MEDICARE: MS. JIVANDA VERMELL GREGG LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	005239	GA

General Provider Information

NPI Number	:	1346415569
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JIVANDA VERMELL GREGG LPC

Provider Business Mailing Address
First Line	:	2854 AXTON CV
Second Line	:
City	:	LITHIA SPRINGS
State	:	GA
Zip	:	30122-2911
Country	:	US
Telephone Number	:	770-789-6403
Fax Number	:	678-945-0177

Provider Business Practice Location Address
First Line	:	2700 CUMBERLAND PKWY SE
Second Line	:	SUITE 120
City	:	ATLANTA
State	:	GA
Zip	:	30339-3321
Country	:	US
Telephone Number	:	770-431-0299
Fax Number	:	186-641-6176

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/29/2008
Last Update Date	:	04/29/2008

Similar Medicare Providers

1811003080 — YARED ALEMU PH.D.
Practice Location Address:

2700 CUMBERLAND PKWY SE , SUITE 120
ATLANTA, GA
30339-3321

Practice Phone: 770-319-7468
Practice Fax: 866-416-1767

1457661514 — MS. LINDA P BUIE LAPC
Practice Location Address:

2700 CUMBERLAND PKWY SE , SUITE 120
ATLANTA, GA
30339-3321

Practice Phone: 770-319-7468
Practice Fax: 866-416-1767

1427003599 — ATLANTA WOMEN'S MEDICAL CENTER
Practice Location Address:

235 W WIEUCA RD NE
ATLANTA, GA
30342-3321

Practice Phone: 404-257-0057
Practice Fax: 404-257-1245

1700948726 — ROBERT KOONTZ PH.D
Practice Location Address:

1788 CENTURY BLVD NE STE B
ATLANTA, GA
30345-3321

Practice Phone: 404-315-9987
Practice Fax:

1386709673 — DR. VALERIE VROON RAYMOND PSY.D.
Practice Location Address:

1788 CENTURY BLVD NE , SUITE A
ATLANTA, GA
30345-3321

Practice Phone: 404-636-2340
Practice Fax: 404-636-2342

1891849840 — JENNIFER H JONES
Practice Location Address:

1788 CENTURY BLVD NE STE B
ATLANTA, GA
30345-3321

Practice Phone: 404-315-9987
Practice Fax:

Directions to “ MS. JIVANDA VERMELL GREGG LPC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.