Kbsolutions and Behavioral Support Services

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

KBSOLUTIONS AND BEHAVIORAL SUPPORT SERVICES

Practice address

1775 Parker Rd SE Ste 210
Conyers, GA 30094-6654

Phone

(770) 376-7927

Fax

(770) 727-2074

NPI assigned

Jan 26, 2021

Organization subpart

No

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

Authorized official

Name

Laquanda Spince, NPNPI 1396101796

Title

Owner/Nurse Practitioner

Phone

(770) 376-7927

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• KBS Other name

Practitioners 1

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

• Laquanda Spince, NP

  • Family Nurse Practitioner
  • Jonesboro, GA
  • NPI 1396101796
  NPD Authorized official

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

{
    "created_epoch": "1611619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611619200000",
    "number": "1871183616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 EAGLES LANDING PKWY STE 146",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817343",
            "telephone_number": "770-376-7927",
            "fax_number": "770-727-2074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 PARKER RD SE STE 210",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300946654",
            "telephone_number": "770-376-7927",
            "fax_number": "770-727-2074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KBSOLUTIONS AND BEHAVIORAL SUPPORT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-26",
        "last_updated": "2021-01-26",
        "certification_date": "2020-08-17",
        "status": "A",
        "authorized_official_last_name": "SPINCE",
        "authorized_official_first_name": "LAQUANDA",
        "authorized_official_title_or_position": "OWNER/NURSE PRACTITIONER",
        "authorized_official_telephone_number": "770-376-7927",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003240710A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KBS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Yilikal Tassew Kassa, MD
• Mary Jane B Kassam, MD
• Shiraz Habib Kassam, M.D.
• Saman Kazemi, RPH
• Kbsolutions and Behavioral Support Services
• Rotonda Keaton Williams, P.A.
• Keith Fallon, Psy.D., P.C.
• Calyn Kelly, FNP-C
• Tairra Kemp, LCSW
• Keion Kerr

• Family Nurse Practitioner in Conyers, GA
• Providers in Conyers, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; 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.