GENEVA MARIE RECORD (NPI# 1003297078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003297078 |
Entity Type | Individual |
Full Name | GENEVA MARIE RECORD |
Credential | NP |
Practice Address |
4700 Battlefield Parkway Suite 200 Ringgold GA 30736 |
Practice Telephone | 7068614990 |
Practice Fax Number | 7068619405 |
Mailing Telephone | 7068614990 |
Mailing Fax Number | 7068619405 |
Enumeration Date | 2015-06-15 |
Last Update Date | 2015-07-20 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
234548 | GA | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
RN234548 | GA | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
234548 | GA | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
RN234548 | GA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
4700 BATTLEFIELD PARKWAY SUITE 200 |
City | RINGGOLD |
State | GA |
Zip Code | 30736 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750680104 | Kaushal Shambhubhai Chaudhari | Family Medicine | 4700 Battlefield Parkway, Suite 200, Ringgold, GA 30736 | 2011-03-24 |
1952798019 | Stephanie E. Johnson | Nurse Practitioner | 4700 Battlefield Parkway, Suite 200, Ringgold, GA 30736 | 2015-04-16 |
1790049245 | Michelle Emily Meyers | Nurse Practitioner | 4700 Battlefield Parkway, Suite 200, Ringgold, GA 30736-5168 | 2012-06-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649746132 | K -va -t Food Stores Inc | Durable Medical Equipment & Medical Supplies | 150 Highway 41, Ringgold, GA 30736 | 2018-10-23 |
1033693536 | Daniel Travis | Occupational Therapist | 4725 Battlefield Pkwy, Ringgold, GA 30736 | 2018-09-20 |
1124505458 | Publix Super Markets, Inc. | Pharmacy | 3775 Battlefield Pkwy, Ringgold, GA 30736 | 2018-07-19 |
1992202840 | Benjamin Travanta Oliver | Physician Assistant | 45 College Park Dr Ste A, Ringgold, GA 30736 | 2018-04-08 |
1891299970 | Zach Walker | Chiropractor | 6715 Us-41, Ringgold, GA 30736 | 2018-03-22 |
1871095331 | Chattanooga Orthopaedic Group, PC | Orthopaedic Surgery | 4725 Battlefield Parkway, Ringgold, GA 30736 | 2018-03-01 |
1871043711 | Kristen Connell Schulz | Counselor | 4083 Cloud Springs Road, Ringgold, GA 30736 | 2016-10-04 |
1467862649 | Alicia Daniels Dyer | Pediatrics | Chi Memorial Pediatric Diagnostic Associates, 4700 Battlefield Parkway, Suite 230, Ringgold, GA 30736 | 2014-04-28 |
1669899563 | Alford Leon Dyer IIi | Pediatrics | 4700 Battlefield Parkway, Suite 230, Chi Memorial Pediatric Diagnostic Associates, Ringgold, GA 30736 | 2014-03-28 |
1790065233 | Megan Potts Brown | Family Medicine | 45 College Park Dr, Ringgold, GA 30736 | 2011-08-27 |
Find all providers in zip 30736 |
Taxonomy Code | 363LW0102X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Women's Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497368328 | Jennifer Cobb | Nurse Practitioner | 130 Champlain St, Decatur, GA 30030-1803 | 2020-08-29 |
1336766476 | Nadine L Donahue | Nurse Practitioner | 1703 Oglethorpe Dr Ne, Brookhaven, GA 30319-2791 | 2020-07-05 |
1003465337 | Kaitlin Wilson | Nurse Practitioner | 5195 Jimmy Carter Blvd, Norcross, GA 30093-1649 | 2019-09-09 |
1912555939 | Erika Parks | Nurse Practitioner | 81 Upper Riverdale Rd Sw Ste 210, Riverdale, GA 30274-2627 | 2019-09-03 |
1427600469 | Kytrena L Harris | Nurse Practitioner | 232 Seaton Ave, Grovetown, GA 30813-4259 | 2019-07-10 |
1720640162 | Sonya Coutee Wallace | Nurse Practitioner | 3200 Highlands Pkwy Se Ste 420, Smyrna, GA 30082-5192 | 2019-07-06 |
1134783152 | Julia Coleman Quinn | Nurse Practitioner | 220 Cobb Pkwy N Ste 500, Marietta, GA 30062-3580 | 2019-04-24 |
1144782749 | Keely Darnell | Nurse Practitioner | 133 Samaritan Dr Ste 306, Cumming, GA 30040-2396 | 2019-04-02 |
1578020103 | Stacey Leigh Newpher | Nurse Practitioner | 960 Johnson Fy Rd Ne Ste 130, Atlanta, GA 30342-1601 | 2019-03-01 |
1144702226 | Veneah Shante Hall | Nurse Practitioner | 440 Moreland Ave Se, Atlanta, GA 30316-1926 | 2018-09-05 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.