Harold Goodrum Jr, | |
575 Dekalb Industrial Way, Suite 103, Decatur, GA 30030-1756 | |
(404) 296-8511 | |
(404) 296-8514 |
Full Name | Harold Goodrum Jr |
---|---|
Gender | Male |
Speciality | Occupational Therapy |
Experience | 27 Years |
Location | 575 Dekalb Industrial Way, Decatur, Georgia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194273185 | NPI | - | NPPES |
002554 | Other | GA | OT LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 002554 (Georgia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Decatur Hand And Physical Therapy Specialists Limited Partnership | 3971529256 | 13 |
Provider Name | Decatur Hand And Physical Therapy Specialists Limited Partnership |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1174538607 PECOS PAC ID: 3971529256 Enrollment ID: O20051017000102 |
Provider Name | Thrive Therapy Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1821452798 PECOS PAC ID: 9436443637 Enrollment ID: O20160811000436 |
Mailing Address | Practice Location Address |
---|---|
Harold Goodrum Jr, 575 Dekalb Industrial Way, Suite 103, Decatur, GA 30030-1756 Ph: (404) 296-8511 | Harold Goodrum Jr, 575 Dekalb Industrial Way, Suite 103, Decatur, GA 30030-1756 Ph: (404) 296-8511 |
Taylor M Rapaport, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1270 Mcconnell Dr Ste B, Decatur, GA 30033 Phone: 770-892-6878 | |
Sarah Kate Phillips Orton, MSOT, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2701 N Decatur Rd, Decatur, GA 30033 Phone: 404-501-5852 | |
Allyson Leseten, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1244 Clairmont Rd, Suite 224, Decatur, GA 30030 Phone: 404-728-9766 | |
Wenda Goodman, MOT,OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1670 Clairmont Rd, Decatur, GA 30033 Phone: 404-321-6111 | |
Theresa Dondzila, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1510 Oak Grove Rd, Ste. 2, Decatur, GA 30033 Phone: 404-236-9788 | |
Melanie Johnson, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 575 Dekalb Industrial Way Ste 103, Decatur, GA 30030 Phone: 404-296-8511 | |
Jasmine Erves, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2385 Lawrenceville Hwy Ste B, Decatur, GA 30033 Phone: 404-289-4270 Fax: 404-289-4428 |