Active NPI
Healing Our Village of Maryland, Inc.
- Multi-Specialty Clinic/Center
- Jonesboro, GA
National Provider Identifier
1699188367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- HEALING OUR VILLAGE OF MARYLAND, INC.
- Practice address
- 177 N Main St
Jonesboro, GA 30236-3567 - Phone
- (800) 788-0941
- NPI assigned
- Jun 10, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lenore Coleman, PHARMD
- Title
- President
- Phone
- (703) 795-1983
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Psychologist | 103TH0100X | |||
| Home Health Agency | 251E00000X | |||
| Community/Behavioral Health Agency | 251S00000X | |||
| Multi-Specialty Clinic/Center | 261QM1300X | Primary | ||
| Podiatric Clinic/Center | 261QP1100X |
Addresses
Primary practice location
177 N Main St
Jonesboro, GA 30236-3567
Mailing address
405 Benjamin Cir
Fayetteville, GA 30214-3346
National Provider Directory
National Provider DirectoryLocations
4751 Best Rd
Ste 400
Atlanta, GA 30337
Phone (404) 766-2272
177 N Main St
Jonesboro, GA 30236
Phone (678) 855-6535
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physician Assistant
- San Jose, CA
- NPI 1346530029
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402358400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1749427200000",
"number": "1699188367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 BENJAMIN CIR",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302143346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "177 N MAIN ST",
"city": "JONESBORO",
"state": "GA",
"postal_code": "302363567",
"telephone_number": "800-788-0941"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALING OUR VILLAGE OF MARYLAND, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2014-06-10",
"last_updated": "2025-06-09",
"certification_date": "2025-06-09",
"status": "A",
"authorized_official_last_name": "COLEMAN",
"authorized_official_first_name": "LENORE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "703-795-1983",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "103TH0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Health Service",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QP1100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Podiatric",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jonesboro, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.