NPIMap

Organization Active NPI

Great Expectations Unlimited, LLC

  • Community/Behavioral Health Agency
  • Warner Robins, GA
National Provider Identifier
1184865339
Registry record updated Mar 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
424986876A Issued in GA
Legal business name
GREAT EXPECTATIONS UNLIMITED, LLC
Practice address
309 Corder Rd, Ste 1
Warner Robins, GA 31088-3645
Phone
(478) 293-4880
Fax
(478) 293-4874
NPI assigned
Mar 18, 2009
Last updated
Mar 15, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2016

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

Authorized official

Name
Ms. Brenda Williams, MSW
Title
Ceo
Phone
(202) 271-2110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 424986876A GA Primary

Addresses

Primary practice location

309 Corder Rd, Ste 1
Warner Robins, GA 31088-3645

Mailing address

306 Corder Rd Ste 1
Warner Robins, GA 31088-3645
Phone (478) 293-4880

Other identifiers 1

IdentifierTypeStateIssuer
424986876AMedicaidGA

Other names 1

  • Great Expectations Unlimited, LLC Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1237334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458000000000",
    "number": "1184865339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 CORDER RD STE 1",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310883645",
            "telephone_number": "478-293-4880",
            "fax_number": "478-293-4874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 CORDER RD, STE 1",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310883645",
            "telephone_number": "478-293-4880",
            "fax_number": "478-293-4874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT EXPECTATIONS UNLIMITED, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-18",
        "last_updated": "2016-03-15",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "202-271-2110",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "424986876A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "424986876A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Great Expectations Unlimited, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Warner Robins, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.