Grant Services for the Disabled , Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

044-01-396-1 Issued in GA

Legal business name

GRANT SERVICES FOR THE DISABLED , INC.

Practice address

1603 Hidden Hills Pkwy
Stone Mountain, GA 30088-3815

Phone

(770) 879-5507

Fax

(678) 691-4082

NPI assigned

May 1, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Sharon Lewis Menton

Title

Director/Ceo

Phone

(770) 879-5507

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1304208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304208000000",
    "number": "1013208651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1603 HIDDEN HILLS PKWY",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300883815",
            "telephone_number": "770-879-5507",
            "fax_number": "678-691-4082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1603 HIDDEN HILLS PKWY",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300883815",
            "telephone_number": "770-879-5507",
            "fax_number": "678-691-4082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANT SERVICES FOR THE DISABLED , INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-01",
        "last_updated": "2011-05-01",
        "status": "A",
        "authorized_official_last_name": "MENTON",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "LEWIS",
        "authorized_official_title_or_position": "DIRECTOR/CEO",
        "authorized_official_telephone_number": "770-879-5507",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "044-01-396-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "#032168215B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandeep D Goswami, NP
• Edward Marvin Gotlieb, MD
• Jaquelin Smith Gotlieb, MD
• Grace Medical Institute
• Jarred Augustus Graham, DDS
• Monique F Gray, PH.D.
• Natolie Nicole Gray, LPC
• Phyllis Myra Grayson, R.PH.
• Greater Atlanta Pediatrics PC
• Green Mind Behavioral Health Services LLC

• All providers in Stone Mountain, GA
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.