FONTONYA MYRICK (NPI# 1760874853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760874853 |
| Entity Type | Individual |
| Full Name | FONTONYA MYRICK |
| Credential | CERT HAIR LOSS SPEC |
| Practice Address |
330 Arrowhead Blvd Apt. 18a Jonesboro GA 30236-1105 |
| Practice Telephone | 4702168183 |
| Mailing Telephone | 4702168183 |
| Enumeration Date | 2015-02-26 |
| Last Update Date | 2015-02-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1744P3200X |
Specialist Specialization: Prosthetics Case Management |
Other Service Providers |
| Street Address |
330 ARROWHEAD BLVD APT. 18A |
| City | JONESBORO |
| State | GA |
| Zip Code | 30236-1105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902298003 | Heal and Grow, LLC | Specialist | 330 Arrowhead Blvd, 18a, Jonesboro, GA 30236-1105 | 2015-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972123362 | Life Source Counseling & Consulting, LLC | Clinic/Center | 118 North Avenue, Suite A, Jonesboro, GA 30236 | 2020-04-25 |
| 1639609555 | New Beginnings Behavioral Counseling,llc | Social Worker | 9456 S Main St Ste E2, Jonesboro, GA 30236 | 2017-06-13 |
| 1437696762 | Clarissa Alexandra Poole | Counselor | 2106 Fair Ridge Ct, Jonesboro, GA 30236 | 2017-01-25 |
| 1588012892 | Sundance Healthcare Service Inc | In Home Supportive Care | 7861 Collinswood Court, Jonesboro, GA 30236 | 2016-05-26 |
| 1942669205 | Adrianne Smiley Gurley | Occupational Therapist | 1299 Battlecreek Rd Ste 210, Jonesboro, GA 30236 | 2016-02-15 |
| 1336505809 | Integrated Health Center | Dentist | 8600 Tara Blvd, Suite D, Jonesboro, GA 30236 | 2016-01-13 |
| 1467827402 | Surrell Porter | Nurse Practitioner | 1287 Georgia Highway 138 Spur, Suite 8, Jonesboro, GA 30236 | 2015-12-02 |
| 1740688910 | Jacqueline Carolyn Edwards | Registered Nurse | 8081 Tara Blvd, 265, Jonesboro, GA 30236 | 2014-12-19 |
| 1770991861 | Lower Extremity Diagnostics, LLC | Podiatrist | 6911 Tara Boulevard, Jonesboro, GA 30236 | 2014-08-01 |
| 1760899710 | Fresenius Medical Care Jonesboro, LLC | Clinic/Center | 8060 Summitt Business Parkway, Jonesboro, GA 30236 | 2014-07-22 |
| Find all providers in zip 30236 | ||||
| Taxonomy Code | 1744P3200X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| Specialization | Prosthetics Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184862047 | Natasha Lasha Simmons | Specialist | 618 Fieldstone Pkwy, Jonesboro, GA 30236-7506 | 2009-01-30 |
| 1487018875 | Archia Hall | Specialist | 194 Jonesboro Rd, Suite B2, Jonesboro, GA 30236-4812 | 2016-04-11 |
| 1902298003 | Heal and Grow, LLC | Specialist | 330 Arrowhead Blvd, 18a, Jonesboro, GA 30236-1105 | 2015-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225638448 | Shariyfa Ferron | Specialist | 1864 Scenic Hwy N Ste 112, Snellville, GA 30078-2549 | 2020-10-27 |
| 1851908016 | Takenya Lacole Jordan | Specialist | 2231 Dawson Rd Ste Ij, Albany, GA 31707-3227 | 2020-09-30 |
| 1437765724 | Shanea Buie | Specialist | 5977 Whitesville Rd Ste 20, Columbus, GA 31904-3618 | 2020-09-22 |
| 1114537313 | Kimberly Melissa Sampson | Specialist | 2386 Clower St Ste 102, Snellville, GA 30078-6134 | 2020-08-04 |
| 1295351302 | Marquisha General | Specialist | 1639 Lower Roswell Rd, Marietta, GA 30068-3343 | 2020-06-24 |
| 1053937805 | Angela D Zanders | Specialist | 1600 E Forsyth St, Americus, GA 31709-3856 | 2020-06-17 |
| 1770107526 | Natasha Monic Douglas | Specialist | 1630 Scenic Hwy N, Snellville, GA 30078-5647 | 2020-06-07 |
| 1518595479 | Jacque Monae LLC | Specialist | 4955 Sugarloaf Pkwy Ste 104, Lawrenceville, GA 30044-8838 | 2020-03-27 |
| 1518592716 | Naquiesha Peterson | Specialist | 3510 Ponderosa Ln, Powder Springs, GA 30127-2074 | 2020-03-08 |
| 1295368900 | Doris Huff Hardeman | Specialist | 75 Rolling Ridge Dr, Covington, GA 30016-1823 | 2020-02-20 |
| Find all providers with the same taxonomy | ||||
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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.