NPIMap

Organization Active NPI

Evergreen Geriatric Care Management, LLC

  • Health Maintenance Organization
  • Augusta, GA
National Provider Identifier
1306116637
Registry record updated Jan 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
CSW004126 Issued in GA
Legal business name
EVERGREEN GERIATRIC CARE MANAGEMENT, LLC
Practice address
1521 Stovall St
Augusta, GA 30904-6215
Phone
(706) 288-5428
NPI assigned
Jan 3, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2012

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

Authorized official

Name
Ms. Eve Williams Pearson, LCSW, C-ASWCM
Title
Owner/Therapist
Phone
(706) 288-5428

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X CSW004126 GA
Health Maintenance Organization 302R00000X CSW004126 GA Primary
Preferred Provider Organization 305R00000X CSW004126 GA
Point of Service 305S00000X CSW004126 GA

Addresses

Primary practice location

1521 Stovall St
Augusta, GA 30904-6215

Mailing address

1521 Stovall St
Augusta, GA 30904-6215
Phone (706) 288-5428

Other names 1

  • Eve Pearson, LCSW Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1325548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325548800000",
    "number": "1306116637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 STOVALL ST",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309046215",
            "telephone_number": "706-288-5428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 STOVALL ST",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309046215",
            "telephone_number": "706-288-5428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN GERIATRIC CARE MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-03",
        "last_updated": "2012-01-03",
        "status": "A",
        "authorized_official_last_name": "PEARSON",
        "authorized_official_first_name": "EVE",
        "authorized_official_middle_name": "WILLIAMS",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "706-288-5428",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW, C-ASWCM"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "GA",
            "license": "CSW004126",
            "primary": false
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "GA",
            "license": "CSW004126",
            "primary": true
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "GA",
            "license": "CSW004126",
            "primary": false
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "GA",
            "license": "CSW004126",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eve Pearson, LCSW",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Augusta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2012; 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.