ALEXIA D. FAGGINS (NPI# 1972992816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972992816 |
| Entity Type | Individual |
| Full Name | ALEXIA D. FAGGINS |
| Other Name | ALEXIA D. FAGGINS |
| Practice Address |
2100 Comer Ave Columbus GA 31904-8725 |
| Practice Telephone | 7065965575 |
| Practice Fax Number | 7065965589 |
| Enumeration Date | 2015-01-15 |
| Last Update Date | 2015-01-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 320800000X | GA | Residential Treatment Facilities |
| Street Address |
2100 COMER AVE |
| City | COLUMBUS |
| State | GA |
| Zip Code | 31904-8725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164420220 | Demetria Barnes Hendrix | Pharmacist | 2100 Comer Ave, Ambulatory Care Pharmacy, Columbus, GA 31904-8725 | 2005-07-12 |
| 1801497193 | Jacqueline Jordan | Clinic/Center | 2100 Comer Ave, Columbus, GA 31904-8725 | 2020-11-04 |
| 1033725288 | Cassandra Faye Harris | Case Management | 2100 Comer Ave, Columbus, GA 31904-8725 | 2020-09-22 |
| 1245846831 | Morgan Ashley Harris | Counselor | 2100 Comer Ave, Columbus, GA 31904-8725 | 2020-09-18 |
| 1164035382 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2100 Comer Ave, Columbus, GA 31904-8725 | 2020-08-27 |
| 1386256097 | Diana Lynn Ezell | Counselor | 2100 Comer Ave, Columbus, GA 31904-8725 | 2020-08-24 |
| 1245840750 | Samantha Meghan Bruffy | Registered Nurse | 2100 Comer Ave, Columbus, GA 31904-8725 | 2020-08-10 |
| 1083222871 | Paulette Davis | Licensed Practical Nurse | 2100 Comer Ave, Columbus, GA 31904-8725 | 2020-07-17 |
| 1245859859 | Ryan James Aker | Case Manager/Care Coordinator | 2100 Comer Ave, Columbus, GA 31904-8725 | 2020-04-14 |
| 1477188035 | Samantha Marie Dent | Case Manager/Care Coordinator | 2100 Comer Ave, Columbus, GA 31904-8725 | 2020-03-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821641457 | At Home Palliative Care, LLC | Nursing Care | 114 Enterprise Ct, Suite B, Columbus, GA 31904 | 2019-07-23 |
| 1285191049 | Shandra Ladell Grimes | Nurse Practitioner | 2300 Manchester Expwy St Francis Hospital, Suite C-001, Columbus, GA 31904 | 2019-02-27 |
| 1881161529 | Lesley Kathleen Simmons | Massage Therapist | 5402 15th Ave, Columbus, GA 31904 | 2018-10-31 |
| 1184190662 | Alphonsa Joseph | Nurse Practitioner | 2430 Brookstone Centre Parkway, Columbus, Georgia 31904, Columbus, GA 31904 | 2018-10-22 |
| 1568942704 | William Pearce Massey | Social Worker | 8851-1 Moore Road, Columbus, GA 31904 | 2018-08-17 |
| 1033696372 | Marlise V. Gray | Counselor | 2013 Devonshire Dr. Suite 115, Columbus, GA 31904 | 2018-07-19 |
| 1710418173 | Amanda Barnette Pruett | Behavioral Analyst | 200 Brookstone Centre Pkwy Bldg 200, Columbus, GA 31904 | 2017-03-27 |
| 1750833232 | Carrie Leigh Whitehead | Nurse Practitioner | 6228 Bradley Park Dr. Suite A, Columbus, GA 31904 | 2016-10-31 |
| 1609323369 | Shomika Lasha Battle | Registered Nurse | 2101 North Avenue, Columbus, GA 31904 | 2016-09-09 |
| 1952759219 | Peaceful River Home Care Agency | In Home Supportive Care | 738 Rudgate Road, Columbus, GA 31904 | 2016-05-27 |
| Find all providers in zip 31904 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548827751 | Pyramid House LLC | Community Based Residential Treatment Facility, Mental Illness | 6041 Mcnaughten Grove Ln, Columbus, OH 43213-5106 | 2019-05-22 |
| 1770066029 | New Beginnings PCh of Columbus, LLC | Community Based Residential Treatment Facility, Mental Illness | 639 Lawyers Ln, Columbus, GA 31906-3812 | 2018-09-12 |
| 1083067896 | Jaz Boyce | Community Based Residential Treatment Facility, Mental Illness | 592 Wiltshire Rd, Columbus, OH 43204-2429 | 2016-07-16 |
| 1679927974 | Parents Addressing Teen Challenges | Community Based Residential Treatment Facility, Mental Illness | 65 N Powell Ave, Columbus, OH 43204-2618 | 2016-04-22 |
| 1528200227 | Brockton Healthcare Network | Community Based Residential Treatment Facility, Mental Illness | 5701 Spruce Tree Dr, Columbus, OH 43232-7751 | 2009-03-27 |
| 1750840773 | Nationwide Residential Services | Community Based Residential Treatment Facility, Mental Illness | 1150 Morse Rd Ste 110, Columbus, OH 43229-6327 | 2019-03-19 |
| 1285119180 | Maryhaven | Community Based Residential Treatment Facility, Mental Illness | 100 Noe Bixby Rd, Columbus, OH 43213-1460 | 2018-09-27 |
| 1225580608 | Kamilah Muse | Community Based Residential Treatment Facility, Mental Illness | 765 Pierce Dr, Columbus, OH 43223-2425 | 2016-11-01 |
| 1346627460 | Kenneth B Walker Residential Home Inc | Community Based Residential Treatment Facility, Mental Illness | 3575 Macon Rd, Suite 25, Columbus, GA 31907-8200 | 2015-04-27 |
| 1104214048 | The Village Network | Community Based Residential Treatment Facility, Mental Illness | 1751 E Long St, Columbus, OH 43203-2045 | 2014-12-30 |
| Find all providers in COLUMBUS | ||||
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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.