Generations Health Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

MHL 083 033 Issued in NC

Legal business name

GENERATIONS HEALTH SERVICES

Practice address

911 Atkinson St
Laurinburg, NC 28352-4718

Phone

(910) 291-9909

Fax

(910) 291-9913

NPI assigned

Jul 10, 2008

Organization subpart

No

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

Authorized official

Name

Agyenim Akuamoah-Boateng, LPC LCAS

Title

Program Director

Phone

(910) 291-9909

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Generations Health Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Generations Health Services

  • Psychiatry Physician
  • Laurinburg, NC
  • NPI 1215103650
  NPD tax ID

Locations

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

{
    "created_epoch": "1215648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216252800000",
    "number": "1376706200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1887",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283531887",
            "telephone_number": "910-291-9909",
            "fax_number": "910-291-9913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 ATKINSON ST",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283524718",
            "telephone_number": "910-291-9909",
            "fax_number": "910-291-9913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERATIONS HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-10",
        "last_updated": "2008-07-17",
        "status": "A",
        "authorized_official_last_name": "AKUAMOAH-BOATENG",
        "authorized_official_first_name": "AGYENIM",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "910-291-9909",
        "authorized_official_credential": "LPC LCAS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL 083 033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8302175Q",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8302175",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• G Gibson McCall, III, DDS, PLLC
• Nisma Gabr, OD
• Grace Liem Galloway, NP, PHD
• Leatha Garrison
• Generations Health Services
• Ruby Apolinario Geronimo, NP-C
• Timothy Pius Gibble, M.D.
• Donna Edge Gibson, FNP-BC
• Gwendolyn Thomas Gilchrist, LCSWA
• Michelle Gilchrist, FNP

• Community/Behavioral Health Agency in Laurinburg, NC
• Providers in Laurinburg, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2008; 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.