Averett Healthcare LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

AVERETT HEALTHCARE LLC

Practice address

6303 Ashwood Dr
Columbus, GA 31904-3053

Phone

(706) 442-6394

Fax

(706) 221-8649

NPI assigned

Aug 26, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Richard Lee Averett Jr.

Title

Owner

Phone

(706) 442-6394

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1409011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409011200000",
    "number": "1386044584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1091",
            "city": "FORTSON",
            "state": "GA",
            "postal_code": "318081091",
            "telephone_number": "706-442-6394",
            "fax_number": "706-221-8649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6303 ASHWOOD DR",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319043053",
            "telephone_number": "706-442-6394",
            "fax_number": "706-221-8649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVERETT HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-26",
        "last_updated": "2014-08-26",
        "status": "A",
        "authorized_official_last_name": "AVERETT",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-442-6394",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ka'Bria Salontae Austin, RBT
• Tammy Austin, LCSW
• Autism Therapeutic Services
• Autism Therapeutic Services
• Emily Rhodes Avera, M.A., BCBA
• Denise Michelle Averett, CEO
• Devonte Bernard Averett
• Marie Ellen Avery
• Aviana LLC
• Ken Yangyang Avila, APRN, FNP-C

• All providers in Columbus, GA
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2014; 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.