IMANI SHAW (NPI# 1639543259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639543259 |
| Entity Type | Individual |
| Full Name | IMANI SHAW |
| Practice Address |
3985 Arkwright Rd Ste 106 Macon GA 31210-1775 |
| Practice Telephone | 4784772070 |
| Practice Fax Number | 4784740170 |
| Mailing Telephone | 4784772070 |
| Mailing Fax Number | 4784740170 |
| Enumeration Date | 2015-11-19 |
| Last Update Date | 2015-11-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
3985 ARKWRIGHT RD STE 106 |
| City | MACON |
| State | GA |
| Zip Code | 31210-1775 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033743455 | Dana Elizabeth Toth | Nurse Practitioner | 5300 Bowman Rd, Macon, GA 31210 | 2020-02-25 |
| 1871124735 | Jessica Bello | Nurse Practitioner | 5300 Bowman Road, Macon, GA 31210 | 2020-01-30 |
| 1225505787 | Rebekah Hollinshead | Occupational Therapist | Therapy Specialists of Georgia, 4116 Arkwright Road, Macon, GA 31210 | 2018-11-01 |
| 1346744943 | Ace Medical Transport LLC. | Ambulance | 728 Gay Dr, Macon, GA 31210 | 2018-03-20 |
| 1972965226 | Omar Faruk Ahmad | Family Medicine | 3400 Riverside Drvie, Macon, GA 31210 | 2016-03-25 |
| 1083074868 | Macon Dentist Office, PC | Dentist | 206 Tom Hill Sr Blvd, Suite 106, Macon, GA 31210 | 2016-03-07 |
| 1992176952 | Kerisia Wasztyl | Marriage & Family Therapist | 4691 Pine Valley Dr, Macon, GA 31210 | 2015-10-15 |
| 1073905444 | Eunice Malave De Leon | Social Worker | 174 Spring St, Macon, GA 31210 | 2015-02-23 |
| 1396141545 | Axis Surgery Center LLC | Clinic/Center | 230 Sheraton Blvd, Ste B, Macon, GA 31210 | 2014-11-17 |
| 1073914115 | Monique Rechelle Delay Moore | Community/Behavioral Health | 646 Millrun Court, Macon, GA 31210 | 2014-09-09 |
| Find all providers in zip 31210 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518445014 | Enhance Behavioral Health, LLC | Counselor | 3083 Vineville Ave, Macon, GA 31204-2460 | 2018-08-06 |
| 1588153621 | Efcel Aaron Velez | Counselor | 544 Mulberry St Ste 305, Macon, GA 31201-8284 | 2018-05-03 |
| 1275021396 | Tanisha Andrea Primas | Counselor | 560 Oglethorpe St, Macon, GA 31201-6842 | 2018-04-24 |
| 1265946974 | Ervin N/a Briones | Counselor | 1552 Long Acre Dr, Macon, GA 31204-4924 | 2017-11-17 |
| 1760928386 | Amelia Barton | Counselor | 139 Kimmeridge Dr, Macon, GA 31220-2681 | 2017-01-07 |
| 1528519741 | Yanci Lavender | Counselor | 43 Mlk Dr, Macon, MS 39341-2734 | 2016-10-24 |
| 1548669252 | Diane Hairston | Counselor | 43 W Martin Luther King Dr, Macon, MS 39741 | 2014-08-19 |
| 1487084323 | Tamara Epps | Counselor | 2313 Lowe St, Macon, GA 31206-3145 | 2013-11-13 |
| 1679849921 | Rasheedah Atiyah Bankhead | Counselor | 43 Dr Martin Luther King Jr Dr, Macon, MS 39341-2734 | 2012-03-30 |
| 1760786735 | Family Counseling Center | Counselor | 277 Mlk Blvd Ste 203, Macon, GA 31201-3498 | 2011-01-05 |
| Find all providers in MACON | ||||
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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.