| The Healing Community Center | |
|
3915 Cascade Rd Sw Atlanta GA 30331-8512 | |
| (404) 564-7749 | |
| (404) 758-1216 |
| Full Name | The Healing Community Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 3915 Cascade Rd Sw, Atlanta, Georgia |
| Authorized Official Name and Position | Donald Usher (CEO) |
| Authorized Official Contact | 4045647749 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Healing Community Center 3915 Cascade Rd Sw Atlanta GA 30331-8512 Ph: (404) 564-7749 | The Healing Community Center 3915 Cascade Rd Sw Atlanta GA 30331-8512 Ph: (404) 564-7749 |
| NPI Number | 1831476399 |
|---|---|
| Provider Enumeration Date | 11/11/2011 |
| Last Update Date | 12/15/2021 |
| Medicare PECOS PAC ID | 0547429292 |
|---|---|
| Medicare Enrollment ID | O20120315000479 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831476399 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 11D2031396 (Georgia) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Russell E Brown |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194769257 PECOS PAC ID: 5496640120 Enrollment ID: I20050318000751 |
| Provider Name | Joseph Verdun |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992840292 PECOS PAC ID: 9537077201 Enrollment ID: I20101021001022 |
| Provider Name | Iris Branch Cleveland |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184904211 PECOS PAC ID: 7416124276 Enrollment ID: I20120420000311 |
| Provider Name | Melanie Johnson Pointer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275736902 PECOS PAC ID: 8729225289 Enrollment ID: I20130501000222 |
| Provider Name | Ruby S Thomas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912154832 PECOS PAC ID: 4486894557 Enrollment ID: I20130712000656 |
| Provider Name | Edwina A Peters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639433469 PECOS PAC ID: 7012132905 Enrollment ID: I20140709001552 |
| Provider Name | Mary Kathleen Humphries |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578862173 PECOS PAC ID: 8224258991 Enrollment ID: I20140930002574 |
| Provider Name | Charlene Turner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861862393 PECOS PAC ID: 6901065663 Enrollment ID: I20160219001267 |
| Provider Name | Marilyn R Washburn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750487658 PECOS PAC ID: 4284734591 Enrollment ID: I20190131003448 |
| Provider Name | Nashana Powe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386144376 PECOS PAC ID: 9931440435 Enrollment ID: I20190410001926 |
| Provider Name | Ophelia Alicia Abbey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215232491 PECOS PAC ID: 6204257314 Enrollment ID: I20200527003310 |
| Provider Name | Amber Dale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831695170 PECOS PAC ID: 5890116602 Enrollment ID: I20200603002373 |
| Provider Name | Jamay R Logan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114489911 PECOS PAC ID: 5991127730 Enrollment ID: I20200623003504 |
| Provider Name | Elizabeth Wechter |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720407356 PECOS PAC ID: 3375894009 Enrollment ID: I20211007002830 |
| Provider Name | Sabelle Mbye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588200869 PECOS PAC ID: 3870970122 Enrollment ID: I20220506002079 |
| Provider Name | Richardson Desmangles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467100487 PECOS PAC ID: 8820478365 Enrollment ID: I20220630001425 |
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