Precious A Brannon, PHD
Individual provider Active NPI Case Manager/Care Coordinator · Stone Mountain, GA
NPI 1609005198 · NPPES record last updated Feb 17, 2015
Key facts
- NPI
- 1609005198
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 3918 Dunaire Dr
Stone Mountain, GA 30083-4400 - Phone
- (404) 883-3244
- NPI assigned
- Jul 7, 2009
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Case Manager/Care Coordinator | 171M00000X | Yes | ||
| Contractor | 171W00000X |
Addresses
Primary practice location
3918 Dunaire Dr
Stone Mountain, GA 30083-4400
Mailing address
3918 Dunaire Dr
Stone Mountain, GA 30083-4400
Phone (404) 883-3244
Other providers in Stone Mountain, GA
- Garry Blake Bowden
- John W Boyer
- Theron Boykin
- Shannon Brabham
- Lisa Yvonne Bradshaw-Small
- Sandra Juliana Bravo-Patino
- Bridgepoint Homecare Agency
- Patrice Bridges
- Bridgewell Alliance, LLC
- Brighter Alternatives Home Care LLC
All providers in Stone Mountain, GA · Case Manager/Care Coordinator in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 17, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.