Healthcare Provider Details

I. General information

NPI: 1538317268
Provider Name (Legal Business Name): AMERICANWORK, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/06/2008
Last Update Date: 01/04/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

467 W DOYLE ST
TOCCOA GA
30577-1791
US

IV. Provider business mailing address

1727 WRIGHTSBORO RD STE B
AUGUSTA GA
30904-4049
US

V. Phone/Fax

Practice location:
  • Phone: 706-827-9937
  • Fax: 706-827-0085
Mailing address:
  • Phone: 912-638-0350
  • Fax: 706-736-8136

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier000902063Q
Identifier TypeMEDICAID
Identifier StateGA
Identifier Issuer

VIII. Authorized Official

Name: WAKEITHA VAIL
Title or Position: BILLING SPECIALIST
Credential:
Phone: 912-658-1149