GRNCSB (NPI# 1952698227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952698227 |
| Entity Type | Organization |
| Organization Name | GRNCSB |
| Practice Address |
977a Taylor Street Conyers GA 30012 |
| Mailing Address |
977a Taylor St Conyers GA 30012 |
| Practice Telephone | 7709186677 |
| Practice Fax Number | 7709186686 |
| Mailing Telephone | 7709186677 |
| Mailing Fax Number | 7709186686 |
| Enumeration Date | 2011-07-07 |
| Last Update Date | 2011-07-07 |
| Authorized Official Name | MR. TED M KIRK (SOCIAL WORKER) |
| Authorized Official Telephone | 7709186677 |
| Authorized Official Credential | LMSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | Managed Care Organizations |
| Street Address |
977A TAYLOR STREET |
| City | CONYERS |
| State | GA |
| Zip Code | 30012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629357637 | Ted M Kirk | Social Worker | 977a Taylor Street, Conyers, GA 30012 | 2011-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578188306 | The Eye Md | Ophthalmology | 1359 Milstead Road, Suite #103, Conyers, GA 30012 | 2020-06-08 |
| 1043855836 | Maurvet Minto | Counselor | 1175 Green St, Conyers, Conyers, GA 30012 | 2019-11-15 |
| 1770054561 | Sarah Elizabeth Brooks | Physical Medicine & Rehabilitation | 1290 Milstead Ave Ne, Conyers, GA 30012 | 2018-12-06 |
| 1679091276 | Valorie Antoinette Jones | Counselor | 1175 Green St Se, Conyers, GA 30012 | 2017-09-02 |
| 1558886341 | Synergy Radiology, LLC | Radiology | 1501 Milstead Road, Suite 140, Conyers, GA 30012 | 2017-08-14 |
| 1558813295 | Salon Lyon, LLC | Specialist | 1112 West Ave, Se, B, Conyers, GA 30012 | 2016-10-28 |
| 1992252753 | Traci Hunter Bryan | Pharmacist | 1501 Milstead Ave Ne, Suite 110, Conyers, GA 30012 | 2016-09-08 |
| 1316491830 | Hye Rim Kim | Anesthesiologist Assistant | 1380 Milstead Rd Ne, Suite G, Conyers, GA 30012 | 2016-08-12 |
| 1235591397 | David Jeffrey Wasserman | Optometrist | 1192 Dogwood Dr Sw, Conyers, GA 30012 | 2016-03-28 |
| 1174919187 | Anique Archer | Health Educator | 2170 Lester Rd Nw, Conyers, GA 30012 | 2015-04-07 |
| Find all providers in zip 30012 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942350533 | Spelios and Associates Conyers PC | Point of Service | 2390 Wall St Se, Suite 120, Conyers, GA 30013-2186 | 2007-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811597461 | Nanoresearch, Inc | Point of Service | 58 Edgewood Ave Ne, Suite 122, Collabtech., Gsu, Atlanta, GA 30303 | 2020-10-31 |
| 1558990911 | Telemedicine Essentials of America, LLC | Point of Service | 2001 Montreal Rd Ste 105, Tucker, GA 30084-5219 | 2020-04-06 |
| 1033745088 | Assure Elder Care Incorporated | Point of Service | 1047 Alford Rd, Lithonia, GA 30058-3007 | 2020-03-20 |
| 1437712122 | Wish You Well Youth Faith Foundation Inc | Point of Service | 9456 S Main St Ste D4, Jonesboro, GA 30236-6074 | 2019-04-17 |
| 1114412632 | Healthy Living Now Inc | Point of Service | 8174 Spring Ct, Riverdale, GA 30274-4317 | 2018-06-27 |
| 1629519202 | Nurse Practioner | Point of Service | 4044 George Busbee Pkwy Nw Apt 4207, Kennesaw, GA 30144-6890 | 2017-03-15 |
| 1033657143 | Glam She LLC | Point of Service | 4070 San Marco Way, Douglasville, GA 30135-2769 | 2017-02-09 |
| 1992248298 | New Legacy Counseling and Training Center | Point of Service | 3350 Riverwood Parkway, Suite 1925, Atlanta, GA 30339 | 2016-11-18 |
| 1245682079 | Butterfly Gardens Hopice & Palliative Care, LLC | Point of Service | 3112 Blackmon Ct, Hephzibah, GA 30815-7064 | 2016-07-05 |
| 1194179861 | A Humbling Spirit Family Practice, Inc. | Point of Service | 2412 Horseshoe Bend Rd Sw, Marietta, GA 30064-4412 | 2016-04-19 |
| 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.