Organization Active NPI

Pathways to Healing LLC

  • Clinic/Center
  • Greensboro, GA
National Provider Identifier
1386834372
Registry record updated Jul 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
02351 Issued in GA
Legal business name
PATHWAYS TO HEALING LLC
Practice address
1022 Founders Row
Greensboro, GA 30642-5260
Phone
(706) 454-2040
Fax
(706) 454-2050
NPI assigned
Jul 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2011

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

Authorized official

Name
Dr. Ramona D Warren, D.C.
Title
President/Owner
Phone
(706) 454-2040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 02351 GA Primary

Addresses

Primary practice location

1022 Founders Row
Greensboro, GA 30642-5260

Mailing address

1022 Founders Row
Greensboro, GA 30642-5260
Phone (706) 454-2040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110901000227 GA Part B Supplier - Clinic/Group Practice 4587834460 Receives reassigned benefits from 1 practitioner
Practice locations: Greensboro, GA

National Provider Directory

National Provider Directory

Locations

1022 Founders Row
Greensboro, GA 30642
Phone (706) 454-2040

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309478400000",
    "number": "1386834372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 FOUNDERS ROW",
            "city": "GREENSBORO",
            "state": "GA",
            "postal_code": "306425260",
            "telephone_number": "706-454-2040",
            "fax_number": "706-454-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1022 FOUNDERS ROW",
            "city": "GREENSBORO",
            "state": "GA",
            "postal_code": "306425260",
            "telephone_number": "706-454-2040",
            "fax_number": "706-454-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAYS TO HEALING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-26",
        "last_updated": "2011-07-01",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "RAMONA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "706-454-2040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "GA",
            "license": "02351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.