MARY PAULK (NPI# 1003463605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003463605 |
| Entity Type | Individual |
| Full Name | MARY PAULK |
| Practice Address |
303 N Elm Street Ocilla GA 31774 |
| Practice Telephone | 2294685748 |
| Mailing Telephone | 2294685748 |
| Enumeration Date | 2019-08-20 |
| Last Update Date | 2019-08-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
GA | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730148040 | Mary Elizabeth Paulk | Internal Medicine | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | 2006-03-23 |
| Street Address |
303 N ELM STREET |
| City | OCILLA |
| State | GA |
| Zip Code | 31774 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205106903 | Tift Regional Health System Inc | Internal Medicine | 813 N. Irwin Avenue, Ocilla, GA 31774 | 2012-01-11 |
| 1497051155 | Hospice Care Options Inc | Hospice Care, Community Based | 200 S Cherry St Ste A, Ocilla, GA 31774 | 2011-01-28 |
| 1578788410 | Howard C Mcmahan Md Irwin Family Medicine Associates | Family Medicine | 361 Cargile Road, Ocilla, GA 31774 | 2007-04-16 |
| 1720150071 | Irwin County Board of Education | Local Education Agency (LEA) | 210 Apple Street, Ocilla, GA 31774 | 2006-11-14 |
| 1376624569 | South Central Primary Care Center | Clinic/Center | 357 Cargile Rd, Ocilla, GA 31774 | 2006-10-17 |
| 1508979964 | Arturo Natada Ruanto | Family Medicine | 202 South Cherry St., Ocilla, GA 31774 | 2006-08-17 |
| 1861403727 | A & H Drugs LLC | Durable Medical Equipment & Medical Supplies | 615 N. Irwin Avenue, Ocilla, GA 31774 | 2006-08-10 |
| 1285009555 | Jessica Marie Lyons | Nurse Practitioner | 361 Cargile Road, Ocilla, GA 31774 | 2015-12-11 |
| 1649356981 | South Central Primary Care Center | Clinic/Center | 200 S Cherry St, Ocilla, GA 31774 | 2006-10-30 |
| 1831231216 | Irwin County Ems | Ambulance | 108 Cotton Drive, Ocilla, GA 31774-0501 | 2007-02-13 |
| Find all providers in zip 31774 | ||||
| Taxonomy Code | 3747A0650X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Attendant Care Provider |
| An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083214183 | Julia Mcenhill | Technician | 10 Evonshire Dr, Sharpsburg, GA 30277-3266 | 2020-10-28 |
| 1497352884 | Ernestine Atwater | Technician | 1962 Twin Falls Rd, Decatur, GA 30032-6070 | 2020-10-08 |
| 1952916207 | Nitza Chea Bishop | Technician | 151 Chulio Rd Se, Rome, GA 30161-8496 | 2020-09-14 |
| 1174137822 | Nettie Pearl Smith | Technician | 2919 Lonesome Rd, Albany, GA 31721-5644 | 2020-09-01 |
| 1255943478 | David Williams Jr. | Technician | 126 Thompson St, Cusseta, GA 31805-3945 | 2020-08-19 |
| 1750992913 | Phyllis Denise Haynes | Technician | 1111 Glenwood Ln, Bogart, GA 30622-2396 | 2020-08-12 |
| 1306464037 | Vickie Moore | Technician | 1639 Breeds Hill Loop, Columbus, GA 31907-7430 | 2020-07-09 |
| 1275150542 | Quindeic Rhones | Technician | 2556 Miles St, Augusta, GA 30906-5326 | 2020-07-02 |
| 1083231476 | Martha Crawford | Technician | 593 Crawford St Se, Dawson, GA 39842-2041 | 2020-07-01 |
| 1356967350 | Gloria Foster | Technician | 8643 Crenshaw Dr, Grovetown, GA 30813-8322 | 2020-06-25 |
| 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.