MS. CORI MIZELL ARCHER


Address: 3690 Wisteria Ln Se, Smyrna, GA 30082-3488
Phone: 5015453837

MS. CORI MIZELL ARCHER (NPI# 1689298184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1689298184
Entity Type Individual
Full Name MS. CORI MIZELL ARCHER
Credential M. ED.
Practice Address 3690 Wisteria Ln Se
Smyrna
GA 30082-3488
Practice Telephone 5015453837
Mailing Telephone 5015453837
Enumeration Date 2020-06-01
Last Update Date 2020-06-01
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 252Y00000X Early Intervention Provider Agency Agencies

Office Location

Street Address 3690 WISTERIA LN SE
City SMYRNA
State GA
Zip Code 30082-3488

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NPI Name Taxonomy Address Enumeration
1528600335 Arden Constance Mobley Occupational Therapist 3200 Highlands Parkway Suite 150, Smyrna, GA 30082 2019-10-14
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1518331362 Shannon Wilkerson Counselor 3040 Highlands Pkwy, Ste G, Smyrna, GA 30082 2015-11-17
1235529611 Frances Offiah Idowu Nurse Practitioner 3240 South Cobb Drive, Smyrna, GA 30082 2015-01-23
1053717850 Deena Altman Spital Physician Assistant 400 Technology Ct, Suite J, Smyrna, GA 30082 2014-11-06
1487964193 Revive Athletics, Inc Counselor 460 Bourne Drive, Smyrna, GA 30082 2010-10-15
1386956746 Kalpit C Patel Family Medicine 4480 N Cooper Lake Rd Se Ste 100, Smyrna, GA 30082 2010-07-13
1285826800 David Goziem Nwabunor Emergency Medicine 415 Oak Brook Ct Se, Smyrna, GA 30082 2007-08-16
1437357373 Amit M Patel Plastic Surgery 3968 Felton Hill Rd Sw, Ste 100, Smyrna, GA 30082 2007-07-03
1225103849 Daniel C Norris Dds PC Dentist 620 Concord Rd, Smyrna, GA 30082 2006-11-21
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Taxonomy Information

Taxonomy Code 252Y00000X
Grouping Agencies
Classification Early Intervention Provider Agency

Taxonomy Definition

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

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1295333474 Nicole Moss Early Intervention Provider Agency 4660 Crested Butte Rd, Augusta, GA 30909-9127 2020-10-11
1194364679 Adams Learning Academy, Inc. Early Intervention Provider Agency 5482 Christi Dr, Douglasville, GA 30135-2502 2019-12-31
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
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Competitor

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City SMYRNA
Zip Code 30082

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Dataset Information

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.

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