PRISCILLA MARK-WILSON (NPI# 1699337717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699337717 |
| Entity Type | Individual |
| Full Name | PRISCILLA MARK-WILSON |
| Practice Address |
3350 Noor Way Douglasville GA 30135-8172 |
| Practice Telephone | 4049819111 |
| Enumeration Date | 2019-06-29 |
| Last Update Date | 2019-06-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 341600000X | Ambulance | Transportation Services | ||
| N | 3416L0300X |
Ambulance Specialization: Land Transport |
Transportation Services | ||
| Y | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services |
| Street Address |
3350 NOOR WAY |
| City | DOUGLASVILLE |
| State | GA |
| Zip Code | 30135-8172 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265043301 | Heart & Soul Wellness Solutions LLC | Social Worker | 4752 Pepper Tree Lane, Douglasville, GA 30135 | 2020-08-12 |
| 1477176923 | R & J Health Care | Clinic/Center | 6853b Douglas Blvd Ste B, Douglasville, GA 30135 | 2020-05-19 |
| 1003479411 | The Sister Circle of Love and Empowerment LLC | Clinic/Center | 4706 Boyer Glen Dr., Douglasville, GA 30135 | 2019-04-22 |
| 1457825358 | Marcia Ann-marie Wilson | Nurse Practitioner | 4279 Caroline Court, Douglasville, GA 30135 | 2019-01-14 |
| 1225564917 | Danielle Doebereiner-brown | Nurse Practitioner | 3872 Ga-5, Douglasville, GA 30135 | 2017-05-02 |
| 1851832430 | Jennifer Williams | Physical Therapist | 4999 Presley Mill Rd, Douglasville, GA 30135 | 2017-03-15 |
| 1316484686 | Geneva Brent | Licensed Practical Nurse | 2109 Fairburn Road, Douglasville, GA 30135 | 2017-01-25 |
| 1659816288 | Stephanie Walthour | Marriage & Family Therapist | 3400 Chapel Hill Rd Ste 317, Douglasville, GA 30135 | 2017-01-05 |
| 1770932105 | Solutions 2 Wellness and Recovery,llc | Social Worker | 2256 Greenwood Meadows Lane, Douglasville, GA 30135 | 2016-06-07 |
| 1326408378 | Sr & L Transport Services, LLC | Non-emergency Medical Transport (VAN) | 4841 Black Bear Trail, Douglasville, GA 30135 | 2016-03-03 |
| Find all providers in zip 30135 | ||||
| Taxonomy Code | 343900000X |
| Grouping | Transportation Services |
| Classification | Non-emergency Medical Transport (VAN) |
| A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487252623 | Mr. Teague & Associates LLC | Non-emergency Medical Transport (VAN) | 4426 Central Church Rd, Douglasville, GA 30135-2762 | 2020-10-10 |
| 1316551963 | Rsvp Assured Trans, LLC. | Non-emergency Medical Transport (VAN) | 1000 Shadix Industrial Way, Douglasville, GA 30134-3956 | 2020-09-01 |
| 1952942732 | Katrina Rodney | Non-emergency Medical Transport (VAN) | 579 Stratford Dr, Douglasville, GA 30134-5496 | 2019-10-03 |
| 1215401658 | I.n.a.r. Transportation, LLC | Non-emergency Medical Transport (VAN) | 8324 Office Park Dr, Douglasville, GA 30134-6936 | 2019-01-18 |
| 1366950529 | Millionayers Ltd | Non-emergency Medical Transport (VAN) | 4630 Lightning Bolt Trl, Douglasville, GA 30135-8939 | 2018-01-22 |
| 1629501986 | Kight & Camp's Transportation, LLC | Non-emergency Medical Transport (VAN) | 8328 Office Park Dr, Suite B, Douglasville, GA 30134-6937 | 2017-04-04 |
| 1326408378 | Sr & L Transport Services, LLC | Non-emergency Medical Transport (VAN) | 4841 Black Bear Trail, Douglasville, GA 30135 | 2016-03-03 |
| 1316334451 | Derrick and Kelmeka Lockett | Non-emergency Medical Transport (VAN) | 5071 Irvine Dr, Douglasville, GA 30135-2042 | 2015-04-15 |
| 1871916866 | Medline Ems, LLC | Non-emergency Medical Transport (VAN) | 2824 Warhorse Pl, Douglasville, GA 30135-8600 | 2014-01-27 |
| 1568711281 | Houseof Joy Transitional Programs | Non-emergency Medical Transport (VAN) | 3665 Winding Trail Dr, Douglasville, GA 30135-7219 | 2012-09-10 |
| Find all providers in DOUGLASVILLE | ||||
| City | DOUGLASVILLE |
| Zip Code | 30135 |
Please comment or provide details below to improve the information on PRISCILLA MARK-WILSON.
| 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.