HEATHER JO CARROLL (NPI# 1912497165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912497165 |
| Entity Type | Individual |
| Full Name | HEATHER JO CARROLL |
| Practice Address |
5021 Mercer University Dr Ste D2 Macon GA 31210-6228 |
| Mailing Address |
Po Box 1552 Byron GA 31008-1552 |
| Practice Telephone | 4788453520 |
| Practice Fax Number | 4789560401 |
| Enumeration Date | 2018-05-14 |
| Last Update Date | 2018-05-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | OT004509 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 100 Hamilton Pointe Drive, Ste 115, Byron, GA 310081552 | 4788453520 | 4789560401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902246689 | Heather Elizabeth Carroll | Internal Medicine | 4100 Park Forest Dr Ste 208, Traverse City, MI 49684-7306 | 2013-06-26 |
| 1912033101 | Heather Carroll | Massage Therapist | 1241 E River Rd, Avon, NY 14414-9539 | 2007-02-24 |
| 1396301826 | Heather Elizabeth Carroll | Counselor | 1400 N Johnson Ave Ste 101, El Cajon, CA 92020-1651 | 2019-05-09 |
| 1891239414 | Heather Carroll | Social Worker | 287 Middlesex Ave, Medford, MA 02155-5056 | 2016-12-16 |
| 1023550704 | Heather Nicole Carroll | Nurse Practitioner | 75 Pringle Way, Suite 512, Reno, NV 89502-1464 | 2016-11-10 |
| 1366802209 | Heather Carroll | Psychologist | 2075 W Big Beaver Rd, Suite 520, Troy, MI 48084-3407 | 2016-03-04 |
| 1689071367 | Heather Colleen Carroll | Specialist/Technologist | 2937 S Brentwood Blvd, Brentwood, MO 63144-2713 | 2014-11-25 |
| 1346649688 | Heather Carroll | Assisted Living Facility | 430 E Cleveland Rd, Granger, IN 46530-5624 | 2014-08-21 |
| 1750661260 | Heather Carroll | Nurse Practitioner | 140 Main St, Prospect Hill, NC 27314-9436 | 2011-08-29 |
| 1376853184 | Heather Anne Carroll | Occupational Therapist | 1008 Hwy 25 B, Heber Springs, AR 72543 | 2010-10-14 |
| Street Address |
5021 MERCER UNIVERSITY DR STE D2 |
| City | MACON |
| State | GA |
| Zip Code | 31210-6228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033743455 | Dana Elizabeth Toth | Nurse Practitioner | 5300 Bowman Rd, Macon, GA 31210 | 2020-02-25 |
| 1871124735 | Jessica Bello | Nurse Practitioner | 5300 Bowman Road, Macon, GA 31210 | 2020-01-30 |
| 1225505787 | Rebekah Hollinshead | Occupational Therapist | Therapy Specialists of Georgia, 4116 Arkwright Road, Macon, GA 31210 | 2018-11-01 |
| 1346744943 | Ace Medical Transport LLC. | Ambulance | 728 Gay Dr, Macon, GA 31210 | 2018-03-20 |
| 1972965226 | Omar Faruk Ahmad | Family Medicine | 3400 Riverside Drvie, Macon, GA 31210 | 2016-03-25 |
| 1083074868 | Macon Dentist Office, PC | Dentist | 206 Tom Hill Sr Blvd, Suite 106, Macon, GA 31210 | 2016-03-07 |
| 1992176952 | Kerisia Wasztyl | Marriage & Family Therapist | 4691 Pine Valley Dr, Macon, GA 31210 | 2015-10-15 |
| 1073905444 | Eunice Malave De Leon | Social Worker | 174 Spring St, Macon, GA 31210 | 2015-02-23 |
| 1396141545 | Axis Surgery Center LLC | Clinic/Center | 230 Sheraton Blvd, Ste B, Macon, GA 31210 | 2014-11-17 |
| 1073914115 | Monique Rechelle Delay Moore | Community/Behavioral Health | 646 Millrun Court, Macon, GA 31210 | 2014-09-09 |
| Find all providers in zip 31210 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225505787 | Rebekah Hollinshead | Occupational Therapist | Therapy Specialists of Georgia, 4116 Arkwright Road, Macon, GA 31210 | 2018-11-01 |
| 1073759619 | Eulanda Lara Waller | Occupational Therapist | 315 Christina Ct, Macon, GA 31217-4528 | 2009-01-04 |
| 1609042795 | Celecia Phillips | Occupational Therapist | 3482 Lancing Ct, Macon, GA 31217-6212 | 2008-05-07 |
| 1578775201 | Hayes Therapy Corp | Occupational Therapist | 221 Hunters Hill Ct., Macon, GA 31210 | 2007-05-04 |
| 1083733794 | Joseph Owoho | Occupational Therapist | 100 Mesquite Ct, Macon, GA 31220-8334 | 2007-03-27 |
| 1568517423 | Lori Wheeler Mealor | Occupational Therapist | 1133 Oakcliff Rd, Macon, GA 31211-1329 | 2007-01-23 |
| 1770647562 | Cynthia Bernadette Reese | Occupational Therapist | 221 Hunters Hill Ct, Macon, GA 31210-8647 | 2006-12-19 |
| 1477624161 | Charles Edgar Averill Jr. | Occupational Therapist | 704a South Missouri, Macon, MO 63552 | 2006-11-13 |
| 1891737334 | Megan S Sapp | Occupational Therapist | 3708 Northside Drive, Macon, GA 31210 | 2006-06-11 |
| 1942813977 | Brittany Fields | Occupational Therapist | 78 Hospital Rd, Macon, MS 39341-2490 | 2020-08-28 |
| Find all providers in MACON | ||||
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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.