PRESTIGE LEARNING ACADEMY (NPI# 1619309994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619309994 |
| Entity Type | Organization |
| Organization Name | PRESTIGE LEARNING ACADEMY |
| Practice Address |
6920 Broad St Douglasville GA 30134-1604 |
| Practice Telephone | 2489435234 |
| Mailing Telephone | 2489435234 |
| Enumeration Date | 2013-08-08 |
| Last Update Date | 2013-08-08 |
| Authorized Official Name | MONNIQUE MILLINER (OWNER/PROVIDER) |
| Authorized Official Telephone | 2489435234 |
| Authorized Official Credential | ED SPECIALIST/MA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | GA | Agencies | |
| N | 251C00000X | Day Training, Developmentally Disabled Services | GA | Agencies | |
| Y | 252Y00000X | Early Intervention Provider Agency | 739025 | GA | Agencies |
| Street Address |
6920 BROAD ST |
| City | DOUGLASVILLE |
| State | GA |
| Zip Code | 30134-1604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851915631 | Lilian Pereira | Nurse Practitioner | Bethesda Medical Group, LLC, 9280 Hwy 5 - Suite D, Douglasville, GA 30134 | 2020-06-08 |
| 1548822901 | Sweet Resolve LLC | Nurse Practitioner | 4318 Ridge Rd, Ste 111 Pmb 1017, Douglasville, GA 30134 | 2019-07-05 |
| 1598328791 | Straight Street Life Center Inc | Case Manager/Care Coordinator | 12461 Veterans Memorial, Douglasville, GA 30134 | 2019-04-15 |
| 1174014930 | Caitlin Waldrip | Chiropractor | 8326a Office Park Dr., Douglasville, GA 30134 | 2018-05-28 |
| 1861901050 | Michelle Denise Winston | Licensed Practical Nurse | 6497 E Strickland, Douglasville, GA 30134 | 2017-09-20 |
| 1518335843 | Willis Anthony Rogers | Durable Medical Equipment & Medical Supplies | 7094 Rose Lake Circle, Douglasville, GA 30134 | 2015-09-03 |
| 1497135131 | Patricia Warren | Social Worker | 8317 Office Park Drive Ste.#e, Douglasville, GA 30134 | 2015-06-08 |
| 1457747321 | Kidz Rock Therapy Services, LLC | Occupational Therapist | 6732 West Spring Street, Douglasville, GA 30134 | 2015-04-08 |
| 1386068476 | Naa Y Oden | Psychologist | 4813 Ridge Rd Ste 111-639, Douglasville, GA 30134 | 2014-02-10 |
| 1467893271 | American Ems | Ambulance | 7240 Bankhead Hwy, Douglasville, GA 30134 | 2013-07-09 |
| Find all providers in zip 30134 | ||||
| Taxonomy Code | 252Y00000X |
| Grouping | Agencies |
| Classification | Early Intervention Provider Agency |
| Early intervention services are an effective way to address the needs of infants and toddlers who have developmental delays or disabilities. The services are made available through a federal law known as the Individuals with Disabilities Education Act (IDEA). IDEA provides states and territories with specific requirements for providing early intervention services to infants and toddlers with special needs. In turn, each state and territory develops its own policies for carrying out IDEA and its requirements. Broadly speaking, early intervention services are special services for eligible infants and toddlers and their families. These services are designed to identify and meet children’s needs in five developmental areas. These areas are: physical development, cognitive development, communication, social or emotional development, and adaptive development. |
| Notes: Source: National Dissemination Center for Children with Disabilities [7/1/2007: new] http://www.nichcy.org/pubs/parent/pa2txt.htm |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194364679 | Adams Learning Academy, Inc. | Early Intervention Provider Agency | 5482 Christi Dr, Douglasville, GA 30135-2502 | 2019-12-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295333474 | Nicole Moss | Early Intervention Provider Agency | 4660 Crested Butte Rd, Augusta, GA 30909-9127 | 2020-10-11 |
| 1689298184 | Cori Mizell Archer | Early Intervention Provider Agency | 3690 Wisteria Ln Se, Smyrna, GA 30082-3488 | 2020-06-01 |
| 1942842646 | Sabine Ashe | Early Intervention Provider Agency | 4756 Timarron Loop, Columbus, GA 31909-8033 | 2019-10-14 |
| 1790336444 | Jimmie Jo Nichols | Early Intervention Provider Agency | 99 Double Knobs Trail, Young Harris, GA 30582 | 2019-09-24 |
| 1013563212 | Veda Sonia Rallins | Early Intervention Provider Agency | 189 Starr Dr, Jonesboro, GA 30236-3622 | 2019-08-13 |
| 1215494653 | Robin Kersey Bayerl | Early Intervention Provider Agency | 1809 Dighton Way Nw, Kennesaw, GA 30152-6925 | 2019-02-21 |
| 1356806699 | Katherine Elisabeth Kostelansky | Early Intervention Provider Agency | 3307 High View Ct, Gainesville, GA 30506-7210 | 2019-01-31 |
| 1649744525 | Independence Behavior Solutions | Early Intervention Provider Agency | 930 Rushing St, Richmond Hill, GA 31324-6435 | 2019-01-14 |
| 1356815278 | North Georgia Autism Foundation Inc | Early Intervention Provider Agency | 11 Overview Dr Ste 203, Blue Ridge, GA 30513-6687 | 2019-01-14 |
| 1356818017 | Great Start Development Center, LLC | Early Intervention Provider Agency | 975 Cobb Place Blvd Nw Ste 101, Kennesaw, GA 30144-6848 | 2018-10-30 |
| Find all providers with the same taxonomy | ||||
| City | DOUGLASVILLE |
| Zip Code | 30134 |
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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.