KYLE ABERNATHY (NPI# 1740887389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740887389 |
| Entity Type | Individual |
| Full Name | KYLE ABERNATHY |
| Credential | CADC-T |
| Practice Address |
229 S Davis Rd Ste 900 Lagrange GA 30241-2609 |
| Practice Telephone | 7067561491 |
| Mailing Telephone | 7067561491 |
| Mailing Fax Number | 7067561493 |
| Enumeration Date | 2020-10-07 |
| Last Update Date | 2020-10-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
T0264 | GA | Behavioral Health & Social Service Providers |
| Street Address |
229 S DAVIS RD STE 900 |
| City | LAGRANGE |
| State | GA |
| Zip Code | 30241-2609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861905622 | Linda Mersch | Counselor | 229 S Davis Rd Ste 900, Lagrange, GA 30241-2609 | 2017-11-14 |
| 1679031710 | Tracy Lynn Vercillo | Registered Nurse | 229 S Davis Rd Ste 900, Lagrange, GA 30241-2609 | 2019-03-07 |
| 1881151769 | Katherine Amanda Parks | Counselor | 229 S Davis Rd Ste 900, Lagrange, GA 30241-2609 | 2019-02-27 |
| 1437646064 | Konrad Deiss | Counselor | 229 S Davis Rd Ste 900, Lagrange, GA 30241-2609 | 2018-04-19 |
| 1194212274 | Jill Garcia | Licensed Practical Nurse | 229 S Davis Rd Ste 900, Lagrange, GA 30241-2609 | 2018-04-16 |
| 1720575814 | Sheila Mayfield | Registered Nurse | 229 S Davis Rd Ste 900, Lagrange, GA 30241-2609 | 2018-04-16 |
| 1376030437 | Jessica Castellanos | Licensed Practical Nurse | 229 S Davis Rd Ste 900, Lagrange, GA 30241-2609 | 2018-04-15 |
| 1386131449 | Tameka Stinson | Licensed Practical Nurse | 229 S Davis Rd Ste 900, Lagrange, GA 30241-2609 | 2018-04-15 |
| 1629565817 | Lewis Powell | Pharmacist | 229 S Davis Rd Ste 900, Lagrange, GA 30241-2609 | 2018-04-13 |
| 1760979942 | Saysha Buchanan | Counselor | 229 S Davis Rd Ste 900, Lagrange, GA 30241-2609 | 2018-04-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073994182 | Pathways Center for Behavioral and Developmental Growth | Community/Behavioral Health | 102 Corporate Park Drive East, Lagrange, GA 30241 | 2015-06-15 |
| 1235303686 | Atlas Neck & Back Center | Chiropractor | 309 N. Morgan St., Suite A, Lagrange, GA 30241 | 2008-04-16 |
| 1578756565 | Richard Freeman Simmons | Dentist | 2219 B West Point Rd, Dr Richard F Simmons, Lagrange, GA 30241 | 2007-08-22 |
| 1013071851 | Troup County School District | Local Education Agency (LEA) | 100 North Davis Road, Lagrange, GA 30241 | 2006-12-19 |
| 1851748172 | Medventures Physical Therapy, LLC | Physical Therapist | 1075 Lafayette Parkway, Ste 220, Lagrange, GA 30241 | 2016-05-17 |
| 1154784205 | Med Ventures Mri, LLC | Radiology | 1075 Lafayette Parkway, Ste 120, Lagrange, GA 30241 | 2016-04-05 |
| 1437514965 | Holly Renee Abbott | Counselor | 104 Harwell Ave, Lagrange, GA 30241 | 2015-12-29 |
| 1386780104 | Andre D Feria Md | Internal Medicine | 142 Old Mill Road, Lagrange, GA 30241 | 2007-01-29 |
| 1356354500 | Mohd Khairul Anam | Internal Medicine | 142 Old Mill Road, Lagrange, GA 30241 | 2006-08-15 |
| 1417914052 | Troup County Health Department | Public Health or Welfare | 1220 Hogansville Rd, Department of Family and Childrens Services Health Cent, Lagrange, GA 30241 | 2006-04-27 |
| Find all providers in zip 30241 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861905622 | Linda Mersch | Counselor | 229 S Davis Rd Ste 900, Lagrange, GA 30241-2609 | 2017-11-14 |
| 1437527082 | Tanger Lee Jones | Counselor | 197 Brook Meadow Lane, Lagrange, NC 28551 | 2015-09-11 |
| 1194950857 | Shannon K. Dunlap | Counselor | 610 Ridley Ave, Lagrange, GA 30240-2236 | 2009-05-26 |
| 1306903521 | Kathleen Anne Dowling | Counselor | 313 W Madison St, Lagrange, KY 40031-1431 | 2007-01-03 |
| 1881151769 | Katherine Amanda Parks | Counselor | 229 S Davis Rd Ste 900, Lagrange, GA 30241-2609 | 2019-02-27 |
| 1073081220 | The Veal Group, LLC | Counselor | 401 Ridley Ave Ste C, Lagrange, GA 30240-2267 | 2018-11-06 |
| 1437646064 | Konrad Deiss | Counselor | 229 S Davis Rd Ste 900, Lagrange, GA 30241-2609 | 2018-04-19 |
| 1760979942 | Saysha Buchanan | Counselor | 229 S Davis Rd Ste 900, Lagrange, GA 30241-2609 | 2018-04-13 |
| 1417460270 | Sherri Afolabi | Counselor | 229 S Davis Rd Ste 900, Lagrange, GA 30241-2609 | 2017-11-14 |
| 1316450182 | Camille Clemons | Counselor | 229 S Davis Rd Ste 900, Lagrange, GA 30241-2609 | 2017-11-14 |
| Find all providers in LAGRANGE | ||||
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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.