Ayanna D Williams
Individual provider Active NPI Community Health Worker · College Park, GA
NPI 1700433646 · NPPES record last updated Aug 26, 2019
Key facts
- NPI
- 1700433646
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 1919 John Wesley Ave
College Park, GA 30337-3605 - Phone
- (404) 762-9190
- Fax
- (404) 762-9101
- NPI assigned
- Aug 26, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Odyssey Family Counseling Center Corporation | Current |
Accepting new patients |
Locations
1919 John Wesley Ave
College Park, GA 30337
Phone (404) 762-9190
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/odysseycounseling/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Yes |
Addresses
Primary practice location
1919 John Wesley Ave
College Park, GA 30337-3605
Mailing address
1919 John Wesley Ave
College Park, GA 30337-3605
Phone (404) 762-9190
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | hivtesting@odysseycounseling.org |
Other providers in College Park, GA
- Johnny H White
- Laquanda Shuntay White
- Jessica Whitfield
- Marquitta Whitfield
- Marie Wilbert
- Michelle Dyneicia Williams
- Reginald D Williams Sr.
- Stephen Philip Williams
- Uton Williams
- Amanda Wilson
All providers in College Park, GA · Community Health Worker in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 26, 2019. 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.