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KOWANDA TENKAPOWOM
NPI 1316212749
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Augusta, GA

Active since March 19, 2012
3421 MIKE PADGETT HWY, AUGUSTA, GA 30906(706) 432-7893(706) 432-3780 Get Directions Write a Review

NPPES record last updated: March 19, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kowanda Tenkapowom NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KOWANDA TENKAPOWOM (NPI 1316212749) is an individual community based residential treatment facility, intellectual and/or developmental disabilities provider in Augusta, Georgia and active in the NPI registry since March 2012.

NPPES Registry Identity

NPI1316212749
Entity TypeIndividualFemale
Primary Taxonomy320900000X
Provider Legal NameKOWANDA TENKAPOWOM
Location Address3421 MIKE PADGETT HWYAugusta, GA 30906-3815
Mailing Address3347 Ravenwood DrAugusta, GA 30907-3574 · (706) 432-7893 · Fax (706) 432-3780
Phone(706) 432-7893
Fax(706) 432-3780
Sole ProprietorYes
Enumeration DateMarch 19, 2012
✔ NPI 1316212749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Also ListedPsychologist · Intellectual and Developmental DisabilitiesTaxonomy 103TM1800X
3421 MIKE PADGETT HWY, Augusta, GA 30906
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Other Identifiers 2

Medicare PINGRP 2010GA
Medicaid000606317BGA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CSB OF EAST CENTEAL GEORGIA
Community/Behavioral Health
3421 MIKE PADGETT HWY
AUGUSTA, GA 30906
Richmond County (706) 432-7893
KAREN WILLIAMS REGISTERED NURSE
Registered Nurse
3421 MIKE PADGETT HWY
AUGUSTA, GA 30906
Richmond County (706) 432-4800
MRS. TERRI C. HARRILL RN
Clinic/Center (Mental Health (Including Community Mental Health Center))
3421 MIKE PADGETT HWY
AUGUSTA, GA 30906
Richmond County (706) 432-4858
CHARLIE CAMSON DESAMITO RN
Clinic/Center (Mental Health (Including Community Mental Health Center))
3421 MIKE PADGETT HWY
AUGUSTA, GA 30906
Richmond County (706) 432-4858
MRS. VICKI RENE THEIS-MULHERIN RN
Clinic/Center (Mental Health (Including Community Mental Health Center))
3421 MIKE PADGETT HWY
AUGUSTA, GA 30906
Richmond County (706) 432-4858
CLAUDETTE M TUCKER
Clinic/Center (Mental Health (Including Community Mental Health Center))
3421 MIKE PADGETT HWY
AUGUSTA, GA 30906
Richmond County (706) 432-4858
JENNIFER DIANE WATSON APC
Counselor (Mental Health)
3421 MIKE PADGETT HWY
AUGUSTA, GA 30906
Richmond County (706) 432-7893
ROBERT J GERARDOT
Social Worker
3421 MIKE PADGETT HWY
AUGUSTA, GA 30906
Richmond County (706) 432-4868

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kowanda Tenkapowom's NPI number?

The NPI number for Kowanda Tenkapowom is 1316212749. It was assigned to this individual provider in the NPPES registry on March 19, 2012.

Where is Kowanda Tenkapowom located?

Kowanda Tenkapowom practices at 3421 Mike Padgett Hwy, Augusta, GA 30906. The listed phone number is (706) 432-7893.

What is Kowanda Tenkapowom's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Kowanda Tenkapowom was last updated on March 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.