Greater Tomorrow Wellness, LLC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

50.0034 Issued in OH

Legal business name

GREATER TOMORROW WELLNESS, LLC

Practice address

1097 W Locust St
Wilmington, OH 45177

Phone

(937) 556-6083

NPI assigned

Feb 15, 2018

Organization subpart

No

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

Authorized official

Name

Carrie Fairchild, PA-C

Title

Coo

Phone

(937) 725-5754

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kimberly Dawn Speaks, RN

  • Addiction (Substance Use Disorder) Registered Nurse
  • Wilmington, OH
  • NPI 1942702295
  NPD (past)

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

{
    "created_epoch": "1518652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528848000000",
    "number": "1740780865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1097 W LOCUST ST",
            "city": "WILMINGTON",
            "state": "OH",
            "postal_code": "451772006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1097 W LOCUST ST",
            "city": "WILMINGTON",
            "state": "OH",
            "postal_code": "45177",
            "telephone_number": "937-556-6083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER TOMORROW WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-15",
        "last_updated": "2018-06-13",
        "status": "A",
        "authorized_official_last_name": "FAIRCHILD",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "937-725-5754",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.0034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1346514973",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1386037554",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donna Gosney
• Laura Smith Grace
• Deborah Jean Grant
• Lori A Grant, LSW
• Greater Tomorrow Health, LLC
• Connie Green, CDCA. QBHS
• Kristen Leigh Greenawalt, BS PHARM
• Greene Memorial Hospital Services, Inc
• Stephanie Jill Greene, APRN-BC
• Stephanie Lynn Greene

• Physician Assistant in Wilmington, OH
• Providers in Wilmington, OH by specialty
• Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2018; 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.