SHARON COSBY (NPI# 1811451768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811451768 |
Entity Type | Individual |
Full Name | SHARON COSBY |
Credential | CPRP |
Practice Address |
910 N Hairston Rd Stone Mountain GA 30083-2802 |
Mailing Address |
3310 Rowan Rd Sw Conyers GA 30094-3451 |
Practice Telephone | 4049454502 |
Mailing Telephone | 6786759855 |
Enumeration Date | 2019-01-24 |
Last Update Date | 2019-01-24 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
Y | 225400000X | Rehabilitation Practitioner | 4894340 | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PSYCHIATRIC REHABILITATION ASSOCIATION | 4894340 | 01 |
Street Address |
910 N HAIRSTON RD |
City | STONE MOUNTAIN |
State | GA |
Zip Code | 30083-2802 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447430210 | Cathy Culbreth Espy | Physician Assistant | 910 N Hairston Rd, Integrated Life Center, Stone Mountain, GA 30083-2802 | 2007-11-09 |
1649894965 | Fana Walcott | Social Worker | 910 N Hairston Rd, Stone Mountain, GA 30083-2802 | 2020-06-02 |
1902463367 | A Positive You Today Corporation | Meals | 910 N Hairston Rd, Stone Mountain, GA 30083-2802 | 2019-05-21 |
1477940211 | Positive Beginnings Consultants LLC | Community/Behavioral Health | 910 N Hairston Rd, Stone Mountain, GA 30083-2802 | 2015-04-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558830919 | Patriot Healthcare of Georgia, LLC | Family Medicine | 833 Hairston Road, Stone Mountain, GA 30083 | 2018-11-15 |
1710403431 | Trans Med Ems,llc | Ambulance | 4683 Redan Rd, Stone Mountain, GA 30083 | 2017-08-15 |
1447770482 | Dispatched Angels Home Care | In Home Supportive Care | 619 El Prado Court, Stone Mountain, GA 30083 | 2017-06-21 |
1396191086 | Suzanne Carter | Chore Provider | 1036 Allgood Rd, Stone Mountain, GA 30083 | 2016-05-11 |
1437520087 | Meaza Dada | Pharmacist | 1043 Thornwoode Lane, Stone Mountain, GA 30083 | 2015-10-08 |
1427436500 | Raeanne Elizabeth Gialanella | Occupational Therapist | 5839 Memorial Drive, Stone Mountain, GA 30083 | 2015-05-11 |
1265829824 | Latore Williams | Licensed Practical Nurse | 5300 Ridge Forest Drive, Stone Mountain, GA 30083 | 2015-04-22 |
1144625922 | Granville Theodore Freeman IIi | Counselor | 5000 Brittany Drive, Stone Mountain, GA 30083 | 2014-10-23 |
1588974208 | Terri R Collins | Counselor | 1020 Strap Hinge Trail, Stone Mountain, GA 30083 | 2010-10-15 |
1104064815 | Vistas Medical Center,pc | Clinic/Center | 5329 Memorial Dr Ste A, Stone Mountain, GEORGIA 30083 | 2009-02-03 |
Find all providers in zip 30083 |
Taxonomy Code | 225400000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Rehabilitation Practitioner |
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881170363 | Synergy Rehab Atlanta, LLC | Rehabilitation Practitioner | 3903 S Cobb Dr Se Ste 250, Smyrna, GA 30080-8504 | 2018-07-17 |
1316390107 | Total Wellness & Rehab Center LLC | Rehabilitation Practitioner | 153 Lee Byrd Rd, Loganville, GA 30052-2310 | 2016-07-18 |
1407226699 | Keisha Diallo | Rehabilitation Practitioner | 233 Ardsley Pl, Norcross, GA 30093-5207 | 2015-09-30 |
1235434283 | Advance Rehabilitation & Consulting Limited Partnership | Rehabilitation Practitioner | 100 Lindsey Ln Ste A, Saint Marys, GA 31558-1727 | 2011-01-24 |
1548587694 | Bryan Davis Beasley | Rehabilitation Practitioner | 2659 Abutment Rd, Dalton, GA 30721-4887 | 2010-04-29 |
1992029987 | Henry Ogbuagu | Rehabilitation Practitioner | 743 Spring St Ne Ste 710, Gainesville, GA 30501-3715 | 2010-03-18 |
1760657159 | Pos Inc | Rehabilitation Practitioner | 1237 Salem Gate Way Se, Conyers, GA 30013-1637 | 2008-04-25 |
1598983728 | Yong Jian Liu | Rehabilitation Practitioner | 6244 Crooked Creek Rd, Ste B, Peachtree Corners, GA 30092-6137 | 2007-04-23 |
1679799696 | Mary Florene Radke | Rehabilitation Practitioner | 500 Sawtell Pl, Brunswick, GA 31520-1224 | 2007-04-18 |
1144358904 | Douglas James Mackay | Rehabilitation Practitioner | 611 W Smith St, Claxton, GA 30417-1851 | 2007-03-01 |
Find all providers with the same taxonomy |
City | STONE MOUNTAIN |
Zip Code | 30083 |
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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.