Brent Dillin Temple, LMSW

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

MSW006037 Issued in GA

Practice address

9249 Highway 29 North
Athens, GA 30601

Phone

(706) 788-0188

NPI assigned

May 15, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1431648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431648000000",
    "number": "1295113769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "194 TIBBETTS ST",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306012352",
            "telephone_number": "706-372-9687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9249 HIGHWAY 29 NORTH",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "30601",
            "telephone_number": "706-788-0188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEMPLE",
        "first_name": "BRENT",
        "middle_name": "DILLIN",
        "name_prefix": "Mr.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-15",
        "last_updated": "2015-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "GA",
            "license": "MSW006037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neill Oliver Taylor, M.D.
• Sarah Grace Taylor
• Schenea Taylor, RN
• Teakay Merit, Inc.
• Adam M Teisch
• Daniel W. Tench, M.D.
• Ivey Reeves Tenny, BCBA
• Katie Terrell
• David Alejandro Terrero Rodriguez, MD, PHD
• Ronald Lynn Terry, M.D.

• Case Manager/Care Coordinator in Athens, GA
• Providers in Athens, GA by specialty
• Case Manager/Care Coordinator in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2015; 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.