Donna T. Ginn, D MIN

Individual provider Active NPI Marriage & Family Therapist · Darien, GA

NPI 1184820649 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1184820649
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
02063556 (GA)
Practice address
112 Scott Ave
Darien, GA 31305-9733
Phone
(912) 437-2083
Fax
(912) 437-3375
NPI assigned
Jun 22, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
02063556GAMDMarriage & Family Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 02063556 GA Yes

Addresses

Primary practice location

112 Scott Ave
Darien, GA 31305-9733

Mailing address

RR 1 Box 1932
Townsend, GA 31331-9784
Phone (912) 437-2083

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184820649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 1 BOX 1932",
            "city": "TOWNSEND",
            "state": "GA",
            "postal_code": "313319784",
            "telephone_number": "912-437-2083",
            "fax_number": "912-437-3375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 SCOTT AVE",
            "city": "DARIEN",
            "state": "GA",
            "postal_code": "313059733",
            "telephone_number": "912-437-2083",
            "fax_number": "912-437-3375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GINN",
        "first_name": "DONNA",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "D MIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "02063556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Darien, GA

All providers in Darien, GA · Marriage & Family Therapist in Georgia

Sources for this page

Verify at the official NPI Registry.