The Southern Center of Hope and Wellness

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

THE SOUTHERN CENTER OF HOPE AND WELLNESS

Practice address

4210 Columbia Rd Ste 5a
Columbia Professional Center
Martinez, GA 30907-0453

Phone

(706) 288-7735

NPI assigned

Dec 14, 2013

Organization subpart

No

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

Authorized official

Name

Natika Brooks

Title

Business Manager

Phone

(706) 288-7735

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1386979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386979200000",
    "number": "1710308994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4210 COLUMBIA RD STE 5A",
            "address_2": "COLUMBIA PROFESSIONAL CENTER",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309070453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4210 COLUMBIA RD STE 5A",
            "address_2": "COLUMBIA PROFESSIONAL CENTER",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309070453",
            "telephone_number": "706-288-7735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SOUTHERN CENTER OF HOPE AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-14",
        "last_updated": "2013-12-14",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "NATIKA",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "706-288-7735"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yolonde Renee Taylor, M.S., SLP-CCC
• Teferi Tekle, PHARM D
• Chandria Tenaye Tenpenny
• The Kroger Co
• The Place at Martinez, LLC
• Khashiaya Thomas
• Aubreyanna Thompson
• Brian Thompson
• Mary Lu Thompson, M.D.
• Benjamin C Timmerman, DMD

• Psychiatry Physician in Martinez, GA
• Providers in Martinez, GA by specialty
• Psychiatry Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2013; 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.