GEORGIA OUTREACH, LLC (NPI# 1902128929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902128929 |
| Entity Type | Organization |
| Organization Name | GEORGIA OUTREACH, LLC |
| Practice Address |
7130 Hodgson Memorial Dr Ste 101 Savannah GA 31406-1527 |
| Practice Telephone | 9123553881 |
| Mailing Telephone | 9123553881 |
| Enumeration Date | 2010-02-17 |
| Last Update Date | 2018-05-02 |
| Authorized Official Name | ASHLEY RICHBOURG (DIRECTOR) |
| Authorized Official Telephone | 9194523324 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 131 Canal St Ste D, Pooler, GA 313226018 | 9129883181 | |
| 135 Goshen Road Ext Ste 203, Rincon, GA 313265569 | 9123553881 | 9123353490 |
| 408 E Bolton St Ste C, Savannah, GA 314015920 | 9125412397 |
| Street Address |
7130 HODGSON MEMORIAL DR STE 101 |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31406-1527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447312962 | Judith Stiles Saucerman | Social Worker | 7130 Hodgson Memorial Dr Ste 101, Savannah, GA 31406-1527 | 2006-12-14 |
| 1174089684 | Kathryn Bigalke Jones | Psychologist | 7130 Hodgson Memorial Dr Ste 101, Savannah, GA 31406-1527 | 2019-02-20 |
| 1558865493 | Tatiana Cabral Smith | Counselor | 7130 Hodgson Memorial Dr Ste 101, Savannah, GA 31406-1527 | 2018-03-23 |
| 1932608627 | Laurel Anne Jacobs | Social Worker | 7130 Hodgson Memorial Dr Ste 101, Savannah, GA 31406-1527 | 2018-02-07 |
| 1841708948 | Lindsey Mae Moretti | Social Worker | 7130 Hodgson Memorial Dr Ste 101, Savannah, GA 31406-1527 | 2018-01-11 |
| 1164959144 | Amanda M Schramke | Social Worker | 7130 Hodgson Memorial Dr Ste 101, Savannah, GA 31406-1527 | 2017-05-22 |
| 1447649199 | Teer Williams Mitchell | Social Worker | 7130 Hodgson Memorial Dr Ste 101, Savannah, GA 31406-1527 | 2015-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891324042 | Magnolia Home Health, LLC Dba Home Instead Senior Care | Homemaker | 6709 Forest Park Drive, Suite B, Savannah, GA 31406 | 2020-04-08 |
| 1831737949 | Sumona Mitchell | Specialist | 1100 Eisenhower Drive 15, Suite 7, Savannah, GA 31406 | 2019-12-19 |
| 1295373090 | Gateway Behavioral Health Services | Community/Behavioral Health | 2121 East Derenne Ave, Savannah, GA 31406 | 2019-12-12 |
| 1114578820 | Kenya Burns | Technician | 6 Castle Ct, Savannah, GA 31406 | 2019-09-24 |
| 1841755287 | Southside Emergency Dental Center LLC | Dentist | 10515 White Bluff Rd., Savannah, GA 31406 | 2019-02-08 |
| 1639651003 | Rachael Putman | Physical Therapist | 37 W Fairmont Ave Suite 323, Savannah, GA 31406 | 2018-09-03 |
| 1417439852 | Happy Kids Therapies, LLC | Physical Therapist | 37 W. Fairmont Avenue Suite 102, Savannah, GA 31406 | 2018-09-01 |
| 1487146619 | Georgia Occmed LLC | Clinic/Center | 310 Eisenhower Dr Bldg 12 Ste C, Savannah, GA 31406 | 2018-06-04 |
| 1023517505 | Antioch Vascular Center, LLC | Surgery | 9104 Middleground Road, Suite 2, Savannah, GA 31406 | 2018-02-09 |
| 1518496116 | Janay C Russell | Counselor | 6711 Forest Park Drive, Savannah, GA 31406 | 2017-06-07 |
| Find all providers in zip 31406 | ||||
| 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 |
|---|---|---|---|---|
| 1710483565 | Rachel D. Maree, M.d., M.p.h., LLC | Psychiatry & Neurology | 631 Bridgewater Dr, Savannah, GA 31419-5518 | 2018-04-02 |
| 1710422043 | Arcway | Psychiatry & Neurology | 308 Commercial Dr Ste 100, Savannah, GA 31406-3679 | 2016-12-22 |
| 1811383375 | Michele Willis | Psychiatry & Neurology | 5002 Waters Ave Fl 2, Savannah, GA 31404-6226 | 2015-04-11 |
| 1194130989 | Belinda Montoya | Psychiatry & Neurology | 455 Montgomery St Apt 303, Savannah, GA 31401-7803 | 2014-06-30 |
| 1306132378 | Anne Margaret Carpenter | Psychiatry & Neurology | 325 Montgomery Cross Road, Savannah, GA 31406 | 2011-06-28 |
| 1841487493 | Ann Cashan Kleckner | Psychiatry & Neurology | 1 Ghost Crab Ct, Savannah, GA 31411-3111 | 2007-09-27 |
| 1831227487 | Manoj K Dass | Psychiatry & Neurology | 1121 Cornell Ave, Savannah, GA 31406-2701 | 2007-03-02 |
| 1316059090 | Ronald Bradley Sites | Psychiatry & Neurology | 515 E 63rd St, Savannah, GA 31405-4300 | 2006-08-31 |
| 1124133178 | Gordon G Ifill | Psychiatry & Neurology | 836 E 65th Street, 42 Medical Arts, Savannah, GA 31405 | 2006-08-20 |
| 1588691794 | Chad Brock | Psychiatry & Neurology | 1601 Abercorn St, Savannah, GA 31401-7521 | 2006-06-26 |
| Find all providers in SAVANNAH | ||||
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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.