Ga Champion Project Inc

Primary specialty

CounselorTaxonomy code 101Y00000X

License

0000000000 Issued in GA

Legal business name

GA CHAMPION PROJECT INC

Practice address

7651 Tara Blvd
Suite 2000
Jonesboro, GA 30236-7322

Phone

(770) 210-8484

NPI assigned

Sep 24, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Michael Winfree

Title

Program Administrator

Phone

(770) 413-1690

Specialties & licenses 1

Addresses

Other names 1

• NA Former legal business name

Locations

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

{
    "created_epoch": "1253750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253750400000",
    "number": "1043544968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7651 TARA BLVD",
            "address_2": "SUITE 2000",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302367322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7651 TARA BLVD",
            "address_2": "SUITE 2000",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302367322",
            "telephone_number": "770-210-8484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GA CHAMPION PROJECT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-24",
        "last_updated": "2009-09-24",
        "status": "A",
        "authorized_official_last_name": "WINFREE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PROGRAM ADMINISTRATOR",
        "authorized_official_telephone_number": "770-413-1690",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "GA",
            "license": "0000000000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Robert Mason Frisbie, D.C.
• Kenny M Frontin, MD
• Full Spectrum Counseling Services LLC
• Latesha Funches
• Future Success Service
• Renata Gabriel
• Gabriels Recreational Center, LLC
• Myrna Gacusan
• Gardens of Grace Living Facility
• Gayla Darnell Gates, MD

• Counselor in Jonesboro, GA
• Providers in Jonesboro, GA by specialty
• Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2009; 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.