| Horizons North, Inc. | |
|
3575 Macon Rd Suite 18 Columbus GA 31907-8200 | |
| (706) 565-5927 | |
| (706) 565-8207 |
| Full Name | Horizons North, Inc. |
|---|---|
| Speciality | Counselor |
| Location | 3575 Macon Rd, Columbus, Georgia |
| Authorized Official Name and Position | Valerie Bowden (CFO) |
| Authorized Official Contact | 7065965757 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Horizons North, Inc. Po Box 5328 Columbus GA 31906-0328 Ph: (706) 565-5927 | Horizons North, Inc. 3575 Macon Rd Suite 18 Columbus GA 31907-8200 Ph: (706) 565-5927 |
| NPI Number | 1184736092 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 08/02/2011 |
| Medicare PECOS PAC ID | 3870667157 |
|---|---|
| Medicare Enrollment ID | O20080805000230 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184736092 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (Georgia) | Primary |
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| Provider Name | Pamela C Shaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477546489 PECOS PAC ID: 5294790358 Enrollment ID: I20041130000937 |
| Provider Name | Lovietta L Campbell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003987579 PECOS PAC ID: 2163506502 Enrollment ID: I20080225000507 |
| Provider Name | Wendy R Leonard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689717167 PECOS PAC ID: 5193918498 Enrollment ID: I20101019001094 |
| Provider Name | Caroline Lukano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023498466 PECOS PAC ID: 5597071241 Enrollment ID: I20150826001800 |
| Provider Name | Kess Mughelli-ogden |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215223284 PECOS PAC ID: 7719127935 Enrollment ID: I20161107001172 |
| Provider Name | Tiffni M Daniel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275103319 PECOS PAC ID: 4385049584 Enrollment ID: I20210826001646 |
| Provider Name | Brina N Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598386641 PECOS PAC ID: 4587021225 Enrollment ID: I20230612000933 |
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