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)CodeLicenseStatePrimary
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 2, 2019.

{
    "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

All providers in Athens, GA · Home Health Agency in Georgia

Sources for this page

Verify at the official NPI Registry.