Summer Maria Mingo

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

113 Southside Dr
Nashville, GA 31639-6306

Phone

(850) 345-8336

NPI assigned

Oct 12, 2017

Last updated

Oct 12, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• South Georgia Behavior Associates

  • Behavior Analyst
  • Nashville, GA
  • NPI 1992308605
  NPD (past) Authorized official

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

{
    "created_epoch": "1507766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507766400000",
    "number": "1972014330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10827",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323022827",
            "telephone_number": "850-521-0242",
            "fax_number": "850-521-1973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 SOUTHSIDE DR",
            "city": "NASHVILLE",
            "state": "GA",
            "postal_code": "316396306",
            "telephone_number": "850-345-8336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINGO",
        "first_name": "SUMMER",
        "middle_name": "MARIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-12",
        "last_updated": "2017-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Griffin Martin, PTA
• Mallory Mathis
• Nicole L McCants, D.O.
• Mandy Carter McMillan, PA-C
• R Craig Merrifield, CRNA
• Anna D Money, NP-C
• Monica a Purvis LPC
• Wendy Jamison Morgan, PTA
• William Donathan Nash, M.D.
• Nashville Eye Center LLC

• Behavior Analyst in Nashville, GA
• Providers in Nashville, GA by specialty
• Behavior Analyst in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2017; 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.