The Village of Sacred Melanin

Primary specialty

DoulaTaxonomy code 374J00000X

Legal business name

THE VILLAGE OF SACRED MELANIN

Doing business as

Sacred Melanin

Practice address

1061 Harmon Ave
Fort Stewart, GA 31314-5641

Phone

(912) 435-6633

NPI assigned

Sep 26, 2024

Organization subpart

No

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

Authorized official

Name

Satin Gordon, CLDNPI 1790526192

Title

Doula

Phone

(352) 362-8175

Specialties & licenses 1

Addresses

Other names 1

• Sacred Melanin Doing business as

Locations

Practitioners 1

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

• Satin Gordon

  • Doula
  • Gainesville, FL
  • NPI 1790526192
  NPD Authorized official

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

{
    "created_epoch": "1727308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727308800000",
    "number": "1861210130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "946 ELMA G MILES PKWY STE 1011006",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "313138076",
            "telephone_number": "352-362-8175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1061 HARMON AVE",
            "city": "FORT STEWART",
            "state": "GA",
            "postal_code": "313145641",
            "telephone_number": "912-435-6633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE VILLAGE OF SACRED MELANIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-26",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "SATIN",
        "authorized_official_title_or_position": "DOULA",
        "authorized_official_telephone_number": "352-362-8175",
        "authorized_official_credential": "CLD"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sacred Melanin",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gabrielle Tatro
• Casey Amanda Taylor-Racinelli, PA-C
• Graham Taylor, PA-C
• Robert Taylor, MEDIC
• Baxter Dixon Tharin, M.D.
• Mark Thelen, PT
• Cynthia L Thomas-Smith, R.N.
• Joshua Thomas, DMD
• Kelly Denise Thomas, MD
• Lorn Regan Thomas

• Doula in Fort Stewart, GA
• Providers in Fort Stewart, GA by specialty
• Doula in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; 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.