Provider Demographics
NPI:1346823507
Name:PREVISION STRATEGIES AND ANALYTICS, LLC
Entity Type:Organization
Organization Name:PREVISION STRATEGIES AND ANALYTICS, LLC
Other - Org Name:PSA DIGITAL HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:M
Authorized Official - Last Name:BURNETT
Authorized Official - Suffix:
Authorized Official - Credentials:MD, MBA, MPH
Authorized Official - Phone:678-416-0057
Mailing Address - Street 1:808 TAYLOR ST NE APT 3
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20017-2011
Mailing Address - Country:US
Mailing Address - Phone:202-643-7341
Mailing Address - Fax:
Practice Address - Street 1:1020 PARK AVE APT 1308
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201-5646
Practice Address - Country:US
Practice Address - Phone:202-643-7341
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-04
Last Update Date:2021-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083A0300XAllopathic & Osteopathic PhysiciansPreventive MedicineAddiction MedicineGroup - Single Specialty