Ghm2012 Corp.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

GHM2012 CORP.

Practice address

700 Sunset Dr Ste 302
Athens, GA 30606-7721

Phone

(404) 775-5755

NPI assigned

Apr 12, 2023

Organization subpart

No

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

Authorized official

Name

Rebecca Bloomfield Kubin

Title

Owner

Phone

(404) 775-5755

Specialties & licenses 1

Addresses

Other names 1

• Ellie Mental Health Athens Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1681257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681257600000",
    "number": "1245926427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2522 PARKSIDE DR NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303053732",
            "telephone_number": "404-775-5755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 SUNSET DR STE 302",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306067721",
            "telephone_number": "404-775-5755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GHM2012 CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-12",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A",
        "authorized_official_last_name": "KUBIN",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "BLOOMFIELD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-775-5755"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ellie Mental Health Athens",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Geriatrica, LLC
• Barbara Geter, PHD
• Getting Real Counseling Center
• Vaishnavi Ghantasala, M.D
• Patricia Elena Ghattas Hasbun, MD
• Nicole Gibbs
• Patricia Gibby, RN
• James Gibson, FNP
• Joel Herman Gibson Jr., LPC
• Staci Gibson, ST

• Clinical Social Worker in Athens, GA
• Providers in Athens, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; 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.