Give Kindness Wing

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

GIVE KINDNESS WING

Practice address

18 S Main St
Moultrie, GA 31768-4573

Phone

(229) 985-0090

Fax

(229) 396-4605

NPI assigned

Sep 28, 2020

Last updated

Mar 22, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jessica Kayla Purvis, LCSW

Title

Owner

Phone

(229) 985-0090

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1601251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616371200000",
    "number": "1407463177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3795",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317763795",
            "telephone_number": "229-985-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 S MAIN ST",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317684573",
            "telephone_number": "229-985-0090",
            "fax_number": "229-396-4605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIVE KINDNESS WING",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-28",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A",
        "authorized_official_last_name": "PURVIS",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "KAYLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "229-985-0090",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "givekindnesswings@outlook.com",
            "affiliation": "N",
            "endpointDescription": "Secured Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "911 Main St S",
            "city": "Tifton",
            "state": "GA",
            "country_code": "US",
            "postal_code": "317944867",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Community/Behavioral Health Agency in Moultrie, GA
• Providers in Moultrie, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2021; 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.