MRS. PHYLLIS SUSAN RAULERSON (NPI# 1891071296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891071296 |
| Entity Type | Individual |
| Full Name | MRS. PHYLLIS SUSAN RAULERSON |
| Practice Address |
5955 Owens Road Patterson GA 31557 |
| Practice Telephone | 9124496906 |
| Practice Fax Number | 9124494689 |
| Mailing Telephone | 9124496906 |
| Mailing Fax Number | 9124494689 |
| Enumeration Date | 2011-10-30 |
| Last Update Date | 2011-10-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 252Y00000X | Early Intervention Provider Agency | GA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 257110638A | 05 |
| Street Address |
5955 OWENS ROAD |
| City | PATTERSON |
| State | GA |
| Zip Code | 31557 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376966317 | Brandy Marie Scott | Pharmacist | 3436 Hopewell Rd, Patterson, GA 31557-2424 | 2014-01-28 |
| 1023135316 | Patterson Pharmacare, Inc. | Durable Medical Equipment & Medical Supplies | 6460 Hwy 84, Patterson, GA 31557-5016 | 2007-03-23 |
| 1679193130 | Boobil, LLC | Pharmacy | 6460 Hwy 84, Patterson, GA 31557-5016 | 2020-04-24 |
| 1053400689 | Bacon Co. Health Services, Inc. | General Acute Care Hospital | 3406 Wildwood Ave., Patterson, GA 31557-5065 | 2006-10-12 |
| 1770956765 | Marrian Daniels | Counselor | 3350 Tyre Bridge Rd, Patterson, GA 31557-5083 | 2015-11-12 |
| 1023173804 | Sara Mcarthur | Clinical Neuropsychologist | 5920 Reese St, Patterson, GA 31557-5131 | 2006-12-22 |
| 1649511544 | Stefany Raye Morgan | Counselor | 5920 Reese St, Patterson, GA 31557-5131 | 2013-03-04 |
| 1316230899 | Cord of Three Counseling Services, Inc. | Community/Behavioral Health | 5920 Reese St, Patterson, GA 31557-5131 | 2011-05-17 |
| 1720257132 | Clay Dexter Gill | Counselor | 5920 Reese St, Patterson, GA 31557-5131 | 2008-02-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083220453 | Sasha Jackson, LLC | Clinic/Center | 480 Ridge Creek Ln, Patterson, CA 95363-8776 | 2020-09-21 |
| 1932713104 | Bibin Chacko | Speech-Language Pathologist | 535 Peregrine Dr, Patterson, CA 95363-8703 | 2020-09-03 |
| 1407460017 | Sneha Kommu | Speech-Language Pathologist | 775 N Hartley St, Patterson, CA 95363-2477 | 2020-09-01 |
| 1386257368 | Luis Castillo | Behavior Technician | 1513 Minnie St, Patterson, CA 95363-9456 | 2020-08-28 |
| 1457969511 | Dawn Louise Garcia | Nurse Practitioner | 547 Nicastro Dr, Patterson, CA 95363-9780 | 2020-07-15 |
| 1174146062 | Samantha Donahue | Licensed Practical Nurse | 94 Patterson Village Ct, Patterson, NY 12563-2420 | 2020-05-26 |
| 1518587302 | Cler Vicentina Aquillas | Nurse Practitioner | 1108 Ward Ave Ste 1, Patterson, CA 95363-8529 | 2020-04-21 |
| 1962032318 | Salutem C, LLC | Hospice Care, Community Based | 254 Sperry Ave Ste 6, Patterson, CA 95363-2762 | 2020-01-23 |
| 1609419688 | Brooke Ashley Umfleet | Occupational Therapist | Rr 1 Box 11470, Patterson, MO 63956-8712 | 2019-10-23 |
| 1255988176 | Gwynderlyn Patreac Jenkins | Specialist | 220 N El Circulo Ave, Patterson, CA 95363-2521 | 2019-08-26 |
| Find all providers in PATTERSON | ||||
| Taxonomy Code | 252Y00000X |
| Grouping | Agencies |
| Classification | Early Intervention Provider Agency |
| Early intervention services are an effective way to address the needs of infants and toddlers who have developmental delays or disabilities. The services are made available through a federal law known as the Individuals with Disabilities Education Act (IDEA). IDEA provides states and territories with specific requirements for providing early intervention services to infants and toddlers with special needs. In turn, each state and territory develops its own policies for carrying out IDEA and its requirements. Broadly speaking, early intervention services are special services for eligible infants and toddlers and their families. These services are designed to identify and meet children’s needs in five developmental areas. These areas are: physical development, cognitive development, communication, social or emotional development, and adaptive development. |
| Notes: Source: National Dissemination Center for Children with Disabilities [7/1/2007: new] http://www.nichcy.org/pubs/parent/pa2txt.htm |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164957460 | Comprehensive Rehabilitation | Early Intervention Provider Agency | 306 Charlotte Dr, Patterson, LA 70392-4148 | 2017-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295333474 | Nicole Moss | Early Intervention Provider Agency | 4660 Crested Butte Rd, Augusta, GA 30909-9127 | 2020-10-11 |
| 1689298184 | Cori Mizell Archer | Early Intervention Provider Agency | 3690 Wisteria Ln Se, Smyrna, GA 30082-3488 | 2020-06-01 |
| 1194364679 | Adams Learning Academy, Inc. | Early Intervention Provider Agency | 5482 Christi Dr, Douglasville, GA 30135-2502 | 2019-12-31 |
| 1942842646 | Sabine Ashe | Early Intervention Provider Agency | 4756 Timarron Loop, Columbus, GA 31909-8033 | 2019-10-14 |
| 1790336444 | Jimmie Jo Nichols | Early Intervention Provider Agency | 99 Double Knobs Trail, Young Harris, GA 30582 | 2019-09-24 |
| 1013563212 | Veda Sonia Rallins | Early Intervention Provider Agency | 189 Starr Dr, Jonesboro, GA 30236-3622 | 2019-08-13 |
| 1215494653 | Robin Kersey Bayerl | Early Intervention Provider Agency | 1809 Dighton Way Nw, Kennesaw, GA 30152-6925 | 2019-02-21 |
| 1356806699 | Katherine Elisabeth Kostelansky | Early Intervention Provider Agency | 3307 High View Ct, Gainesville, GA 30506-7210 | 2019-01-31 |
| 1649744525 | Independence Behavior Solutions | Early Intervention Provider Agency | 930 Rushing St, Richmond Hill, GA 31324-6435 | 2019-01-14 |
| 1356815278 | North Georgia Autism Foundation Inc | Early Intervention Provider Agency | 11 Overview Dr Ste 203, Blue Ridge, GA 30513-6687 | 2019-01-14 |
| 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.