MRS. AMY MARIE WHEELER (NPI# 1013253103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013253103 |
| Entity Type | Individual |
| Full Name | MRS. AMY MARIE WHEELER |
| Credential | FNP-C |
| Practice Address |
104 Prominence Point Pkwy Suite 104 Canton GA 30114-1236 |
| Mailing Address |
174 E Cochran Rd Se Ranger GA 30734-6738 |
| Practice Telephone | 7707046988 |
| Practice Fax Number | 7707208775 |
| Mailing Telephone | 7708941573 |
| Enumeration Date | 2012-12-18 |
| Last Update Date | 2016-06-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN165493 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003130264A/B/C | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174141196 | Amy Wheeler | Nurse Practitioner | 10 Walking Horse Dr Nw, Rome, GA 30165-2586 | 2020-07-07 |
| 1780059543 | Amy Wheeler | Acupuncturist | 107 Eastern Ave, St Johnsbury, VT 05819-2762 | 2015-12-04 |
| 1639508500 | Amy Wheeler | Registered Nurse | 1453 Hope Way, Murfreesboro, TN 37129-3140 | 2013-11-01 |
| 1235473109 | Amy Beth Wheeler | Case Manager/Care Coordinator | 1916 E Perkins Ave, Guthrie, OK 73044-5804 | 2012-11-16 |
| 1871871343 | Amy Wheeler | Counselor | 500 N Main St, Ste 4, Summerville, SC 29483-6439 | 2011-08-01 |
| 1144513219 | Amy Renae Wheeler | Physical Therapist | 900 N Shelby St, Gary, IN 46403-2276 | 2011-05-24 |
| 1558591107 | Amy Wheeler | Massage Therapist | 710 John Adams St, Oregon City, OR 97045-1955 | 2009-07-16 |
| 1972758571 | Amy M. Wheeler | Audiologist | 395 N Silverbell Rd Ste 201, Tucson, AZ 85745-2719 | 2008-11-24 |
| 1629263918 | Amy Lynn Wheeler | Counselor | 8340 Sangre De Cristo Rd, Littleton, CO 80127-4248 | 2007-09-10 |
| 1386745636 | Amy Jeanette Wheeler | Specialist/Technologist | 3490 Far Hills Ave, Dayton, OH 45429-2500 | 2006-09-26 |
| Street Address |
104 PROMINENCE POINT PKWY SUITE 104 |
| City | CANTON |
| State | GA |
| Zip Code | 30114-1236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659467629 | Jeffrey Haller | Family Medicine | 104 Prominence Point Pkwy, Ste 104, Canton, GA 30114-1236 | 2006-10-05 |
| 1477978799 | Digestive Healthcare of Ga, P.C. | Internal Medicine | 104 Prominence Point Pkwy, Suite 104, Canton, GA 30114-1236 | 2014-02-24 |
| 1043657521 | Ambreen Mardhani | Family Medicine | 104 Prominence Point Pkwy, Suite 104, Canton, GA 30114-1236 | 2013-05-24 |
| 1912123761 | Kathryn G Brady | Physician Assistant | 104 Prominence Point Pkwy, Suite 104, Canton, GA 30114-1236 | 2007-04-18 |
| 1083778989 | Brenda Gail Fritz | Dentist | 104 Prominence Point Pkwy, Suite 102, Canton, GA 30114-1236 | 2006-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619516093 | Wickshire Canton Opco LLC | Assisted Living Facility | 125 Riverstone Terrace, Canton, GA 30114 | 2020-01-02 |
| 1154803583 | Alixandra Nicole Flournoy | Physical Therapist | 131 Holly Street, Canton, GA 30114 | 2018-09-01 |
| 1588157341 | Provident Group - Canton Cove Properties LLC | Alzheimer Center (Dementia Center) | 1100 Reinhardt College Parkway, Canton, GA 30114 | 2018-06-07 |
| 1003233107 | Heartland Dental Care of Georgia | Dentist | 3237 Sixes Rd, Canton, GA 30114 | 2014-03-26 |
| 1730510959 | Joseph Optical | Eyewear Supplier (Equipment, not the service) | 1455 Riverstone Pkwy Suite 110, Canton, GA 30114 | 2013-12-13 |
| 1629313036 | Ramona Morton Rasmussen | Occupational Therapist | 200 Riverstone Drive, Suite B, Canton, GA 30114 | 2012-12-11 |
| 1902154875 | Yong Qiao Luo | Acupuncturist | 200 Oakside Lane, Suite D, Canton, GA 30114 | 2012-08-26 |
| 1215294350 | Christina Lynn Hernandez | Pediatrics | 1558 Riverstone Pkwy Ste 100, Canton, GA 30114 | 2012-04-13 |
| 1558638981 | Stephen E Byrd | Counselor | 191 Lamar Haley Pkwy., Canton, GA 30114 | 2011-11-30 |
| 1073807855 | Sheri Sullins Buckley | Nurse Practitioner | 120 Oakside Ct Ste H, Canton, GA 30114 | 2011-06-08 |
| Find all providers in zip 30114 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548875081 | Mohamed Jamal | Nurse Practitioner | 48485 River Way Dr, Canton, MI 48187-5622 | 2020-09-11 |
| 1851906713 | Anishaben Sheth | Nurse Practitioner | 46882 Torrey Hill Ct, Canton, MI 48187-4885 | 2020-09-08 |
| 1184240251 | Timothy John Mcginnis | Nurse Practitioner | 755 Stonehenge Dr, Canton, MI 48188-1257 | 2020-06-24 |
| 1952927477 | Alexandra Arzenshek | Nurse Practitioner | 1042 Creek Side Dr, Canton, GA 30115-8541 | 2020-06-20 |
| 1326663717 | Meghan Markham | Nurse Practitioner | 111 Mountain Brook Dr Ste 100, Canton, GA 30115-9045 | 2020-06-11 |
| 1194348821 | Janet L Jarrette | Nurse Practitioner | 100 Generals Pl, Canton, GA 30114-5881 | 2020-05-28 |
| 1326685124 | Cicely Lashay Scott | Nurse Practitioner | 208 Winterbury Dr, Canton, GA 30114-1235 | 2019-11-30 |
| 1609410976 | Ashley N Decraene | Nurse Practitioner | 50153 Grant St, Canton, MI 48188-3480 | 2019-10-30 |
| 1194369587 | Lori Pulliam | Nurse Practitioner | 470 Northside Cherokee Blvd Ste 250, Canton, GA 30115-8015 | 2019-10-30 |
| 1437719192 | Ebone' Sade' Singleton | Nurse Practitioner | 124 Links Dr Apt 204k, Canton, MS 39046-5388 | 2019-06-15 |
| Find all providers in CANTON | ||||
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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.