| Positive Impact Health Centers Inc | |
|
3350 Breckinridge Blvd Ste 200 Duluth GA 30096 | |
| (770) 962-8396 | |
| (770) 962-1291 |
| Full Name | Positive Impact Health Centers Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3350 Breckinridge Blvd Ste 200, Duluth, Georgia |
| Authorized Official Name and Position | Barbara Nkomazana (BILLING SPECIALIST) |
| Authorized Official Contact | 4045899040 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Positive Impact Health Centers Inc 3350 Breckinridge Blvd Ste 200 Duluth GA 30096-4959 Ph: (770) 962-8396 | Positive Impact Health Centers Inc 3350 Breckinridge Blvd Ste 200 Duluth GA 30096 Ph: (770) 962-8396 |
| NPI Number | 1790861995 |
|---|---|
| Provider Enumeration Date | 10/31/2006 |
| Last Update Date | 01/03/2024 |
| Certification Date | 08/24/2023 |
| Medicare PECOS PAC ID | 5496721987 |
|---|---|
| Medicare Enrollment ID | O20040907000653 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790861995 | NPI | - | NPPES |
| 000675342A | Medicaid | GA | |
| 536210665A | Medicaid | GA |
| Provider Name | Elliott G Raizes |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1912913740 PECOS PAC ID: 3274509682 Enrollment ID: I20040908000169 |
| Provider Name | Lynn Vanliew |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1003945098 PECOS PAC ID: 9931140647 Enrollment ID: I20050512000601 |
| Provider Name | Winnie Claire Hicks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326076787 PECOS PAC ID: 5496787202 Enrollment ID: I20050901000079 |
| Provider Name | Jennifer A Jeffers-smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699744417 PECOS PAC ID: 1456419324 Enrollment ID: I20081021000642 |
| Provider Name | Gregory S Felzien |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1811971625 PECOS PAC ID: 1658277868 Enrollment ID: I20090722000247 |
| Provider Name | Dustin W Hall |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982889200 PECOS PAC ID: 2062609175 Enrollment ID: I20101214001260 |
| Provider Name | Bernard B Wolfberg |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407942972 PECOS PAC ID: 9830364744 Enrollment ID: I20111205000327 |
| Provider Name | Myrlande Jules-villefranche |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598012098 PECOS PAC ID: 7416105796 Enrollment ID: I20120911000382 |
| Provider Name | Michael Scarborough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942569736 PECOS PAC ID: 7315196847 Enrollment ID: I20120927000318 |
| Provider Name | Marianne Matthews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427354380 PECOS PAC ID: 1951545102 Enrollment ID: I20130910000458 |
| Provider Name | Chandra M Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932510609 PECOS PAC ID: 3274753371 Enrollment ID: I20141010002410 |
| Provider Name | Isla Starr Marrero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033346747 PECOS PAC ID: 3577724319 Enrollment ID: I20160810000042 |
| Provider Name | Gwen Y Davies |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427171149 PECOS PAC ID: 9638463508 Enrollment ID: I20160816001327 |
| Provider Name | William J Connors |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1427505643 PECOS PAC ID: 3476834789 Enrollment ID: I20161228001736 |
| Provider Name | Katherine F Liang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003243494 PECOS PAC ID: 8325361298 Enrollment ID: I20170220002770 |
| Provider Name | Bertha Gordon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508149600 PECOS PAC ID: 7618254319 Enrollment ID: I20170508000015 |
| Provider Name | Michael R Kenney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952552796 PECOS PAC ID: 7911262290 Enrollment ID: I20180607003133 |
| Provider Name | Christopher Pride |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003216102 PECOS PAC ID: 3072862499 Enrollment ID: I20180817003176 |
| Provider Name | Preston Scott Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982060802 PECOS PAC ID: 7911245543 Enrollment ID: I20190206002346 |
| Provider Name | John Lee Stanton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851850788 PECOS PAC ID: 3779826417 Enrollment ID: I20190520002237 |
| Provider Name | Avantika Varma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760825905 PECOS PAC ID: 4688815749 Enrollment ID: I20190603002819 |
| Provider Name | Samantha Marie Hydes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114426806 PECOS PAC ID: 8022342237 Enrollment ID: I20190621001318 |
| Provider Name | Rosetta A Friday |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437669041 PECOS PAC ID: 3779916572 Enrollment ID: I20191210000339 |
| Provider Name | Portia Chine Effinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467012906 PECOS PAC ID: 2961832282 Enrollment ID: I20200428000854 |
| Provider Name | Aaron A Montgomery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083247951 PECOS PAC ID: 5496170789 Enrollment ID: I20200804000862 |
| Provider Name | Katherine Victoria White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699396630 PECOS PAC ID: 2163847385 Enrollment ID: I20200805002552 |
| Provider Name | Maytal Schmidt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912578568 PECOS PAC ID: 1759771462 Enrollment ID: I20211210001402 |
| Provider Name | Darrius Darrell James Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982360376 PECOS PAC ID: 0941694285 Enrollment ID: I20220302000711 |
| Provider Name | Robin Sharye Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205451416 PECOS PAC ID: 9931561800 Enrollment ID: I20230810000275 |
| Provider Name | Moneta Huddleston Sinclair |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265597165 PECOS PAC ID: 2466803176 Enrollment ID: I20240108000246 |
| Provider Name | Rebecca Mara Stapel-wax |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184194995 PECOS PAC ID: 0840642377 Enrollment ID: I20240119001687 |
| Provider Name | Christina Moffitt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871283630 PECOS PAC ID: 0446602643 Enrollment ID: I20240123002315 |
| Provider Name | Jamesia Mathis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902464373 PECOS PAC ID: 0042663221 Enrollment ID: I20240124003784 |
| Provider Name | Oriema Ewo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457927717 PECOS PAC ID: 5092168823 Enrollment ID: I20240129002756 |
| Provider Name | Bryan Mild Golson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033992805 PECOS PAC ID: 4981057569 Enrollment ID: I20240131000322 |
| Provider Name | Devondra Nolan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023552494 PECOS PAC ID: 8527411040 Enrollment ID: I20240131001623 |
| Provider Name | Amanda Holloway |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114385598 PECOS PAC ID: 4981040102 Enrollment ID: I20240311002500 |
| Provider Name | Pamela Marie Washington |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1376293555 PECOS PAC ID: 0244671758 Enrollment ID: I20240515002414 |
Stepping Stones Behavioral Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1470 Boggs Rd Apt 1004, Duluth, GA 30096 Phone: 678-431-8953 | |
Rick Kilmer Phd Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3066 Cardinal Lake Cir, Duluth, GA 30096 Phone: 770-597-4909 | |
Rebuilding Hope Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2392 Harpers Way, Duluth, GA 30097 Phone: 601-527-3533 Fax: 678-903-4190 | |
Out Of The Box, Counseling, Coaching, And Consulting Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10475 Medlock Bridge Rd Ste 205, Duluth, GA 30097 Phone: 678-379-3781 Fax: 770-232-1326 | |
Manna Treatment Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3305 Breckinridge Blvd Ste 116, Duluth, GA 30096 Phone: 770-495-9775 Fax: 770-495-9745 | |
Kathryn Vaughn Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3160 Main St Ste 102, Duluth, GA 30096 Phone: 470-426-5281 | |
K.m. Noonan, Ph.d., Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3121 Amesbury Way, Duluth, GA 30096 Phone: 770-490-0975 |