MR. NATHANIEL GAZAWAY (NPI# 1982159950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982159950 |
| Entity Type | Individual |
| Full Name | MR. NATHANIEL GAZAWAY |
| Credential | CSACI |
| Practice Address |
631 Willow Creek Rd Leicester NC 28748-5646 |
| Practice Telephone | 8868319107 |
| Mailing Telephone | 8868319107 |
| Enumeration Date | 2016-08-19 |
| Last Update Date | 2016-08-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
631 WILLOW CREEK RD |
| City | LEICESTER |
| State | NC |
| Zip Code | 28748-5646 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104099688 | Jack L Kline | Counselor | 631 Willow Creek Rd, Leicester, NC 28748-5646 | 2008-04-07 |
| 1699219089 | Harry Todd Stebbing | Counselor | 631 Willow Creek Rd, Leicester, NC 28748-5646 | 2016-12-05 |
| 1356883441 | Robert Ellis Davis | Counselor | 631 Willow Creek Rd, Leicester, NC 28748-5646 | 2016-11-07 |
| 1225580277 | Frances Monroe Spivey | Counselor | 631 Willow Creek Rd, Leicester, NC 28748-5646 | 2016-10-25 |
| 1083161954 | Carrie Schear | Social Worker | 631 Willow Creek Rd, Leicester, NC 28748-5646 | 2016-09-08 |
| 1518412220 | Robert Michael Gaddy Jr. | Counselor | 631 Willow Creek Rd, Leicester, NC 28748-5646 | 2016-08-23 |
| 1720442049 | Amy Lancaster | Counselor | 631 Willow Creek Rd, Leicester, NC 28748-5646 | 2016-04-12 |
| 1538520077 | Robert Cummings | Counselor | 631 Willow Creek Rd, Leicester, NC 28748-5646 | 2016-03-11 |
| 1467827725 | David Adam Neal | Counselor | 631 Willow Creek Rd, Leicester, NC 28748-5646 | 2015-12-11 |
| 1811362163 | Walter Ager | Counselor | 631 Willow Creek Rd, Leicester, NC 28748-5646 | 2015-12-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659494300 | Evergreen Living #5 | Custodial Care Facility | 352 Family Ridge Road, Leicester, NC 28748 | 2007-04-09 |
| 1346361102 | Evergreen Living #1 | Custodial Care Facility | 101 Country Time Ln, Leicester, NC 28748 | 2007-04-02 |
| 1811018674 | Evergreen Living #6 | Custodial Care Facility | 353 Family Ridge Road, Leicester, NC 28748 | 2007-04-02 |
| 1609997519 | Evergreen Living #4 | Custodial Care Facility | 230 Country Time Circle, Leicester, NC 28748 | 2007-04-02 |
| 1053431957 | Evergreen Living #5 | Custodial Care Facility | 231 Country Time Circle, Leicester, NC 28748 | 2007-04-02 |
| 1962522862 | Evergreen Living #6 | Custodial Care Facility | 232 Country Time Circle, Leicester, NC 28748 | 2007-04-02 |
| 1639290497 | Evergreen Living #7 | Custodial Care Facility | 233 Country Time Circle, Leicester, NC 28748 | 2007-04-02 |
| 1548381304 | Evergreen Living #8 | Custodial Care Facility | 234 Country Time Circle, Leicester, NC 28748 | 2007-04-02 |
| 1457472219 | Evergreen Living #9 | Custodial Care Facility | 235 Country Time Circle, Leicester, NC 28748 | 2007-04-02 |
| 1295856052 | Evergreen Living #10 | Custodial Care Facility | 236 Country Time Circle, Leicester, NC 28748 | 2007-04-02 |
| Find all providers in zip 28748 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164555751 | Jemsa Hawkeyes Sheriff | Counselor | 144 Partridge Trl, Leicester, VT 05733-8348 | 2007-03-13 |
| 1699219089 | Harry Todd Stebbing | Counselor | 631 Willow Creek Rd, Leicester, NC 28748-5646 | 2016-12-05 |
| 1356883441 | Robert Ellis Davis | Counselor | 631 Willow Creek Rd, Leicester, NC 28748-5646 | 2016-11-07 |
| 1427505635 | Jessica Tyler Martin | Counselor | 803 Main St, Leicester, MA 01524-1305 | 2016-09-06 |
| 1518412220 | Robert Michael Gaddy Jr. | Counselor | 631 Willow Creek Rd, Leicester, NC 28748-5646 | 2016-08-23 |
| 1720442049 | Amy Lancaster | Counselor | 631 Willow Creek Rd, Leicester, NC 28748-5646 | 2016-04-12 |
| 1538520077 | Robert Cummings | Counselor | 631 Willow Creek Rd, Leicester, NC 28748-5646 | 2016-03-11 |
| 1467827725 | David Adam Neal | Counselor | 631 Willow Creek Rd, Leicester, NC 28748-5646 | 2015-12-11 |
| 1811362163 | Walter Ager | Counselor | 631 Willow Creek Rd, Leicester, NC 28748-5646 | 2015-12-10 |
| 1275900862 | Holly Testerman | Counselor | 631 Willow Creek Rd, Leicester, NC 28748-5646 | 2015-08-31 |
| Find all providers in LEICESTER | ||||
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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.