Individual provider Active NPI

Ngoneh Gaye-Bullard

  • Social Worker
  • Atlanta, GA
National Provider Identifier
1104216373
Registry record updated Jan 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
MSW006339 Issued in GA
Practice address
3207 Post Woods Dr
B
Atlanta, GA 30339-3445
Phone
(401) 263-6467
NPI assigned
Jan 27, 2015
Last updated
Jan 27, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X MSW006339 GA Primary

Addresses

Primary practice location

3207 Post Woods Dr
B
Atlanta, GA 30339-3445

Mailing address

3207 Post Woods Dr
B
Atlanta, GA 30339-3445
Phone (401) 263-6467

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180801000843 GA Practitioner - Clinical Social Worker 5890043277 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
May accept Medicare assignment
Group practices
Better Self, LLCGroup PAC ID 5092063479, 2 clinicians

Practice addresses (Care Compare)

6268 Oakdale Rd SE
Mableton, GA 30126-2836
Phone (401) 263-6467

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MSW006339GAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Betterself Community Care LLC CurrentSince Mar 27, 2019 Accepting new patients
Better Self LLC CurrentSince Apr 2, 2018 Accepting new patients

Locations

8321 Office Park Dr
Douglasville, GA 30134
Phone (404) 243-6600

6268 Oakdale Rd SE
Mableton, GA 30126
Phone (401) 263-6467

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1422316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422316800000",
    "number": "1104216373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3207 POST WOODS DR",
            "address_2": "B",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303393445",
            "telephone_number": "401-263-6467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3207 POST WOODS DR",
            "address_2": "B",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303393445",
            "telephone_number": "401-263-6467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAYE-BULLARD",
        "first_name": "NGONEH",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-27",
        "last_updated": "2015-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "GA",
            "license": "MSW006339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.