WMC TYRONE LLC (NPI# 1033132998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033132998 |
| Entity Type | Organization |
| Organization Name | WMC TYRONE LLC |
| Practice Address |
190 Handley Rd Tyrone GA 30290-2178 |
| Mailing Address |
190 Handley Rd Suite A Tyrone GA 30290-2178 |
| Practice Telephone | 7709975714 |
| Practice Fax Number | 7709972810 |
| Mailing Telephone | 7709975714 |
| Mailing Fax Number | 7709972810 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2011-06-27 |
| Authorized Official Name | ELIZABETH MOORE (PRESIDENT) |
| Authorized Official Telephone | 7709975714 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
190 HANDLEY RD |
| City | TYRONE |
| State | GA |
| Zip Code | 30290-2178 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538162169 | Lynn Marie Stock | Nurse Practitioner | 190 Handley Rd, Tyrone, GA 30290-2178 | 2005-05-27 |
| 1437684412 | Colby Fowler | Advanced Practice Midwife | 190 Handley Rd, Suite A, Tyrone, GA 30290-2178 | 2017-04-27 |
| 1609309269 | Yakirah Lee | Advanced Practice Midwife | 190 Handley Rd, Suite A, Tyrone, GA 30290-2178 | 2017-04-10 |
| 1710293360 | Katherine Edelstein | Advanced Practice Midwife | 190 Handley Rd, Tyrone, GA 30290-2178 | 2010-08-20 |
| 1972795995 | Ticaria Lynne Lipsey | Obstetrics & Gynecology | 190 Handley Rd, Suite A, Tyrone, GA 30290-2178 | 2007-08-14 |
| 1619092756 | Mary Jane Rager | Nurse Practitioner | 190 Handley Rd, Tyrone, GA 30290-2178 | 2007-03-20 |
| 1740204189 | Patricia Moore | Obstetrics & Gynecology | 190 Handley Rd, Tyrone, GA 30290-2178 | 2006-07-27 |
| 1255354114 | Heather Cantrell | Midwife | 190 Handley Rd, Tyrone, GA 30290-2178 | 2006-07-25 |
| 1073590485 | Elizabeth Ann Moore | Obstetrics & Gynecology | 190 Handley Rd, Tyrone, GA 30290-2178 | 2005-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407215361 | Kaitlin Lackey | Occupational Therapist | 105 Glendalough Court, Suite H, Tyrone, GA 30290 | 2016-02-19 |
| 1114211745 | Johannes Daniel Smit | Pharmacist | 525 Valleywood Drive, Tyrone, GA 30290 | 2011-05-31 |
| 1760700199 | Georgia Integrative Medicine | Preventive Medicine | 120 Milbrook Village Drive, Suite E, Tyrone, GA 30290 | 2010-05-10 |
| 1427384783 | Exelle Home Care | Home Health | 105 Silverthorn Drive, Tyrone, GA 30290 | 2009-10-21 |
| 1386884138 | Genesys Ob/gyn, LLC | Clinic/Center | 245 Greencastle Road, Tyrone, GA 30290 | 2009-03-05 |
| 1689858805 | Immediate Care Centers of Georgia, LLC | Clinic/Center | 190 Greencastle Rd., Tyrone, GA 30290 | 2007-12-24 |
| 1437212834 | Dawn M Coffman | Physician Assistant | 190 Handley Rd., Tyrone, GA 30290 | 2006-12-18 |
| 1912971805 | Jason Rex Lee | Dentist | 195 Greencastle Rd, Tyrone, GA 30290 | 2006-02-15 |
| 1053898759 | Heather Renee Ellis | Physical Therapist | 62 Carriage Oaks Dr, Tyrone, GA 30290 | 2018-07-25 |
| 1134630858 | Marjorie Yvette Elibert | Advanced Practice Midwife | 190 Handley Rd Ste A, Tyrone, GA 30290 | 2017-10-20 |
| Find all providers in zip 30290 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740395011 | Central Anesthesia LLC | Specialist | 187 Hospital Dr, Tyrone, PA 16686-1808 | 2006-08-20 |
| 1720070501 | Suvrat Jagannivas Bhargave | Specialist | 120 Handley Rd, Suite 310, Tyrone, GA 30290-2177 | 2005-08-18 |
| 1982950069 | Genesys Gyn Inc | Specialist | 245 Greencastle Rd, Tyrone, GA 30290-2944 | 2012-07-26 |
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|---|---|---|---|---|
| 1073113718 | Jennifer Lynn Harper | Specialist | 46 Rice Lewis Gilliard Dr, Toccoa, GA 30577-3683 | 2020-10-30 |
| 1265030407 | Sandra W Paul | Specialist | 4185 Glad Morning Dr, Atlanta, GA 30349-3902 | 2020-10-10 |
| 1851907992 | Diana Rowe | Specialist | 35 Homeplace Dr, Covington, GA 30016-8539 | 2020-09-23 |
| 1053926154 | Idoc Virtual Neuro Critical Care LLC | Specialist | 159 E Wesley Rd Ne, Atlanta, GA 30305-3707 | 2020-09-15 |
| 1649885179 | Rakiya Parker | Specialist | 4814 Stone Mountain Hwy Ste 9, Lilburn, GA 30047-4649 | 2020-09-11 |
| 1649888785 | Valeria Kim West | Specialist | 204 W Oglethorpe Hwy, Hinesville, GA 31313-3615 | 2020-07-15 |
| 1225658511 | Louis P Towles IIi | Specialist | 755 Commerce Dr Ste 600, Decatur, GA 30030-2619 | 2020-04-16 |
| 1316566755 | Kindle-simone Friedlander | Specialist | 13988 Sunfish Bnd, Alpharetta, GA 30004-0605 | 2020-04-15 |
| 1184252595 | Peachtree Surgical Assistants Inc | Specialist | 59 Anderson Ave Apt 127, Canton, GA 30114-2330 | 2020-03-31 |
| 1164056859 | Bimal R Shah Md PC | Specialist | 820 Saint Sebastian Way Ste 2a, Augusta, GA 30901-2636 | 2020-03-03 |
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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.