India Ganaway

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

Practice address

85 Serena CT
Covington, GA 30016-7330

Phone

(734) 772-7174

NPI assigned

Nov 12, 2018

Sex

Female

Sole proprietor

No

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Radiant Living Home Care LLC

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  • Okemos, MI
  • NPI 1427905223
  NPD Authorized official

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

{
    "created_epoch": "1541980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541980800000",
    "number": "1366910002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 SERENA CT",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300167330",
            "telephone_number": "734-772-7174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 SERENA CT",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300167330",
            "telephone_number": "734-772-7174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANAWAY",
        "first_name": "INDIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-12",
        "last_updated": "2018-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa R Fulford
• Allison Paige Gallagher
• Leticia L Gallemore
• Gamble Dentalsmart, PC
• Alyssa Gamble, M.D.
• Nidhi Bhalesh Gandhi
• Kathleen Hurlbut Gangl, CRNA
• Khira Hope Gantt, RPH
• Courtney N Gardner
• Lorese R Garfield

• Occupational Therapy Assistant in Covington, GA
• Providers in Covington, GA by specialty
• Occupational Therapy Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2018; 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.