Gathering Precious Stones, LLC
Health Maintenance Organization in Mcdonough, GA. Organization (NPI-2).
NPI number1811264088
StatusActive
Last updated in NPPESDec 30, 2025
Details
- NPI
- 1811264088
- Entity type
- Organization (NPI-2)
- Legal business name
- Gathering Precious Stones, LLC
- Organization subpart
- No
- Enumeration date
- Nov 16, 2011
- Certification date
- Dec 30, 2025
- Last updated
- Dec 30, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 302R00000X | Health Maintenance Organization | – | – | Yes |
| 305R00000X | Preferred Provider Organization | – | – | |
| 251S00000X | Community/Behavioral Health | – | – | |
| 251C00000X | Day Training, Developmentally Disabled Services | – | – | |
| 305S00000X | Point of Service | – | – |
Practice location
817 Pavilion CtMcdonough, GA 30253-6666
Phone 404-913-9114 · Fax 404-923-9933
Mailing address
817 Pavilion CtMcdonough, GA 30253-6666
Phone 404-913-9114 · Fax 404-813-9114
Authorized official
Michele Denise Green
Ceo/Owner
4049139114
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