MEDICARE: CONNECTING THE GAP EMPOWERMENT GROUP INC

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	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1366194870
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CONNECTING THE GAP EMPOWERMENT GROUP INC

Provider Business Mailing Address
First Line	:	352 UNIVERSITY AVE SW UNIT N118
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30310-3678
Country	:	US
Telephone Number	:	678-622-6212
Fax Number	:

Provider Business Practice Location Address
First Line	:	352 UNIVERSITY AVE SW UNIT N118
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30310-3678
Country	:	US
Telephone Number	:	678-622-6212
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	TRINIA PIPPIN
Credential	:
Telephone Number	:	678-622-6212

Provider Enumeration Date	:	01/25/2022
Last Update Date	:	01/25/2022

Similar Medicare Providers

1639171622 — ROBERT G WENER MD
Practice Location Address:

2660 PEACHTREE RD NW APT 19E
ATLANTA, GA
30305-3678

Practice Phone: 404-644-8544
Practice Fax:

1457379711 — DR. MAYA JAMILAH CARTER MD
Practice Location Address:

3355 CASCADE RD SW , SUITE 100
ATLANTA, GA
30311-3678

Practice Phone: 404-691-2529
Practice Fax: 404-691-2382

1144801028 — ASHLEY RENEE HOWARD MD
Practice Location Address:

3355 CASCADE RD SW
ATLANTA, GA
30311-3678

Practice Phone: 404-616-7979
Practice Fax:

1639806821 — ADRIAN DAY
Practice Location Address:

720 WESTVIEW DR SW
ATLANTA, GA
30310-1458

Practice Phone: 404-752-1500
Practice Fax:

1407798945 — RUTH ESEOGHENE IMONINA
Practice Location Address:

720 WESTVIEW DR SW
ATLANTA, GA
30310-1458

Practice Phone: 404-756-1959
Practice Fax:

1407798978 — ANTOINETTE HOLLAND MD
Practice Location Address:

720 WESTVIEW DR SW
ATLANTA, GA
30310-1495

Practice Phone: 404-756-1325
Practice Fax:

Directions to “CONNECTING THE GAP EMPOWERMENT GROUP INC ” 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.