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
| License | State | Type | Specialty |
|---|---|---|---|
| 02063556 | GA | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
{
"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
- Gateway Behavioral Health Services
- Gateway Behavioral Health Services
- Gateway Behavioral Health Services
- Gateway Community Service Board
- Georgette a. Pronesti
- Golden Isles Coastal Medicine, LLC
- Sondra Shantel Graham
- Robert A Green
- Mark Allen Haddock
- Saajidah Harris
All providers in Darien, GA · Marriage & Family Therapist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.