MRS. CARMALITA RACHELLE BOSTON (NPI# 1770840803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770840803 |
| Entity Type | Individual |
| Full Name | MRS. CARMALITA RACHELLE BOSTON |
| Practice Address |
180 Water Oak Dr Cedartown GA 30125-2095 |
| Mailing Address |
1401 Applewood Drive Ste 1 Dalton GA 30720 |
| Practice Telephone | 7707482225 |
| Mailing Telephone | 7062705033 |
| Enumeration Date | 2012-04-13 |
| Last Update Date | 2012-06-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
180 WATER OAK DR |
| City | CEDARTOWN |
| State | GA |
| Zip Code | 30125-2095 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326136508 | Stephanie Leigh Bishop-collum | Social Worker | 180 Water Oak Dr, Cedartown, GA 30125-2095 | 2006-10-11 |
| 1972087096 | Connie Gresham | Licensed Practical Nurse | 180 Water Oak Dr, Cedartown, GA 30125-2095 | 2018-09-25 |
| 1457867319 | Martha Rhonwyn Jennings | Registered Nurse | 180 Water Oak Dr, Cedartown, GA 30125-2095 | 2017-12-14 |
| 1386199313 | Heather Cochran | Registered Nurse | 180 Water Oak Dr, Cedartown, GA 30125-2095 | 2016-08-19 |
| 1366997397 | Melissa Conrad | Registered Nurse | 180 Water Oak Dr, Cedartown, GA 30125-2095 | 2016-08-19 |
| 1124484639 | Donna Robbins | Social Worker | 180 Water Oak Dr, Cedartown, GA 30125-2095 | 2016-01-13 |
| 1508222829 | Angela Davis | Social Worker | 180 Water Oak Dr, Cedartown, GA 30125-2095 | 2016-01-04 |
| 1417322124 | Amber Waters | Counselor | 180 Water Oak Dr, Cedartown, GA 30125-2095 | 2015-12-07 |
| 1184099947 | Gerald Shepard | Counselor | 180 Water Oak Dr, Cedartown, GA 30125-2095 | 2015-12-04 |
| 1003280116 | Cathy Puckett | Counselor | 180 Water Oak Dr, Cedartown, GA 30125-2095 | 2015-12-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922244607 | Ryan Ray Beck | Psychologist | 243 E. Girard Avenue, Cedartown, GA 30125 | 2008-12-30 |
| 1619156981 | Pamela Diane Hearn | Family Medicine | 2370 Rockmart Hwy Ste 100, Cedartown, GA 30125 | 2007-11-02 |
| 1962571786 | David Gandy | Dentist | 109 East Ave, Cedartown, GA 30125 | 2006-11-07 |
| 1255444519 | Cedartown Radiology Group | Radiology | 424 North Main St, Cedartown, GA 30125 | 2006-08-17 |
| 1255822771 | Hannah Bell Helton | Nurse Practitioner | 2360 Rockmart Hwy, Cedartown, GA 30125 | 2018-05-21 |
| 1417168808 | Terri Lynn Willis | Dentist | 113 Plantation Ave, Suite A, Cedartown, GA 30125 | 2007-05-25 |
| 1427193812 | Benjamin Stratman Anderson Jr. | Family Medicine | 812 S Main St, Cedartown, GA 30125-0508 | 2007-02-21 |
| 1972760197 | Jerry Octave Weaver | Community Health Worker | 215 Fair Oaks Rd, Cedartown, GA 30125-2011 | 2008-05-16 |
| 1346302387 | Mary Scott Worthington | Case Manager/Care Coordinator | 340 Lakeview Dr, Cedartown, GA 30125-2019 | 2006-12-15 |
| 1639606049 | Kayla Benton | Family Medicine | 1025 N Main St, Cedartown, GA 30125-2036 | 2017-05-16 |
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| 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 |
|---|---|---|---|---|
| 1295287266 | Linda Wells | Case Manager/Care Coordinator | 516 Youngs Farm Rd, Cedartown, GA 30125-5894 | 2016-10-26 |
| 1346302387 | Mary Scott Worthington | Case Manager/Care Coordinator | 340 Lakeview Dr, Cedartown, GA 30125-2019 | 2006-12-15 |
| 1679104871 | Tony Simmons Jr. | Case Manager/Care Coordinator | 740 Fletcher St, Cedartown, GA 30125-3249 | 2020-01-28 |
| 1245711795 | Rachel Hawkins | Case Manager/Care Coordinator | 740 Fletcher St, Cedartown, GA 30125-3249 | 2018-08-23 |
| 1538534169 | Angela Williams | Case Manager/Care Coordinator | 424 N Main St, Cedartown, GA 30125-2644 | 2015-12-08 |
| 1417214677 | Tonjue Washington | Case Manager/Care Coordinator | 180 Water Oak Dr, Cedartown, GA 30125-2095 | 2012-04-12 |
| 1942566351 | Stacey Denell Rodriguez | Case Manager/Care Coordinator | 180 Water Oak Dr, Cedartown, GA 30125-2095 | 2012-04-10 |
| 1073879524 | Delores Wright Nowell | Case Manager/Care Coordinator | 180 Water Oak Dr, Cedartown, GA 30125-2095 | 2012-04-10 |
| 1124384755 | Edward Czar | Case Manager/Care Coordinator | 180 Water Oak Dr, Cedartown, GA 30125-2095 | 2012-04-09 |
| 1710243597 | Dede Carol Casey | Case Manager/Care Coordinator | 180 Water Oak Dr, Cedartown, GA 30125-2095 | 2012-04-06 |
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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.