DR. GREG SWAN SWANSON (NPI# 1730117433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730117433 |
| Entity Type | Individual |
| Full Name | DR. GREG SWAN SWANSON |
| Credential | PH.D. |
| Practice Address |
3633 Wheeler Rd Suite 110 Augusta GA 30909-6549 |
| Practice Telephone | 7068557784 |
| Practice Fax Number | 7066511090 |
| Mailing Telephone | 7068557784 |
| Mailing Fax Number | 7066511090 |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2019-02-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
PSY000604 | GA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00383523C | 05 |
| Street Address |
3633 WHEELER RD SUITE 110 |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30909-6549 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952359705 | Amedisys Georgia, L.L.C. | Home Health | 3633 Wheeler Rd, Suite 200, Augusta, GA 30909-6549 | 2006-05-04 |
| 1093259111 | Melissa A. Mudd | Counselor | 3633 Wheeler Rd, Suite 365, Augusta, GA 30909-6549 | 2016-12-08 |
| 1649725862 | Georgia Magdalene Pritchard | Counselor | 3633 Wheeler Rd, Suite 365, Augusta, GA 30909-6549 | 2016-08-17 |
| 1750734455 | Allison Rains Layman | Counselor | 3633 Wheeler Rd, Suite 365, Augusta, GA 30909-6549 | 2016-07-18 |
| 1851759112 | Linda Marie Miller | Counselor | 3633 Wheeler Rd, Suite 365, Augusta, GA 30909-6549 | 2016-02-02 |
| 1275913519 | Mary Elizabeth Battle | Counselor | 3633 Wheeler Rd, Suite 365, Augusta, GA 30909-6549 | 2015-06-02 |
| 1700298270 | Resolution Counseling Professionals | Counselor | 3633 Wheeler Rd, Suite 365, Augusta, GA 30909-6549 | 2014-06-02 |
| 1275959421 | William Kennedy | Counselor | 3633 Wheeler Rd, Suite 365, Augusta, GA 30909-6549 | 2014-03-12 |
| 1699199976 | Richard Scott Patterson | Counselor | 3633 Wheeler Rd, Suite 365, Augusta, GA 30909-6549 | 2014-02-07 |
| 1346683885 | April Sikes | Counselor | 3633 Wheeler Rd, Suite 100a, Augusta, GA 30909-6549 | 2013-04-15 |
| Find all providers in the same location | ||||
| 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 | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174974620 | Warren Umansky, Ph.d. | Psychologist | 302 Wheeler Executive Ctr, Augusta, GA 30909 | 2016-06-27 |
| 1043661960 | Cameron Mosley | Psychologist | 1120 15th St, Augusta, GA 30912 | 2016-06-22 |
| 1619318904 | Christopher Fox Drescher | Psychologist | 997 Saint Sebastian Way, Augusta, GA 30912-2613 | 2013-07-15 |
| 1366723074 | Candace Best | Psychologist | 1120 15th St, Augusta, GA 30912-5109 | 2011-09-08 |
| 1770682858 | Dina P. O'brien | Psychologist | 1120 15th St, Augusta, GA 30912-0004 | 2006-09-22 |
| 1801905013 | Paul A. Mabe IIi | Psychologist | 1120 15th St, Augusta, GA 30912-0004 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538693254 | Rachel Yosick | Psychologist | 520 Wembley Cir, Sandy Springs, GA 30328-6753 | 2017-04-19 |
| 1245655893 | Tiffany Gilmore Randell | Psychologist | 101 Devant Street, Office 401, Fayetteville, GA 30214 | 2014-02-19 |
| 1972927861 | Tyrone D. Lane Enterprises, Incorporated | Psychologist | 5304 Panola Industrial Boulevard, Suite L, Decatur, GA 30035 | 2014-02-12 |
| 1720409493 | Tonya Favors | Psychologist | 311 S Lee St, Apt C, Americus, GA 31709-3971 | 2013-12-26 |
| 1912336546 | Francine Adams | Psychologist | 324 Trace Ln, Lawrenceville, GA 30046-2896 | 2013-11-04 |
| 1447542691 | Erin Marie Jones | Psychologist | 1256 Briarcliff Rd Ne Ste 322e, Atlanta, GA 30306-2636 | 2011-05-06 |
| 1164729901 | Tiffany Whitworth | Psychologist | 4139 Hospital Dr Ne, Covington, GA 30014-2565 | 2011-02-14 |
| 1548573264 | Kimberley Blaker Saye | Psychologist | 4695 Mahonia Way Nw, Acworth, GA 30102-3575 | 2010-07-22 |
| 1316269350 | Caitlin Herzinger Delfs | Psychologist | 4994 Lower Roswell Rd Ste 10, Marietta, GA 30068-4332 | 2010-02-18 |
| 1831323849 | Shital Pramod Gaitonde | Psychologist | 1003 Bombay Ln, Roswell, GA 30076-5820 | 2009-05-05 |
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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.