Active NPI
New Progressions, LLC
- Community/Behavioral Health Agency
- Greensboro, NC
National Provider Identifier
1164726634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3410135 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- G D Residential Services LLC
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Illness Community Based Residential Treatment Facility
- Greensboro, NC
- NPI 1821294570
-
- Mental Illness Community Based Residential Treatment Facility
- Greensboro, NC
- NPI 1003012758
-
- Mental Illness Community Based Residential Treatment Facility
- Greensboro, NC
- NPI 1912103664
-
- Case Management Agency
- Greensboro, NC
- NPI 1962631622
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.
-
- Child & Adolescent Psychiatry Physician
- Atlanta, GA
- NPI 1801068507
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.