Provider Demographics
NPI:1174236061
Name:NEW BEGINNINGS HEALTHCARE, LLC
Entity type:Organization
Organization Name:NEW BEGINNINGS HEALTHCARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LANITA
Authorized Official - Middle Name:REESHEMAH
Authorized Official - Last Name:JAMES
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, AGPC, NP, BC
Authorized Official - Phone:478-972-3582
Mailing Address - Street 1:2129 RIVERSIDE DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31204
Mailing Address - Country:US
Mailing Address - Phone:478-259-3190
Mailing Address - Fax:478-259-1709
Practice Address - Street 1:2129 RIVERSIDE DR
Practice Address - Street 2:SUITE B
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31204
Practice Address - Country:US
Practice Address - Phone:478-259-3190
Practice Address - Fax:478-259-1709
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-05
Last Update Date:2023-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care