MRS. BRANDIE ANN VILLANOVA (NPI# 1003466483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003466483 |
| Entity Type | Individual |
| Full Name | MRS. BRANDIE ANN VILLANOVA |
| Credential | CPNP-PC |
| Practice Address |
130 Enterprise Pkwy Mcdonough GA 30253-9000 |
| Practice Telephone | 6785839071 |
| Mailing Telephone | 6785839071 |
| Enumeration Date | 2019-09-17 |
| Last Update Date | 2019-09-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
RN215790 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
130 ENTERPRISE PKWY |
| City | MCDONOUGH |
| State | GA |
| Zip Code | 30253-9000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821315326 | Storybook Pediatrics, P.C. | Specialist | 130 Enterprise Pkwy, Mcdonough, GA 30253-9000 | 2010-04-23 |
| 1063035269 | Whitney Layne Studle | Pediatrics | 130 Enterprise Pkwy, Mcdonough, GA 30253-9000 | 2020-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565159 | First Choice Home Health Care LLC | In Home Supportive Care | 600 Westridge Parkway, Suite 707, Mcdonough, GA 30253 | 2020-10-15 |
| 1164033783 | Tanequa S Dorsey | Counselor | 40 Macon Street, Suite D, Mcdonough, GA 30253 | 2020-08-17 |
| 1396369195 | Ikponmwosa Obakpolor | Physical Therapist | 234 Village Drive, Mcdonough, GA 30253 | 2020-06-08 |
| 1205392305 | Healthstat Onsite Clinic-henry County | Preventive Medicine | 141 Henry Parkway, Healthstat Clinic, Mcdonough, GA 30253 | 2019-02-13 |
| 1588128557 | Vernette R Mathurin | Licensed Practical Nurse | 97 Atl Street Suite 100, Mcdonough, GA 30253 | 2019-01-24 |
| 1083196836 | Peta-gaye C Pilote | Registered Nurse | 319 Regal Way E, Mcdonough, GA 30253 | 2018-08-29 |
| 1275021586 | Heritage Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 155 Westridge Pkwy Ste 217, Mcdonough, GA 30253 | 2018-04-23 |
| 1457853236 | Sherrille Greene | Counselor | 609 Autumn Leaf Circle, Mcdonough, GA 30253 | 2018-03-07 |
| 1376052696 | Kendra Oreggio | Private Vehicle | 117 Janney Circle, Mcdonough, GA 30253 | 2017-09-29 |
| 1245758788 | Pamela Hobbs | Home Health Aide | 5011 Monarch Dr, Mcdonough, GA 30253 | 2017-09-05 |
| Find all providers in zip 30253 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306098926 | Venester Azmavet Perry | Nurse Practitioner | 15 Jason Ct, Mcdonough, GA 30252-8526 | 2008-10-14 |
| 1982144267 | Julie Marie Lemen | Nurse Practitioner | 1125 Towne Center Village Drive, Kaiser Permanete Henry Towne Centre Medical Center, Mcdonough, GA 30253 | 2017-03-06 |
| 1366818833 | Tara Michelle Santee | Nurse Practitioner | 101 Regency Park Dr Ste 140, Mcdonough, GA 30253-7076 | 2015-08-19 |
| 1467828939 | Unchong Christina Choe | Nurse Practitioner | 101 Regency Park Dr Ste 140, Mcdonough, GA 30253-7076 | 2015-08-19 |
| 1083080550 | Emily Il Arthur | Nurse Practitioner | 101 Regency Park Dr Ste 140, Mcdonough, GA 30253-7076 | 2015-08-19 |
| 1447641188 | Jena Marie Jones | Nurse Practitioner | 543 Jonesboro Rd, Mcdonough, GA 30253-3718 | 2015-02-17 |
| 1770868150 | Natalie Nason Fletcher | Nurse Practitioner | 543 Jonesboro Rd, Mcdonough, GA 30253-3718 | 2011-10-17 |
| 1154619278 | Kimberly Purcell | Nurse Practitioner | 101 Regency Park Dr, Suite 140, Mcdonough, GA 30253-7080 | 2011-07-11 |
| 1164740510 | Dara Nicole Goodwin | Nurse Practitioner | 543 Jonesboro Rd, Mcdonough, GA 30253-3718 | 2010-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565811 | Rebecca Danielle Wegman | Nurse Practitioner | 5445 Meridian Mark Rd Ste 380, Atlanta, GA 30342-4755 | 2020-10-09 |
| 1629675657 | Casey Cullins | Nurse Practitioner | 980 Johnson Fy Rd Ne Ste 680, Atlanta, GA 30342-1608 | 2020-10-02 |
| 1336755289 | Taylor Bishop | Nurse Practitioner | 51 Hidden Lake Ct, Savannah, GA 31419-1664 | 2020-09-16 |
| 1942815717 | Valerie Renee' Grenald | Nurse Practitioner | Augusta University Health, Augusta, GA 30912-0001 | 2020-09-09 |
| 1538798095 | Brittany Nicole Heitkamp | Nurse Practitioner | 5461 Meridian Mark Rd Ste 540, Atlanta, GA 30342-3283 | 2020-04-06 |
| 1629606421 | Anna Elizabeth Patton | Nurse Practitioner | 12 Sammy Mcghee Blvd Ste 102, Jasper, GA 30143-7712 | 2020-03-29 |
| 1093342131 | Lindsay Pare | Nurse Practitioner | 2225 Twin Lakes Dr, Atlanta, GA 30339-4123 | 2020-03-26 |
| 1215564976 | Stephanie Laurel Toole | Nurse Practitioner | 625 Big Shanty Rd Nw, Kennesaw, GA 30144-3646 | 2020-03-24 |
| 1740816487 | Aleksa Rozman | Nurse Practitioner | 1121 Johnson Ferry Rd Ste 220, Marietta, GA 30068-2763 | 2020-03-13 |
| 1912530866 | Rebecca L Brigola | Nurse Practitioner | 4120 Five Forks Trickum Rd Sw Ste 102, Lilburn, GA 30047-8975 | 2020-02-19 |
| 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.