ALLWELL BEHAVIORAL (NPI# 1790957348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790957348 |
| Entity Type | Organization |
| Organization Name | ALLWELL BEHAVIORAL |
| Practice Address |
501 Osigian Blvd Ste A Warner Robins GA 31088-8928 |
| Mailing Address |
Po Box 2144 Warner Robins GA 31099-2144 |
| Practice Telephone | 4783336711 |
| Practice Fax Number | 4783336730 |
| Mailing Telephone | 4783336711 |
| Mailing Fax Number | 4783336730 |
| Enumeration Date | 2008-03-24 |
| Last Update Date | 2010-05-20 |
| Authorized Official Name | DR. BABATUNDE FRANCIS FAGBAMIYE (PRESIDENT) |
| Authorized Official Telephone | 4783336711 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
056058 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | MAGELLAN | 600020201 | 01 |
| GA | UNITEDBEHAVIORAL | 312991812 | 01 |
| GA | CIGNA | 2328379 | 01 |
| GA | 742988049B | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ALLWELL BEHAVIORAL HEALTH SERVICES | 2845 Bell St, Zanesville, OH 43701-1720 |
| Street Address |
501 OSIGIAN BLVD STE A |
| City | WARNER ROBINS |
| State | GA |
| Zip Code | 31088-8928 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356833388 | Kathryn Mcgehee | Marriage & Family Therapist | 501 Osigian Blvd, Warner Robins, GA 31088-9191 | 2018-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982218921 | Sarah Newman | Pharmacist | 1081 Ga-96, Warner Robins, GA 31088 | 2020-09-08 |
| 1619599115 | Alana Jane Sibley | Registered Nurse | 940 Ga - 96, Warner Robins, GA 31088 | 2020-05-07 |
| 1033779657 | Jodi Lynne Pettygrove | Nurse Practitioner | 115 Havelock Cir, Warner Robins, GA 31088 | 2019-06-17 |
| 1164994901 | Gwendolyn Jordan Taylor | Registered Nurse | 940-c Ga Hwy 96, Same, Warner Robins, GA 31088 | 2018-12-18 |
| 1447721543 | Amy Tanner | Behavioral Analyst | 200 Cresview Church Rd #1806, Warner Robins, GA 31088 | 2018-12-16 |
| 1518435676 | Phoenix Health Center | Case Management | 940 Ga-96, Warner Robins, GA 31088 | 2018-11-07 |
| 1427534320 | Jared Dean Johnson | Social Worker | 146 Lakepointe Drive, Warner Robins, GA 31088 | 2018-07-13 |
| 1285124180 | Cmp Academy & Billing Service | Contractor | 105 S Commercial Circle, Warner Robins, GA 31088 | 2018-05-16 |
| 1730692377 | Benzer Pharmacy | Pharmacy | 150 S Houston Lake Rd Ste 300, Warner Robins, GA 31088 | 2017-11-06 |
| 1821507476 | Timothy Doyle Thomas | Registered Nurse | 940-c Hwy 96, Warner Robins, GA 31088 | 2017-09-27 |
| Find all providers in zip 31088 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093977126 | William M. W. Scott | Psychiatry & Neurology | 306 N Davis Dr Ste B, Warner Robins, GA 31093 | 2008-06-30 |
| 1396894721 | Sivaji Chaparala | Psychiatry & Neurology | 940 A Highway 96 Phoenix Center Bhs, Warner Robins, GA 31099 | 2007-01-08 |
| 1306922315 | Edward C Lauterbach | Psychiatry & Neurology | 940 Hwy 96, Warner Robins, GA 31088 | 2006-10-31 |
| 1720024292 | Dan Ioanitescu | Psychiatry & Neurology | 233 N Houston Rd Ste 103, Warner Robins, GA 31093 | 2006-06-21 |
| 1104861640 | Sallyanne Pyle | Psychiatry & Neurology | 404 Corder Rd, Suite 100, Warner Robins, GA 31088-3702 | 2006-06-18 |
| 1194799148 | Olusanmi J Babatola | Psychiatry & Neurology | 940 A Ga Highway 96, Warner Robins, GA 31088-2584 | 2006-02-15 |
| 1982238713 | Psychnp, LLC | Psychiatry & Neurology | 104 Borders Way Ste 500, Warner Robins, GA 31088-8967 | 2020-03-02 |
| 1982268660 | Epys Behavioral Health Services | Psychiatry & Neurology | 108 Olympia Dr, Warner Robins, GA 31093-3682 | 2019-04-27 |
| 1992238935 | Houston Physician Specialists, LLC | Psychiatry & Neurology | 233 N Houston Rd, Ste 101, Warner Robins, GA 31093-3074 | 2017-04-06 |
| 1972985273 | Sheldon Brown | Psychiatry & Neurology | 233 N Houston Rd Ste 103, Warner Robins, GA 31093-8944 | 2015-06-23 |
| Find all providers in WARNER ROBINS | ||||
| City | WARNER ROBINS |
| Zip Code | 31088 |
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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.