MARIE BULLOCK (NPI# 1720624844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720624844 |
| Entity Type | Individual |
| Full Name | MARIE BULLOCK |
| Practice Address |
128 Sims Ct Augusta GA 30909-9014 |
| Practice Telephone | 7062944701 |
| Mailing Telephone | 7062944701 |
| Enumeration Date | 2019-11-24 |
| Last Update Date | 2019-11-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 05 | 05 |
| Street Address |
128 SIMS CT |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30909-9014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912513888 | Lauran Simpson | Behavior Technician | 1237 Augusta West Parkway, Augusta, GA 30909 | 2020-09-16 |
| 1487273884 | Still Perspectives Counseling LLC | Counselor | 1265 Inerstate Prwy, Suite B, Augusta, GA 30909 | 2020-04-15 |
| 1598397838 | Mjra Medical LLC | Psychologist | 3675 J Dewey Gray Cr Ste 300, Augusta, GA 30909 | 2020-02-05 |
| 1003452319 | Danny Robinson | Counselor | 2609 Commons Boulevard, Augusta, GA 30909 | 2019-11-21 |
| 1407498637 | Candice M Cruse | Social Worker | 2609 Commons Blvd, Augusta, GA 30909 | 2019-10-09 |
| 1902363385 | Mary D Jodon | Pharmacist | 3338 Wrightsboro Rd., Augusta, GA 30909 | 2019-02-21 |
| 1447790514 | Burn Critical Care Associates, LLC | Internal Medicine | 3614 J. Dewey Gray Circle, Bldg B., Augusta, GA 30909 | 2017-03-08 |
| 1124561766 | Sasha Latara Mccraw | Counselor | 7303 Palomino Court, Augusta, GA 30909 | 2016-11-30 |
| 1174974620 | Warren Umansky, Ph.d. | Psychologist | 302 Wheeler Executive Ctr, Augusta, GA 30909 | 2016-06-27 |
| 1811358955 | Theodora Mcleskey | Nurse Practitioner | 1215 George C. Wilson Drive, Augusta, GA 30909 | 2016-03-17 |
| Find all providers in zip 30909 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063876407 | Maxlife Therapeutic Solutions Inc | Case Manager/Care Coordinator | 204b Pitcarin Way, Suite #1, Augusta, GA 30909-5766 | 2016-04-12 |
| 1952703068 | Connie Patten | Case Manager/Care Coordinator | 2821 Brookside Dr., Augusta, KS 67010 | 2014-09-19 |
| 1841607199 | Eleanor Willingham | Case Manager/Care Coordinator | 2225 Woodbluff Way, Augusta, GA 30909-2093 | 2014-07-18 |
| 1982018370 | Stacy L Willis | Case Manager/Care Coordinator | 1007 Caddenwoods Dr, Augusta, GA 30906-5618 | 2014-06-13 |
| 1568885119 | Larictor Tomlin | Case Manager/Care Coordinator | 1871 Heathers Way, Augusta, GA 30906-8110 | 2014-01-31 |
| 1275809576 | Jeanette Diane Wiggleton | Case Manager/Care Coordinator | 3216 Peninsula Dr, Augusta, GA 30909-0603 | 2012-03-30 |
| 1942588587 | Agape Living LLC | Case Manager/Care Coordinator | 1840 Phinizy Rd, Augusta, GA 30906-5144 | 2011-08-01 |
| 1285922823 | Cathy Kelsey | Case Manager/Care Coordinator | 704 Hall St, Augusta, GA 30901-3010 | 2011-07-18 |
| 1841400082 | Shlonda Brown Smith | Case Manager/Care Coordinator | 1928 Kissingbower Rd, Augusta, GA 30904-5158 | 2007-05-23 |
| 1316081870 | Dorothy Marie Edmondson | Case Manager/Care Coordinator | 2364 Franklin St, Augusta, GA 30906-3035 | 2007-02-17 |
| Find all providers in AUGUSTA | ||||
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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.