Dysell Swans

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

ADC000328 Issued in GA

Practice address

2906 Evans Mill Rd Ste a
Stonecrest, GA 30038-2445

Phone

(678) 577-1111

NPI assigned

Dec 4, 2023

Sex

Female

Sole proprietor

Yes

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

State licenses

Practice roles

Locations

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.

• Majer Greatness Inc

  • Adult Day Care Clinic/Center
  • Stonecrest, GA
  • NPI 1720854557

  Adult Day Care

  NPD Authorized official

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

{
    "created_epoch": "1701648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1811763535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 EVANS MILL RD STE 330",
            "city": "STONECREST",
            "state": "GA",
            "postal_code": "300382481",
            "telephone_number": "678-577-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2906 EVANS MILL RD STE A",
            "city": "STONECREST",
            "state": "GA",
            "postal_code": "300382445",
            "telephone_number": "678-577-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANS",
        "first_name": "DYSELL",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-04",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "GA",
            "license": "ADC000328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Antonio Jahron Saunders
• Annie R Slayton
• Kadijah S Smith, DDS
• Kamal Jackson Smith, DDS
• Shelida Stuart Johnson, MA, NCC, LPC
• Therapyworks Counseling Coaching and Consulting
• Robin Nicole Tube
• Walgreen Co
• Cheryl Walker, CNA
• Nikita Waller, CNIM

• All providers in Stonecrest, GA
• Adult Day Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; 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.