Jimmie Denson
Individual provider Active NPI Community/Behavioral Health Agency · La Fayette, GA
NPI 1801433974 · NPPES record last updated Dec 7, 2019
Key facts
- NPI
- 1801433974
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Practice address
- 894 Kemp Rd
La Fayette, GA 30728-5016 - Phone
- (423) 991-0034
- NPI assigned
- Dec 7, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| Lookout Mountain Community Services | Community/Behavioral Health | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | GA | Yes |
Addresses
Primary practice location
894 Kemp Rd
La Fayette, GA 30728-5016
Mailing address
501 Mize St
La Fayette, GA 30728-3346
Phone (423) 991-0034
Other providers in La Fayette, GA
- Leila Clark
- Consistent Care Family Practice
- Countryside Hospice Care Inc
- Gwendolyn Abe De Leon
- Amanda Francis Deal
- Dialysis Clinic Inc.
- Courtney Durham
- Shelby Leigh Eaton
- Pamela Edgeman
- Taylor Elliott
All providers in La Fayette, GA · Community/Behavioral Health Agency in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 7, 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.