Organization Active NPI

New Progressions, LLC

  • Community/Behavioral Health Agency
  • Greensboro, NC
National Provider Identifier
1164726634
Registry record updated Nov 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
NEW PROGRESSIONS, LLC
Practice address
620 Guilford College Rd
G
Greensboro, NC 27409-2292
Phone
(336) 254-6770
Fax
(336) 292-1589
NPI assigned
Dec 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2011

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

Authorized official

Name
Mr. Geovon Kenane Martin
Title
Ceo/Director
Phone
(336) 254-6770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

620 Guilford College Rd
G
Greensboro, NC 27409-2292

Mailing address

620 Guilford College Rd
G
Greensboro, NC 27409-2292
Phone (336) 254-6770

Other identifiers 1

IdentifierTypeStateIssuer
3410135MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151222000774 GA Part B Supplier - Clinic/Group Practice 4284818857 Receives reassigned benefits from 1 practitioner
Practice locations: Atlanta, GA

National Provider Directory

National Provider Directory
Tax ID family
G D Residential Services LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1293408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321401600000",
    "number": "1164726634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 GUILFORD COLLEGE RD",
            "address_2": "G",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274092292",
            "telephone_number": "336-254-6770",
            "fax_number": "336-292-1589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 GUILFORD COLLEGE RD",
            "address_2": "G",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274092292",
            "telephone_number": "336-254-6770",
            "fax_number": "336-292-1589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW PROGRESSIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-27",
        "last_updated": "2011-11-16",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "GEOVON",
        "authorized_official_middle_name": "KENANE",
        "authorized_official_title_or_position": "CEO/DIRECTOR",
        "authorized_official_telephone_number": "336-254-6770",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3410135",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.