Ken Wilson

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

KEN WILSON

Doing business as

Dba Concern: Eap

Practice address

2610 Commons Blvd
Augusta, GA 30909-2080

Phone

(706) 667-2353

Fax

(706) 667-2303

NPI assigned

Aug 21, 2007

Last updated

Jun 23, 2008By 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

Mrs. Jessica Wilson Epps, M.S.W.

Title

Clinical Director

Phone

(706) 667-2353

Specialties & licenses 1

Addresses

Other names 1

• DBA CONCERN: EAP Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marcel Payne, LCSW

  • Addiction (Substance Use Disorder) Counselor
  • Augusta, GA
  • NPI 1821578147
  NPD (past)
• Ken Wilson

  • Addiction (Substance Use Disorder) Counselor
  • Augusta, GA
  • NPI 1104223999
  NPD (past)
• Jessica Wilson Worsham, LCSW

  • Clinical Social Worker
  • Augusta, GA
  • NPI 1407135536
  NPD (past)

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1447443668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2610 COMMONS BLVD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309092080",
            "telephone_number": "706-667-2353",
            "fax_number": "706-667-2303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2610 COMMONS BLVD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309092080",
            "telephone_number": "706-667-2353",
            "fax_number": "706-667-2303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEN WILSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-21",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "EPPS",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "WILSON",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "706-667-2353",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S.W."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBA CONCERN: EAP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Richard Jean Kelly, M.D.
• Cathy Kelsey, ED.S
• Jaunita Katherine Kemmeling, PA
• Lauren Bush Kemp, AUDIOLOGIST
• Brendan Kemple, MD
• Dorian Kendall
• Joseph Kendra
• Chasity Kendrick
• Sharon Lynn Kendrick, RN
• Vivian Nchinda Kenmoe, D.O

• Case Management Agency in Augusta, GA
• Providers in Augusta, GA by specialty
• Case Management Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.