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EVERGREEN GERIATRIC CARE MANAGEMENT LLC NPI 1306116637


NPI Information

NPI: 1306116637
Provider Name: EVERGREEN GERIATRIC CARE MANAGEMENT, LLC

Doing Business As: EVE PEARSON, LCSW

Classification: Health Maintenance Organization - 302R00000X
Entity Type: Organization
Address:
1521 STOVALL ST
AUGUSTA, GA
ZIP 30904
Phone: (706) 288-5428
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EVERGREEN GERIATRIC CARE MANAGEMENT, LLC is a health maintenance organization in Augusta, GA. The provider is (1) A form of health insurance in which its members prepay a premium for the HMO's health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model. EVERGREEN GERIATRIC CARE MANAGEMENT, LLC NPI is 1306116637. The provider is registered as an organization entity type.
The provider Is Doing Business As Eve Pearson, Lcsw.

The provider's business location address is:

1521 STOVALL ST
AUGUSTA, GA
ZIP 30904-215
Phone: (706) 288-5428

The provider's authorized official is Eve Williams Pearson .
The authorized official title is Owner/therapist and has the following contact phone number (706) 288-5428.

The enumeration date for this NPI number is 1/3/2012 and was last updated on 1/3/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1305R00000XPreferred Provider OrganizationCSW004126GEORGIANo
2305S00000XPoint of ServiceCSW004126GEORGIANo
3302F00000XExclusive Provider OrganizationCSW004126GEORGIANo
4302R00000XHealth Maintenance OrganizationCSW004126GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1202I801953MEDICARE UPINGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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