BRIDGES OF SUCCESS, INC. (NPI# 1962993436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962993436 |
| Entity Type | Organization |
| Organization Name | BRIDGES OF SUCCESS, INC. |
| Practice Address |
3707 Main St, #10 College Park GA 30337 |
| Practice Telephone | 6784576099 |
| Mailing Telephone | 6784576099 |
| Enumeration Date | 2018-05-21 |
| Last Update Date | 2018-05-21 |
| Authorized Official Name | CYNTHIA WINTHROP (CEO/PRESIDENT) |
| Authorized Official Telephone | 6784576099 |
| Authorized Official Credential | EDD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 364SS0200X |
Clinical Nurse Specialist Specialization: School |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 225CX0006X |
Rehabilitation Counselor Specialization: Orientation and Mobility Training Provider |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 364SH0200X |
Clinical Nurse Specialist Specialization: Home Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 364SA2200X |
Clinical Nurse Specialist Specialization: Adult Health |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3707 MAIN ST, #10 |
| City | COLLEGE PARK |
| State | GA |
| Zip Code | 30337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194360768 | Advant Therapy Services LLC | Speech-Language Pathologist | 4827 Old National Hwy, Pmb 1619, College Park, GA 30337 | 2019-11-07 |
| 1093288318 | Kevin Ramone Larkins | Counselor | 191 John Wesley Ave, College Park, GA 30337 | 2019-01-09 |
| 1013482553 | Michael Uchenna Okenchi | Nurse Practitioner | 3715 Atlanta St, Atlanta, GA 30337 | 2018-10-11 |
| 1427568245 | Andrienne Ignatia Terrell | Specialist/Technologist | 600 N Terminal Hartsfield-jackson Airport, Atlanta, GA 30337 | 2017-10-06 |
| 1710408745 | Tiffany Godwin | Specialist/Technologist | 600 N Terminal Hartsfield-jackon International Airport, Atlanta, GA 30337 | 2017-06-29 |
| 1104288240 | Susan Elizabeth Northrup | Preventive Medicine | 1701 Columbia Avenue, Federal Aviation Administration, Aso-300, College Park, GA 30337 | 2016-03-28 |
| 1689061301 | Jayne' Green | Counselor | 1919 John Wesley Ave., College Park, GA 30337 | 2015-04-21 |
| 1023412897 | Progressive Health Aviation Services | Clinic/Center | 600 N Terminal, Hartsfield-jackson Atlanta International Airport, Atlanta, GA 30337 | 2014-10-22 |
| 1578805453 | Talib El | Counselor | 2615 Roosevelt Highway, Atlanta, GA 30337 | 2013-03-19 |
| 1104179837 | Marquise Calhoun James | Massage Therapist | 1782 Lyle Ave, Unit 2, College Park, GA 30337 | 2012-10-18 |
| Find all providers in zip 30337 | ||||
| Taxonomy Code | 364SA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295277754 | Delphine Sitsofe Ayivor | Clinical Nurse Specialist | 9264 Garrett Lake Dr, Midland, GA 31820-4446 | 2016-11-14 |
| 1235545617 | Home Physician Care of Northwest Georgia, LLC | Clinical Nurse Specialist | 1825 Mcentire Cir, Chatsworth, GA 30705-5945 | 2014-07-07 |
| 1073842928 | Susan Rachel Layton | Clinical Nurse Specialist | 519 Olympic Way, Acworth, GA 30102 | 2009-12-23 |
| 1326372616 | Rita Karen Driver | Clinical Nurse Specialist | 4221 River Bottom Dr, Peachtree Corners, GA 30092-1377 | 2009-09-20 |
| 1609395110 | Lisa Marie Harris | Clinical Nurse Specialist | 100 S Madison St, Thomasville, GA 31792-5473 | 2017-09-15 |
| 1699169292 | Ruth Helen Sidor | Clinical Nurse Specialist | 2701 N Decatur Rd, Decatur, GA 30033-5918 | 2015-03-23 |
| 1821418369 | John Brueshaber Jr. | Clinical Nurse Specialist | 3320 Old Jefferson Rd, Bldg 700, Athens, GA 30607-1400 | 2014-04-23 |
| 1043633084 | Nanyoung Park | Clinical Nurse Specialist | 3590 Peachtree Industrial Blvd, Duluth, GA 30096-4817 | 2014-01-28 |
| 1740629443 | Betty Lou Yul Riner | Clinical Nurse Specialist | 1005 Boulder Dr, Gray, GA 31032 | 2013-06-17 |
| 1053673129 | Deon V Hutchison | Clinical Nurse Specialist | 777 Hemlock St, Msc 27, Macon, GA 31201-2102 | 2012-06-13 |
| Find all providers with the same taxonomy | ||||
| City | COLLEGE PARK |
| Zip Code | 30337 |
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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.