Active NPI
Genniene Lynett Dollison
- Adult Companion
- Morrow, GA
National Provider Identifier
1497095665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Companion
- Practice address
- 7071 Stephens CT
Morrow, GA 30260-3236 - Phone
- (404) 901-4108
- NPI assigned
- Feb 25, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Companion | 372600000X | Primary | ||
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
7071 Stephens CT
Morrow, GA 30260-3236
Mailing address
7071 Stephens CT
Morrow, GA 30260-3236
Phone (404) 901-4108
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 771094 | Other | GA | DEFENSIVE DRIVER CERTIFICATION |
Other names 1
- Ms. Genniene Lynett Simon
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441238400000",
"number": "1497095665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7071 STEPHENS CT",
"city": "MORROW",
"state": "GA",
"postal_code": "302603236",
"telephone_number": "404-901-4108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7071 STEPHENS CT",
"city": "MORROW",
"state": "GA",
"postal_code": "302603236",
"telephone_number": "404-901-4108"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOLLISON",
"first_name": "GENNIENE",
"middle_name": "LYNETT",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-02-25",
"last_updated": "2015-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": null,
"license": null,
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEFENSIVE DRIVER CERTIFICATION",
"identifier": "771094",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "GENNIENE",
"last_name": "SIMON",
"middle_name": "LYNETT",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Morrow, GA
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- Jessica Carmelita Diggs, MD
- Barbara Ann Dixon
- Timothy Nguyen DO, DMD
- Latisha Sonia Dollison
- Donerlson-McCullough Dental Center
- Han Ngoc Dong, N.P.
- Leslie Yvette Dorsey, MD
- Ramneek Kaur Dosanjh, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.