-02-13 |
| 1306407143 | Palliative Care of Georgia. LLC | Home Health | 275 Corporate Center Court Ste C, Stockbridge, GA 30281 | 2019-06-24 |
| 1154883791 | Aaliyah Nura Fardan-alexander | Nurse's Aide | 105 Singletree, Stockbridge, GA 30281 | 2019-04-02 |
| 1306306261 | Prosthetic Care, Inc. | Prosthetic/Orthotic Supplier | 150 County Club Drive, Suite 200, Stockbridge, GA 30281 | 2019-03-25 |
| 1356814172 | Kristina Louissaint | Nurse Practitioner | 650 Country Club Dr, Stockbridge, GA 30281 | 2019-01-03 |
| 1942789284 | Cameren Barnes | Physical Therapist | 5473 N Henry Blvd, Stockbridge, GA 30281 | 2018-08-08 |
| Find all providers in zip 30281 | ||||
| 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 |
|---|---|---|---|---|
| 1114258993 | Dawn P Kentish Bennett | Social Worker | 297 Ironwood Dr, Stockbridge, GA 30281-2287 | 2010-01-19 |
| 1720202518 | Willie Marie Holmes | Social Worker | 100 Whitaker Dr, Stockbridge, GA 30281-7723 | 2007-04-12 |
| 1851712483 | Lynesha Mcelveen | Social Worker | 110 Eagle Spring Dr, Suite-c, Stockbridge, GA 30281-6488 | 2013-12-28 |
| 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 | STOCKBRIDGE |
| Zip Code | 30281 |
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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.