Organization Active NPI

Positive Innovations, LLC

  • Professional Counselor
  • Macon, GA
National Provider Identifier
1215414347
Registry record updated Aug 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC4981 Issued in GA
Legal business name
POSITIVE INNOVATIONS, LLC
Practice address
433 Cherry St Ste 17
Macon, GA 31201-7941
Phone
(478) 305-7139
Fax
(877) 588-3445
NPI assigned
Jul 21, 2018
Last updated
Aug 14, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2020

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

Authorized official

Name
Dr. Nashunda Carr, PSYDNPI 1407007479
Title
Ceo
Phone
(915) 301-0174

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X LPC4981 GA
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X LPC4981 GA Primary

Addresses

Primary practice location

433 Cherry St Ste 17
Macon, GA 31201-7941

Mailing address

PO Box 382
Macon, GA 31202-0382
Phone (478) 787-3447

National Provider Directory

National Provider Directory

Locations

433 Cherry St
Ste 17
Macon, GA 31201
Phone (478) 305-7139

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": "1532131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597363200000",
    "number": "1215414347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 382",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312020382",
            "telephone_number": "478-787-3447",
            "fax_number": "877-588-3445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 CHERRY ST STE 17",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312017941",
            "telephone_number": "478-305-7139",
            "fax_number": "877-588-3445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POSITIVE INNOVATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-21",
        "last_updated": "2020-08-14",
        "certification_date": "2020-08-14",
        "status": "A",
        "authorized_official_last_name": "CARR",
        "authorized_official_first_name": "NASHUNDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "915-301-0174",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "GA",
            "license": "LPC4981",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC4981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2020; 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.