RUSSELL GRAY (NPI# 1831633452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1831633452 |
Entity Type | Individual |
Full Name | RUSSELL GRAY |
Other Name | RUSTY GRAY |
Credential | L.P.C. |
Practice Address |
139 Renaissance Pkwy Ne Atlanta GA 30308-2324 |
Practice Telephone | 4048742224 |
Practice Fax Number | 4048742353 |
Mailing Telephone | 4048742224 |
Mailing Fax Number | 4048742353 |
Enumeration Date | 2016-12-16 |
Last Update Date | 2016-12-16 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
LPC002699 | GA | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427341015 | Russell Austin Gray | Student in an Organized Health Care Education/Training Program | Dept of Defense Us Air Force 377 Mdg, 2050a Second Street Se Kirtland Afb, Albuquerque, NM 87117-5522 | 2011-05-16 |
1023678778 | Russell Lamar Gray | Optometrist | 1926 W State St, Boise, ID 83702-3957 | 2019-06-15 |
1144524885 | Russell Clinton Gray | Social Worker | 37 Eagle Way, West Chazy, NY 12992-2562 | 2011-01-10 |
1265499065 | Russell Gray | Anesthesiology | 1500 E Duarte Rd, Duarte, CA 91010 | 2006-04-27 |
Street Address |
139 RENAISSANCE PKWY NE |
City | ATLANTA |
State | GA |
Zip Code | 30308-2324 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902949712 | St. Jude's Recovery Center, Inc. | Substance Abuse Rehabilitation Facility | 139 Renaissance Pkwy Ne, Atlanta, GA 30308-2324 | 2007-02-14 |
1043759889 | Amy Fossett | Social Worker | 139 Renaissance Pkwy Ne, Atlanta, GA 30308-2324 | 2017-02-13 |
1023556917 | Stuart Worth St.george | Social Worker | 139 Renaissance Pkwy Ne, Atlanta, GA 30308-2324 | 2017-02-10 |
1942748991 | Brittany Austin | Marriage & Family Therapist | 139 Renaissance Pkwy Ne, Atlanta, GA 30308-2324 | 2017-02-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689285165 | Grace Mckinnon Cutchin | Speech-Language Pathologist | 550 Peachtree St. Ne, 9th Floor, Suite 4400, Atlanta, GA 30308 | 2020-08-10 |
1063033942 | Life University | Chiropractor | 1 Baltimore P1. Nw, Suite 100, Atlanta, GA 30308 | 2020-05-01 |
1184254591 | Jordan Cohen | Specialist | 1075 Peachtree Rd, Suite 300, Atlanta, GA 30308 | 2020-01-24 |
1104463819 | Gary Sydney Koech IIi | Registered Nurse | Emory Midtown- Davis Fischer Bld 3rd Floor, Rm 3245a, 550 Peachtree Street, N.e., Atlanta, GA 30308 | 2019-12-02 |
1639728207 | Shannon Oliver Sullivan | Counselor | 1 Baltimore Pl Nw, Suite 360, Atlanta, GA 30308 | 2019-09-06 |
1477110187 | Ariel Alibey | Preventive Medicine | 550 Peachtree St Ne Bldg 4th, Atlanta, GA 30308 | 2019-05-29 |
1972075497 | Laura Mcrae | Nurse Practitioner | Emory Center for Critical Care, 550 Peachtree Street, Davis Fischer Building, Office 3245a, Atlanta, GA 30308 | 2018-12-21 |
1265902134 | Kyle Brooks Kraft | Nurse Practitioner | 550 Peachtree Road, Davis Fischer Building, Office 3245a, Atlanta, GA 30308 | 2018-12-04 |
1396211025 | Vita Judkins | Pharmacist | 240 Renaissance Pkway Ne, Unit 116, Atlanta, GA 30308 | 2018-10-20 |
1407345911 | Caitlin Cundiff | Anesthesiology | 550 Peachtree St Ne Ste 3245b, Atlanta, GA 30308 | 2018-05-09 |
Find all providers in zip 30308 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245830140 | Tiffany Alberto | Counselor | 350 Lyndale Dr Se, Atlanta, GA 30316-2692 | 2020-10-29 |
1356940712 | Shoshana Dayanim Agichtein | Counselor | 1380 Jody Ln Ne, Atlanta, GA 30329-3522 | 2020-10-18 |
1285231951 | Mecall Pearson | Counselor | 1350 Spring St Nw Ste 225, Atlanta, GA 30309-2866 | 2020-10-06 |
1447862172 | Dr. Burwell Speaks, LLC | Counselor | 3495 Buckhead Loop Ne Ste 1112, Atlanta, GA 30326-1528 | 2020-08-24 |
1386254761 | Jocelyn Patterson Mosley | Counselor | 2030 Gramercy Cir, Atlanta, GA 30341-1779 | 2020-07-31 |
1205444718 | Vanessa Lorraine Elizabeth Johnson | Counselor | 1388 Gates Cir Se, Atlanta, GA 30316-4092 | 2020-07-21 |
1891303426 | Cheryl E Williams | Counselor | 1870 The Exchange, Suite 200 - 361, Atlanta, GA 30339 | 2020-07-20 |
1376161760 | Lisa J Strube | Counselor | 49 Lenox Pointe Ne Ste C, Atlanta, GA 30324-7426 | 2020-07-11 |
1881210201 | Destiny Winters | Counselor | 900 Dekalb Ave Ne Ste K, Atlanta, GA 30307-2501 | 2020-06-22 |
1912522582 | Dorian Ellis | Counselor | 5470 Lemoyne Dr Sw, Atlanta, GA 30331-9206 | 2020-06-10 |
Find all providers in ATLANTA |
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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.