WILL MCKINNLEY PROTHRO (NPI# 1720643448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720643448 |
| Entity Type | Individual |
| Full Name | WILL MCKINNLEY PROTHRO |
| Practice Address |
1215 2nd Ave Columbus GA 31901-5244 |
| Practice Telephone | 7063244061 |
| Mailing Telephone | 7063244061 |
| Mailing Fax Number | 7063179895 |
| Enumeration Date | 2019-05-08 |
| Last Update Date | 2019-05-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers | ||
| Y | 103TH0004X |
Psychologist Specialization: Health |
58-2108870 | GA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 58-2108870 | 05 |
| Street Address |
1215 2ND AVE |
| City | COLUMBUS |
| State | GA |
| Zip Code | 31901-5244 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336478981 | Michael Paul Muhammad | Counselor | 1215 2nd Ave, Columbus, GA 31901 | 2009-12-10 |
| 1396306098 | Terranica Brookins | Case Manager/Care Coordinator | 1215 2nd Ave, Columbus, GA 31901-5244 | 2019-06-24 |
| 1952825085 | Michael Gotell | Counselor | 1215 2nd Ave, Columbus, GA 31901-5244 | 2017-07-31 |
| 1144752999 | Brittany Chambers | Counselor | 1215 2nd Ave, Columbus, GA 31901-5244 | 2017-03-31 |
| 1255889598 | Tamara Chatman | Social Worker | 1215 2nd Ave, Columbus, GA 31901-5244 | 2016-09-15 |
| 1932502911 | Sarah Kostelecky | Community/Behavioral Health | 1215 2nd Ave, Columbus, GA 31901-5244 | 2014-10-03 |
| 1770914715 | Shekelia Harvey | Licensed Practical Nurse | 1215 2nd Ave, Columbus, GA 31901-5244 | 2013-12-02 |
| 1306276175 | Felicia Cartwright | Community/Behavioral Health | 1215 2nd Ave, Columbus, GA 31901-5244 | 2013-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790396984 | Chisholm Trail Urgent Care Pllc | Emergency Medicine | 11 Tsys Way, Columbus, GA 31901 | 2020-08-12 |
| 1770040099 | Columbus Ga Homecare, LLC | In Home Supportive Care | 1501 13th Street., Suite G, Columbus, GA 31901 | 2019-02-22 |
| 1750868782 | Health Matters, Inc. | Clinic/Center | 1124 13th St, Columbus, GA 31901 | 2018-07-23 |
| 1447754197 | Charles Chacha Maroa Babere | Student in an Organized Health Care Education/Training Program | Columbus Regional Health, Midtown Medical Center, 1900 10th Avenue, Suit 100, Columbus, GA 31901 | 2018-03-19 |
| 1861912867 | Demetria Laprel Mcgruder | Community Health Worker | 1230 2nd Ave., Columbus, GA 31901 | 2017-06-21 |
| 1679932016 | Crystal Gayle Passmore | Counselor | 233 12th St Ste 334, Columbus, GA 31901 | 2016-02-13 |
| 1700256344 | Kendra Ward | Community Health Worker | 1230 2nd Avenue, Columbus, GA 31901 | 2015-09-25 |
| 1437556701 | Wendy Denise Thomas | Adult Companion | 1501 13th Street Suite F, Columbus, GA 31901 | 2014-12-02 |
| 1134523996 | Danielle Elaine Berry | General Practice | Tree of Life Healthcare, 1968 North Avenue, Columbus, GA 31901 | 2014-10-22 |
| 1710239330 | Kati Michelle Turner | Pharmacist | 1800 10th Avenue, Columbus, GA 31901 | 2012-10-05 |
| Find all providers in zip 31901 | ||||
| Taxonomy Code | 103TH0004X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Health |
| The distinct focus of the clinical health psychologist is on physical health problems. A clinical health psychologist has special expertise or training in clinical health psychology and applies scientific knowledge of the interrelationships among behavioral, emotional, cognitive, social and biological components in health and disease to the promotion and maintenance of health; the prevention, treatment and rehabilitation of illness and disability; and the improvement of the health care system. Clinical health psychologists are dedicated to the development of knowledge regarding the interface between behavior and health, and to the delivery of high quality services based on that knowledge to individuals, families, and health care. |
| Notes: Source: American Psychological Association Commission for the Recognition of Specialties and Proficiencies in Professional Psychology, 2008. [1/1/2007: new, 7/1/2008: definiton added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952843245 | Carolyn Jean Fisher | Psychologist | 4041 N High St Ste 102b, Columbus, OH 43214-3248 | 2016-11-17 |
| 1497203897 | Jose Luis Moreno | Psychologist | 1670 Upham Dr, Columbus, OH 43210-1250 | 2016-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871116780 | Robin Elaine Calhoun | Psychologist | 5879 Leone Dr W, Macon, GA 31206-8223 | 2020-05-26 |
| 1023572229 | Cassandra Denise James | Psychologist | 100 Shellbark Way Apt 8104, Savannah, GA 31407-3970 | 2019-01-22 |
| 1780072520 | Mary Davis- Mccray | Psychologist | 103 Larkin Ct, Hinesville, GA 31313-8309 | 2015-01-01 |
| 1659724631 | Richard Allen Green | Psychologist | 137 E College St, Americus, GA 31709-4014 | 2016-07-14 |
| 1720446206 | Kimberly Lewis | Psychologist | 997 Saint Sebastian Way, Augusta, GA 30912-2613 | 2016-01-29 |
| 1902219660 | Jennifer Leah Steiner | Psychologist | 1670 Clairmont Rd, 116- Assessment Team, Decatur, GA 30033-4004 | 2014-06-10 |
| 1679762157 | Houston Mental Health | Psychologist | 233 N Houston Rd, Suite 140 G, Warner Robins, GA 31093-3074 | 2007-10-19 |
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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.