DEKOYA WALLACE-ADAMS (NPI# 1912549916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912549916 |
| Entity Type | Individual |
| Full Name | DEKOYA WALLACE-ADAMS |
| Practice Address |
1804 E Park Ave Valdosta GA 31602-4414 |
| Mailing Address |
1505 Madison Heights Dr Valdosta GA 31601-6574 |
| Practice Telephone | 2295394874 |
| Mailing Telephone | 2295394874 |
| Enumeration Date | 2019-10-10 |
| Last Update Date | 2019-10-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Street Address |
1804 E PARK AVE |
| City | VALDOSTA |
| State | GA |
| Zip Code | 31602-4414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477198117 | Amber Michele Baugh | Behavior Technician | 2236 Bemiss Road, Valdosta, GA 31602 | 2019-11-15 |
| 1528611365 | Nishaben T. Patel | Nurse Practitioner | 3120 North Oak Street Extension, Suite B, Valdosta, GA 31602 | 2019-07-22 |
| 1427615871 | Blair Elizabeth Tomlinson | Nurse Practitioner | 2124 Lakeshore Drive, Valdosta, GA 31602 | 2019-05-21 |
| 1346704152 | Mildred Itaska Borowski | Counselor | 3790 North Highway 41, Suite A, Valdosta, GA 31602 | 2019-01-25 |
| 1962991703 | Southern Healthcare Alliance, LLC | Physical Medicine & Rehabilitation | 101-f W. Northside Drive, Valdosta, GA 31602 | 2018-05-08 |
| 1336636646 | Kaitlyn Thrift | Behavioral Analyst | 2225 Bemiss Road Suite D, Valdosta, GA 31602 | 2018-04-23 |
| 1407379845 | Lindsey Marie Richardson | Dentist | 103 W. Cranford Ave, Valdosta, GA 31602 | 2017-07-18 |
| 1962922427 | Taylor Nicole Fiveash | Nurse Practitioner | 101 W Northisde Dr, Bldg G, Valdosta, GA 31602 | 2017-06-26 |
| 1720520646 | Southern Sleepers Anesthesia LLC | Nurse Anesthetist, Certified Registered | 4120-b N. Valdosta Road, Valdosta, GA 31602 | 2016-11-09 |
| 1134670557 | Cataract and Laser Surgery Center of South Georgia, P.C. | Clinic/Center | 4120-b N. Valdosta Rd., Valdosta, GA 31602 | 2016-10-20 |
| Find all providers in zip 31602 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588200059 | Southern Home Care Services, Inc. | Home Health | 2318 N Patterson St, Valdosta, GA 31602-2511 | 2019-11-20 |
| 1538654173 | Sandra Denise Smith Jones | Home Health | 704 Lake Park Rd, Valdosta, GA 31601-6195 | 2018-06-26 |
| 1376038042 | Restoration Care Services, LLC | Home Health | 704 Lake Park Road, Valdosta, GA 31601 | 2018-06-26 |
| 1033580907 | Tmh Home & Wellness LLC | Home Health | 528 N Troup St, Valdosta, GA 31601-4734 | 2015-10-16 |
| 1154737559 | Guardian In-home Care, LLC | Home Health | 3647 Druid Oaks Dr, Valdosta, GA 31605-6545 | 2014-07-07 |
| 1336493550 | Spectrum Family Care LLC | Home Health | 3403 Bemiss Rd, Suite C, Valdosta, GA 31605-7062 | 2012-11-09 |
| 1518195866 | Southern Home Care Services, Inc. | Home Health | 3020 N Patterson St, Valdosta, GA 31602-1711 | 2009-06-25 |
| 1780790022 | Southern Home Care Services | Home Health | 1700 E Park Ave, Valdosta, GA 31602-3400 | 2006-08-21 |
| 1285648568 | Public Health Home Health, Inc. | Home Health | 3169 Inner Perimeter Rd, Valdosta, GA 31602-1062 | 2006-07-29 |
| 1720036494 | Amedisys Georgia, L.L.C. | Home Health | 2947 N Ashley St, Suite C, Valdosta, GA 31602-1706 | 2006-05-05 |
| Find all providers in VALDOSTA | ||||
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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.