| Georgia Mountains Community Services | |
|
125 N Corners Pkwy Cumming GA 30040-2078 | |
| (678) 341-3840 | |
| Not Available |
| Full Name | Georgia Mountains Community Services |
|---|---|
| Speciality | Counselor |
| Location | 125 N Corners Pkwy, Cumming, Georgia |
| Authorized Official Name and Position | Karen R Tucker (BILLING MANAGER) |
| Authorized Official Contact | 6785135733 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Georgia Mountains Community Services 4331 Thurmond Tanner Rd Flowery Branch GA 30542-2829 Ph: (678) 513-5700 | Georgia Mountains Community Services 125 N Corners Pkwy Cumming GA 30040-2078 Ph: (678) 341-3840 |
| NPI Number | 1063522035 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 02/05/2008 |
| Medicare PECOS PAC ID | 8921094400 |
|---|---|
| Medicare Enrollment ID | O20040421000783 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063522035 | NPI | - | NPPES |
| 000600795R | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Lenora M Ashley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720165798 PECOS PAC ID: 2769377597 Enrollment ID: I20040219000472 |
| Provider Name | Dewitt C Alfred |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659313955 PECOS PAC ID: 7618863911 Enrollment ID: I20040415000139 |
| Provider Name | Rajasree V Praturi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114999257 PECOS PAC ID: 0749267615 Enrollment ID: I20040630000158 |
| Provider Name | Jose L Cangiano |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487755724 PECOS PAC ID: 8527023779 Enrollment ID: I20041130000081 |
| Provider Name | Ellen C Wu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578652368 PECOS PAC ID: 7618929480 Enrollment ID: I20050221000382 |
| Provider Name | Jyothi N Mattam |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306978929 PECOS PAC ID: 7214975663 Enrollment ID: I20050418000708 |
| Provider Name | Piyush C Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184672008 PECOS PAC ID: 2466494687 Enrollment ID: I20050527000499 |
| Provider Name | Michael A Burke |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376649962 PECOS PAC ID: 7012933237 Enrollment ID: I20051020000396 |
| Provider Name | Tessa K Rasch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912968736 PECOS PAC ID: 6800819939 Enrollment ID: I20060104000485 |
| Provider Name | Carol L Poole |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437111895 PECOS PAC ID: 9234152364 Enrollment ID: I20060104000517 |
| Provider Name | Laura M Duncan |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1518951946 PECOS PAC ID: 5991717704 Enrollment ID: I20060619000057 |
| Provider Name | Catherine B Peters |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508885823 PECOS PAC ID: 8325043318 Enrollment ID: I20060926000278 |
| Provider Name | Thomas Cobb |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881702744 PECOS PAC ID: 3577532415 Enrollment ID: I20071101000078 |
| Provider Name | Ajita Joglekar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013978188 PECOS PAC ID: 7012054760 Enrollment ID: I20091028000648 |
| Provider Name | Linda Woughter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790773273 PECOS PAC ID: 7214029396 Enrollment ID: I20100831000352 |
| Provider Name | Wesley Neal Seabolt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962664623 PECOS PAC ID: 3971787151 Enrollment ID: I20110413000165 |
| Provider Name | Sonali Bora |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831375682 PECOS PAC ID: 8426235706 Enrollment ID: I20110614000710 |
| Provider Name | Vernon Dixon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962464420 PECOS PAC ID: 0840457180 Enrollment ID: I20120130000186 |
| Provider Name | Hasan H Rahman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497957088 PECOS PAC ID: 5395922090 Enrollment ID: I20120709000509 |
| Provider Name | Nirupama A Natarajan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942411251 PECOS PAC ID: 4486800083 Enrollment ID: I20120815000176 |
| Provider Name | James J Weigel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538419726 PECOS PAC ID: 5698926483 Enrollment ID: I20121102000226 |
| Provider Name | Kenyatta Merriweather |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619228558 PECOS PAC ID: 9638320302 Enrollment ID: I20121107000219 |
| Provider Name | Shikira M Woods |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265785596 PECOS PAC ID: 6305090713 Enrollment ID: I20130213000191 |
| Provider Name | Melanie Johnson Pointer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275736902 PECOS PAC ID: 8729225289 Enrollment ID: I20130501000222 |
| Provider Name | Thomas A Armistead |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912957176 PECOS PAC ID: 8820033566 Enrollment ID: I20130729000995 |
| Provider Name | Lisa P Mcbryar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205954021 PECOS PAC ID: 2062655475 Enrollment ID: I20130904000877 |
| Provider Name | Ana N Moreira |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619217379 PECOS PAC ID: 5294961553 Enrollment ID: I20131115001359 |
| Provider Name | Elaine Jividen |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1881919975 PECOS PAC ID: 5597918177 Enrollment ID: I20140106000611 |
| Provider Name | Srinivas Kolipaka |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831381433 PECOS PAC ID: 0941326789 Enrollment ID: I20140114001232 |
| Provider Name | Karen A Bowser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891095840 PECOS PAC ID: 4183842727 Enrollment ID: I20140825000234 |
| Provider Name | Robert Cobiella |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568551828 PECOS PAC ID: 4486639325 Enrollment ID: I20141007001833 |
| Provider Name | Shawn Parquet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962806885 PECOS PAC ID: 7719205863 Enrollment ID: I20150421001923 |
| Provider Name | Oyenike Sanni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841601010 PECOS PAC ID: 3375848302 Enrollment ID: I20160229001465 |
| Provider Name | Jamie Elizabeth Edmunds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689057218 PECOS PAC ID: 1456658384 Enrollment ID: I20160321001558 |
| Provider Name | Chikkanayaknhalli B Lokesh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023127222 PECOS PAC ID: 1153619044 Enrollment ID: I20161010000224 |
| Provider Name | Donna C Dunn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851612238 PECOS PAC ID: 9638427339 Enrollment ID: I20180810002559 |
| Provider Name | Nurat Abiola Aro-lambo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336623487 PECOS PAC ID: 8527391432 Enrollment ID: I20190607002562 |
| Provider Name | Jared Campbell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750769725 PECOS PAC ID: 6800127937 Enrollment ID: I20191003002828 |
| Provider Name | Phuong-tuyen Le |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437781077 PECOS PAC ID: 0840611513 Enrollment ID: I20200604001506 |
| Provider Name | Amanda Ham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073135786 PECOS PAC ID: 9032532916 Enrollment ID: I20200710000995 |
| Provider Name | Marcus A Whitaker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588792121 PECOS PAC ID: 7517052517 Enrollment ID: I20200803000738 |
| Provider Name | Julie L Zemke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124251319 PECOS PAC ID: 6608198510 Enrollment ID: I20201001001140 |
| Provider Name | John Kahle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497395164 PECOS PAC ID: 6800211939 Enrollment ID: I20201110001138 |
| Provider Name | Dana Griffith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255816856 PECOS PAC ID: 0547673527 Enrollment ID: I20210112002099 |
| Provider Name | Mary A.c. Bates |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750979308 PECOS PAC ID: 4789099672 Enrollment ID: I20210301000343 |
| Provider Name | Olajide Abiodun Opaleye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992386304 PECOS PAC ID: 9830590843 Enrollment ID: I20210629000657 |
| Provider Name | Khalilah K Larue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255578548 PECOS PAC ID: 7315123692 Enrollment ID: I20220207000092 |
| Provider Name | Tara S Lynch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548728579 PECOS PAC ID: 7416334347 Enrollment ID: I20220516001772 |
| Provider Name | Kimberly C Drummond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043970650 PECOS PAC ID: 0244610939 Enrollment ID: I20220712002833 |
| Provider Name | Vallery Enoghabun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043945918 PECOS PAC ID: 1254700925 Enrollment ID: I20221220001634 |
| Provider Name | Vivian Akabueze |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073866463 PECOS PAC ID: 0941673750 Enrollment ID: I20230227000521 |
| Provider Name | Jeremy C Merritt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629494976 PECOS PAC ID: 2668822693 Enrollment ID: I20240103001020 |
| Provider Name | Brook W Turk |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1740054733 PECOS PAC ID: 3375994361 Enrollment ID: I20240103003540 |
| Provider Name | Tanya A Hunt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063015204 PECOS PAC ID: 2264883230 Enrollment ID: I20240104001381 |
| Provider Name | Kimberly A Hall |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659603371 PECOS PAC ID: 0547611196 Enrollment ID: I20240108004266 |
| Provider Name | Rhonda Wetherbee |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225664824 PECOS PAC ID: 3173974755 Enrollment ID: I20240108005111 |
| Provider Name | Lynn A Hale |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902212889 PECOS PAC ID: 0547611923 Enrollment ID: I20240110002076 |
| Provider Name | Catherine D Murphy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700307782 PECOS PAC ID: 1951752294 Enrollment ID: I20240110004671 |
| Provider Name | Kelly H Stockdale |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265169742 PECOS PAC ID: 5294186599 Enrollment ID: I20240111001545 |
| Provider Name | Leah M Maloof |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952767428 PECOS PAC ID: 6709238595 Enrollment ID: I20240117002406 |
| Provider Name | Megan A Eslava |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447729546 PECOS PAC ID: 0042662876 Enrollment ID: I20240117003565 |
| Provider Name | Amy E Jones |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023263654 PECOS PAC ID: 2365895497 Enrollment ID: I20240125000907 |
| Provider Name | Danielle C Rietta |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497982599 PECOS PAC ID: 8224471537 Enrollment ID: I20240202003251 |
| Provider Name | Megan M Scoggins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528834462 PECOS PAC ID: 4284077744 Enrollment ID: I20240212002885 |
| Provider Name | Catherine P Ganter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912398876 PECOS PAC ID: 3870937162 Enrollment ID: I20240214002531 |
| Provider Name | Lori A Holbrook |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407087836 PECOS PAC ID: 6901240746 Enrollment ID: I20240220001781 |
| Provider Name | Patricia M Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689084295 PECOS PAC ID: 9830533611 Enrollment ID: I20240220003315 |
| Provider Name | Tanya M Thompson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710755251 PECOS PAC ID: 2466897368 Enrollment ID: I20240301001661 |
T. Albert Davis, M.d., Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 634 Peachtree Pkwy, Suite 210, Cumming, GA 30041 Phone: 770-888-1011 Fax: 770-888-6766 | |
Carl Dickerson, Edd, Lpc Counseling And Consulting Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1410 Vinery Ave, Cumming, GA 30041 Phone: 678-431-2070 Fax: 470-281-5711 | |
Inner Journeys Counseling Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 Peachtree Pkwy, Bldg 400, Suite 4245, Cumming, GA 30041 Phone: 678-429-9675 Fax: 678-341-5101 | |
North Georgia Children's Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1575 Dahlonega Hwy, Cumming, GA 30040 Phone: 770-844-8664 Fax: 770-844-8643 | |
Bnb Human Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3840 Browns Bridge Rd Ste 204, Cumming, GA 30041 Phone: 770-990-9252 Fax: 678-771-8181 | |
Aspire Counseling 2 Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 407 E Maple St Ste 112, Cumming, GA 30040 Phone: 678-965-6021 Fax: 678-962-7121 |