SARA GIBSON (NPI# 1679007835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679007835 |
| Entity Type | Individual |
| Full Name | SARA GIBSON |
| Practice Address |
3260 Wakefield Dr Decatur GA 30034-4554 |
| Practice Telephone | 4702075704 |
| Mailing Telephone | 4702075704 |
| Enumeration Date | 2017-04-14 |
| Last Update Date | 2017-04-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | GA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104814524 | Sara Faith Gibson | Psychiatry & Neurology | 1300 S Yale St, Flagstaff, AZ 86001-6328 | 2005-10-10 |
| 1174120646 | Sara Grace Gibson | Peer Specialist | 19320 E Admiral Pl Ste B, Catoosa, OK 74015-3240 | 2020-10-07 |
| 1528600970 | Sara Rose Gibson | Optometrist | 800 N Green River Rd, Evansville, IN 47715-2471 | 2019-10-16 |
| 1053962456 | Sara R Gibson | Behavior Technician | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326 | 2019-09-26 |
| 1033779418 | Sara Gibson | Case Manager/Care Coordinator | 113 W Convent St, Lafayette, LA 70501-6903 | 2019-06-18 |
| 1932694734 | Sara Gibson | Behavior Technician | 4530 E Muirwood Dr Ste 103, Phoenix, AZ 85048-7693 | 2018-06-25 |
| 1265821029 | Sara Phelps Gibson | Physical Therapist | 671 Alexian Way, Signal Mountain, TN 37377-1958 | 2015-01-16 |
| 1023438470 | Sara Gibson | Pediatrics | 605 Old Austin Hwy, Bastrop, TX 78602-5034 | 2014-04-24 |
| 1720408156 | Sara Jessica Gibson | Speech-Language Pathologist | 3304 S M St, Fort Smith, AR 72903-2903 | 2014-04-24 |
| 1922431113 | Sara Gibson | Social Worker | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2013-08-12 |
| Street Address |
3260 WAKEFIELD DR |
| City | DECATUR |
| State | GA |
| Zip Code | 30034-4554 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689289803 | Kalesha Uneek Presswood | Behavior Technician | 5361 Roswell Rd, Atlanta, GA 30034 | 2020-09-14 |
| 1447876768 | Rosemary Maines | Recreation Therapist | The Maines Group LLC Dba Maines Health and Wellness, 3461 Jessica Run, Decatur, GA 30034 | 2020-06-23 |
| 1437775764 | The Maines Group, LLC | Adult Companion | The Maines Group, LLC Dba Maines Health and Wellness, 3461 Jessica Run, Decatur, GA 30034 | 2020-06-23 |
| 1801351994 | Anthony E. Parrish, D.d.s., PC | Dentist | 3653 Flakes Mill Road, Suite E, Deactur, GA 30034 | 2019-02-04 |
| 1164916813 | Lenina O Chi-ukpai | Nurse Practitioner | 2942 Secretariat Ct, Decatur, GA 30034 | 2018-06-17 |
| 1154662765 | Zackery Kanel Thomas | Driver | 2782 Green Marsh Court, Decatur, GA 30034 | 2013-03-06 |
| 1033472642 | Lakeba Hibbler Williams | Counselor | 4147 Flat Shoals Pkwy, Decatur, GA 30034 | 2012-06-19 |
| 1164789632 | Foot Solutions of Georgia | Durable Medical Equipment & Medical Supplies | 3011 S Rainbow Dr, Suite 160, Decatur, GA 30034 | 2012-04-20 |
| 1699096172 | Wanda P Garrett | Social Worker | 3013 Rainbow Drive, Suite 112-e, South Dekalb Office Park, Decatur, GA 30034 | 2010-06-18 |
| 1245558022 | Teresa Behrend Fletcher | Counselor | 3915 Brookside Pkwy, Decatur, GA 30034 | 2010-05-04 |
| Find all providers in zip 30034 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225658511 | Louis P Towles IIi | Specialist | 755 Commerce Dr Ste 600, Decatur, GA 30030-2619 | 2020-04-16 |
| 1033660345 | Sabra Services LLC | Specialist | 726 County Road 3250, Decatur, TX 76234-4857 | 2016-10-21 |
| 1154874758 | Erica Nicole West | Specialist | 3446 Newberry Trl, Decatur, GA 30034-3248 | 2016-07-31 |
| 1639552649 | Supreme Healthcare Ob/gyn LLC | Specialist | 5536 Flat Shoals Pkwy, Suite A, Decatur, GA 30034-5408 | 2015-07-08 |
| 1427474766 | Russell Clinding | Specialist | 5036 Snapfinger Woods Dr Ste 217, Decatur, GA 30035-4047 | 2014-03-11 |
| 1598013831 | Total Health Pain Center | Specialist | 4150 Snapfinger Way, Suite 102, Decatur, GA 30035-2711 | 2012-08-16 |
| 1841420510 | Deborah Tawil | Specialist | 118 Barry St, Decatur, GA 30030-3465 | 2009-07-16 |
| 1396973665 | Wanda Denise Nelson | Specialist | 3275 Creekway Ln, Decatur, GA 30034-4909 | 2009-06-25 |
| 1053588731 | David Douglas Shepard | Specialist | 2675 N Decatur Rd Ste 200, Decatur, GA 30033-6132 | 2008-05-13 |
| 1588846687 | Fengs Medical & Neurological Clinic PC | Specialist | 2785 Lawrenceville Hwy Ste 106, Decatur, GA 30033-2515 | 2007-11-29 |
| Find all providers in DECATUR | ||||
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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.