MEDICARE: GREATER IMAGE HEALTHCARE, CORP.

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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1700169158
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GREATER IMAGE HEALTHCARE, CORP.

Provider Business Mailing Address
First Line	:	2932 MACON RD
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31906-2204
Country	:	US
Telephone Number	:	706-507-0577
Fax Number	:	910-483-5661

Provider Business Practice Location Address
First Line	:	2932 MACON RD
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31906-2204
Country	:	US
Telephone Number	:	706-507-0577
Fax Number	:	910-483-5661

Authorized Official
Title or Position	:	ADMINISTRATIVE ASST.
Name	:	MRS. GLORIA JOHNSON
Credential	:
Telephone Number	:	910-476-7977

Provider Enumeration Date	:	09/22/2011
Last Update Date	:	09/22/2011

Similar Medicare Providers

1255493177 — DR. LEON RODGERS JR. EDD, MSW, MHDL, LCSW
Practice Location Address:

2960 MACON RD , SUITE 3080A
COLUMBUS, GA
31906-2204

Practice Phone: 706-748-2195
Practice Fax:

1558572818 — JANET MCBARRON M.D.
Practice Location Address:

2904 MACON RD
COLUMBUS, GA
31906-2204

Practice Phone: 706-322-4073
Practice Fax:

1952848426 — SARAH CHRISTINE DEDO
Practice Location Address:

2904 MACON RD
COLUMBUS, GA
31906-2204

Practice Phone: 706-322-4073
Practice Fax:

1215785043 — TASHARA STANLEY
Practice Location Address:

2920 MACON RD
COLUMBUS, GA
31906-2204

Practice Phone: 706-507-3141
Practice Fax:

1003659160 — JENNIFER STANLEY TIMBERLAKE LAPC
Practice Location Address:

2920 MACON RD
COLUMBUS, GA
31906-2204

Practice Phone: 706-507-3141
Practice Fax:

1790749596 — YOUTH FORUM INC
Practice Location Address:

40 SPRUCE ST
COLUMBUS, OH
43215-2204

Practice Phone: 614-891-2703
Practice Fax:

Directions to “GREATER IMAGE HEALTHCARE, CORP. ” 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 © 2007-2025 (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.