Kini Spady

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Practice address

5050 Warm Springs Rd BLDG 3
Columbus, GA 31909-6953

Phone

(706) 221-1114

Fax

(706) 221-1102

NPI assigned

Oct 5, 2017

Sex

Female

Sole proprietor

Yes

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

Locations

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.

• Serenity Adult Day & Wellness Center LLC

  • Adult Day Care Clinic/Center
  • Columbus, GA
  • NPI 1487436234
  NPD

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

{
    "created_epoch": "1507161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507161600000",
    "number": "1386154292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 4TH ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200591003",
            "telephone_number": "202-870-7985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 WARM SPRINGS RD BLDG 3",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319096953",
            "telephone_number": "706-221-1114",
            "fax_number": "706-221-1102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPADY",
        "first_name": "KINI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-05",
        "last_updated": "2017-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southern Physician Medicine Services LLC
• Southwestern Pathology Associates, LLC
• Shawn Souvenir, B.S.
• Sovereign House of Respite, LLC
• Sozo Christian Counseling
• Sophia Rose Spano, CFY-SLP
• Sparks Counseling Services
• Ashley Sparks
• Monica Faye Sparks, LPC
• Zachary Kyle Sparks, LPC

• Adult Day Care Clinic/Center in Columbus, GA
• Providers in Columbus, GA by specialty
• Adult Day Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2017; 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.