Fontonya Myrick, CERT HAIR LOSS SPEC

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

Practice address

330 Arrowhead Blvd
Apt. 18a
Jonesboro, GA 30236-1105

Phone

(470) 216-8183

NPI assigned

Feb 26, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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 and National Provider Directory roles.

• Heal and Grow, LLC

  • Prosthetics Case Management
  • Jonesboro, GA
  • NPI 1902298003
  NPD (past) Authorized official

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

{
    "created_epoch": "1424908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424908800000",
    "number": "1760874853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 ARROWHEAD BLVD",
            "address_2": "APT. 18A",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302361105",
            "telephone_number": "470-216-8183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 ARROWHEAD BLVD",
            "address_2": "APT. 18A",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302361105",
            "telephone_number": "470-216-8183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYRICK",
        "first_name": "FONTONYA",
        "credential": "CERT HAIR LOSS SPEC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-26",
        "last_updated": "2015-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Murrell Social Services Network
• Janet Musser Granski
• Abby M Myers, PH.D.
• Dana Myers, LCSW
• Joy L Myers, MD
• Linda R Myrick, CNP
• Divya Nadella
• Heather Naquin, RDN
• Fathemat Z Nauzo, M.D.
• Rahul S Nayak, MD

• Prosthetics Case Management in Jonesboro, GA
• Providers in Jonesboro, GA by specialty
• Prosthetics Case Management in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2015; 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.