Dawanna Necoe Lawrence-Brightwell
Individual provider Active NPI Home Health Agency · Athens, GA
NPI 1346805652 · NPPES record last updated May 2, 2019
Key facts
- NPI
- 1346805652
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Agency 251E00000X
- Practice address
- 134 Herman St
Athens, GA 30601-3000 - Phone
- (770) 778-2269
- NPI assigned
- May 2, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Yes |
Addresses
Primary practice location
134 Herman St
Athens, GA 30601-3000
Mailing address
PO Box 315
Statham, GA 30666-0006
Phone (770) 778-2269
NPI Registry JSON
{
"created_epoch": "1556755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556755200000",
"number": "1346805652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 315",
"city": "STATHAM",
"state": "GA",
"postal_code": "306660006",
"telephone_number": "770-778-2269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "134 HERMAN ST",
"city": "ATHENS",
"state": "GA",
"postal_code": "306013000",
"telephone_number": "770-778-2269"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAWRENCE-BRIGHTWELL",
"first_name": "DAWANNA",
"middle_name": "NECOE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-02",
"last_updated": "2019-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Athens, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 2, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.