Ayesha Treachea Hawkins, MS-HUMAN BEHAVIOR

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

4645 Jackybell TRL
Decatur, GA 30034-6350

Phone

(470) 253-5529

NPI assigned

Mar 12, 2015

Last updated

Jul 31, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• 5678Dancenow.Inc

  • Case Management Agency
  • Forest Park, GA
  • NPI 1699372094

  Multi-Specialty

  NPD

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

{
    "created_epoch": "1426118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564531200000",
    "number": "1609269828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4645 JACKYBELL TRL",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300346350",
            "telephone_number": "470-253-5529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4645 JACKYBELL TRL",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300346350",
            "telephone_number": "470-253-5529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWKINS",
        "first_name": "AYESHA",
        "middle_name": "TREACHEA",
        "name_prefix": "Mrs.",
        "credential": "MS-HUMAN BEHAVIOR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-12",
        "last_updated": "2019-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "103TE1100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Exercise & Sports",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haven House Counseling Center, LLC
• Haven of Safety, Inc.
• Havenoaks Services, Inc (Synergy HomeCare of Metro Atlanta)
• Pamela Hawes
• Alasia Hawkins
• Caroline Hawkins, MPH,APRN-BC
• Deborah Greene Hawkins, APRN,BC
• Heather Needham Hawkins, L.C.S.W.
• Kameshia Hawkins, CAMS
• Victoria Hawley

• Case Manager/Care Coordinator in Decatur, GA
• Providers in Decatur, GA by specialty
• Case Manager/Care Coordinator in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2019; 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.