Sovereign and Grace Services

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

SOVEREIGN AND GRACE SERVICES

Practice address

551 Smith Ave Ste a
Thomasville, GA 31792-5657

Phone

(229) 236-2585

NPI assigned

Jul 17, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Kuluvanda Quarlette Cason, LPNNPI 1912524067

Title

Ceo/Financial Manager

Phone

(229) 236-2585

Specialties & licenses 3

Addresses

Other names 1

• A.R.K Diagnostics Solutions Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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

• Kuluvanda Quarlette Cason, LPN

  • Licensed Practical Nurse
  • Thomasville, GA
  • NPI 1912524067
  NPD Authorized official
• Stephanie Baety Cason, MSN-RN, MBA, PCM-NI

  • Registered Nurse
  • Thomasville, GA
  • NPI 1679234405
  NPD

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

{
    "created_epoch": "1594944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606953600000",
    "number": "1932717618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 POINT RD",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317570940",
            "telephone_number": "229-403-5252",
            "fax_number": "229-226-6170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 SMITH AVE STE A",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317925657",
            "telephone_number": "229-236-2585"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "241 Point Rd",
            "address_purpose": "LOCATION",
            "city": "Thomasville",
            "state": "GA",
            "postal_code": "317570940",
            "country_code": "US",
            "telephone_number": "229-403-5252",
            "fax_number": "229-226-6170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOVEREIGN AND GRACE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-17",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A",
        "authorized_official_last_name": "CASON",
        "authorized_official_first_name": "KULUVANDA",
        "authorized_official_middle_name": "QUARLETTE",
        "authorized_official_title_or_position": "CEO/FINANCIAL MANAGER",
        "authorized_official_telephone_number": "229-236-2585",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A.R.K Diagnostics Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Southwestern State Hospital
• Southwestern State Hospital
• Southwestern State Hospital
• Southwestern State Hospital Community Services
• Yuri Leonardo Souza Borges Sr.
• Charles Garland Spann, M.D.
• Molly Moye Squires, CCC-SLP
• Jerusha Stacey, NP-P/MH
• Leslie C. Stanaland, N.P.
• Sheila L Stanley, LPC

• Clinical Medical Laboratory in Thomasville, GA
• Providers in Thomasville, GA by specialty
• Clinical Medical Laboratory in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.