Allwell Behavioral

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

056058 Issued in GA

Legal business name

ALLWELL BEHAVIORAL

Practice address

501 Osigian Blvd
Ste a
Warner Robins, GA 31088-8928

Phone

(478) 333-6711

Fax

(478) 333-6730

NPI assigned

Mar 24, 2008

Last updated

May 20, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Babatunde Francis Fagbamiye, MD

Title

President

Phone

(478) 333-6711

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Heather W Prunty, LPC

  • Professional Counselor
  • Warner Robins, GA
  • NPI 1881028215
  NPD (past)

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

{
    "created_epoch": "1206316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274313600000",
    "number": "1790957348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2144",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310992144",
            "telephone_number": "478-333-6711",
            "fax_number": "478-333-6730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 OSIGIAN BLVD",
            "address_2": "STE A",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310888928",
            "telephone_number": "478-333-6711",
            "fax_number": "478-333-6730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLWELL BEHAVIORAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-24",
        "last_updated": "2010-05-20",
        "status": "A",
        "authorized_official_last_name": "FAGBAMIYE",
        "authorized_official_first_name": "BABATUNDE",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "478-333-6711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "056058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2328379",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITEDBEHAVIORAL",
            "identifier": "312991812",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "600020201",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "742988049B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leigh Ann Allen, OCCUPATIONAL THERAPY
• Nakia Allen, APRN-
• Tammy Louise Allen, LPN
• Lisa Kim Alligood, LPN
• Alloutwell LLC
• Gretchen Nicole Almeida, PMHNP-BC
• Mousa Alwawi, MD
• Ama Wellness, LLC
• Ambrose Pediatric Dentistry of Warner Robins, LLC
• Sara Ambrose, FNP

• Psychiatry Physician in Warner Robins, GA
• Providers in Warner Robins, GA by specialty
• Psychiatry Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2010; 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.