BIG HEART LLC (NPI# 1942730866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942730866 |
| Entity Type | Organization |
| Organization Name | BIG HEART LLC |
| Practice Address |
1506 Klondike Rd Sw Ste 403 Conyers GA 30094-5173 |
| Practice Telephone | 4043337725 |
| Mailing Telephone | 7702856699 |
| Mailing Fax Number | 7702856510 |
| Enumeration Date | 2017-06-13 |
| Last Update Date | 2019-04-17 |
| Authorized Official Name | TURQUOISE ALLEN (CEO) |
| Authorized Official Telephone | 7702856699 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
GA | Ambulatory Health Care Facilities |
| Street Address |
1506 KLONDIKE RD SW STE 403 |
| City | CONYERS |
| State | GA |
| Zip Code | 30094-5173 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366551244 | William Bernard Mahoney | Psychiatry & Neurology | 1506 Klondike Rd Sw Ste 403, Conyers, GA 30094-5173 | 2006-08-30 |
| 1891267225 | Sarah Hilbert | Counselor | 1506 Klondike Rd Sw Ste 403, Conyers, GA 30094-5173 | 2018-12-24 |
| 1013458918 | Turquoise Allen | Nurse Practitioner | 1506 Klondike Rd Sw Ste 403, Conyers, GA 30094-5173 | 2017-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164029054 | Darlene Fletcher | Counselor | 827 St. Clair Dr., Conyers, GA 30094 | 2020-10-05 |
| 1194363366 | Clara A Matthews | Physician Assistant | 1930 Windsor Creek Drive Sw, Conyers, GA 30094 | 2019-12-18 |
| 1659838571 | Sensitive Home Care Agency Inc. | PACE Provider Organization | 2225 Morning Dew, Conyers, GA 30094 | 2019-02-27 |
| 1679097992 | Sheira Dennis | Case Management | 3828 Martingale Dr Se, Conyers, GA 30094 | 2017-07-28 |
| 1730571399 | Wellness and Trauma Recovery Center | Counselor | 1775 Parker Rd. Building C, Suite 210, Conyers, GA 30094 | 2015-02-19 |
| 1760870612 | Michael Terrell | Technician/Technologist | 806 Cambridge Creek Dr, Conyers, GA 30094 | 2014-12-30 |
| 1538567466 | Jennifer Angela Johnson | Registered Nurse | 2240 Wren Rd Se, Conyers, GA 30094 | 2014-12-09 |
| 1225445208 | Wanda Marcella Rainey-reed | Counselor | 1453 Klondike Rd Sw Ste D, Conyers, GA 30094 | 2014-07-22 |
| 1508155268 | Nicklaus Trent Rice | Obstetrics & Gynecology | 2750 Owens Dr, Conyers, GA 30094 | 2011-04-04 |
| 1720219660 | Candace Alexander | Dentist | 863 Flat Shoals Rd Se, Suite C #220, Conyers, GA 30094 | 2009-07-27 |
| Find all providers in zip 30094 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841757226 | Duncans Trucking and Construction Inc. | Clinic/Center | 1715 Brandon Glen Way Ne, Conyers, GA 30012-3889 | 2019-02-21 |
| 1417456898 | Royal Court of Esther Inc | Clinic/Center | 2365 Wall St Se Ste 200-05, Conyers, GA 30013-2197 | 2018-02-12 |
| 1518527837 | To The Root Counseling & Coaching | Clinic/Center | 1775 Parker Rd Se Bldg C, Conyers, GA 30094-6654 | 2019-06-18 |
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| 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.