TAMALA BOOKER MIDDLETON (NPI# 1033768833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033768833 |
| Entity Type | Individual |
| Full Name | TAMALA BOOKER MIDDLETON |
| Credential | ANP-BC |
| Practice Address |
100 Prison Road Estill SC 29918 |
| Mailing Address |
4002 Campbell St Savannah GA 31405-2927 |
| Practice Telephone | 8036254603 |
| Practice Fax Number | 8036255603 |
| Mailing Telephone | 9122200059 |
| Enumeration Date | 2019-09-05 |
| Last Update Date | 2019-09-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
127388 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | N/A | 00000000000 | 01 |
| Street Address |
100 PRISON ROAD |
| City | ESTILL |
| State | SC |
| Zip Code | 29918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932648227 | Amanda Howard | Psychologist | 100 Prison Road, Estill, SC 29918 | 2017-02-20 |
| 1174867857 | Federal Correctional Ins Estill | Clinic/Center | 100 Prison Road, Estill, SC 29918-0699 | 2012-11-19 |
| 1891989299 | Lawrence Samuel Williams Jr. | Dentist | 100 Prison Road, Fed Corr Inst Estill, Estill, SC 29918-0699 | 2007-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689001034 | Earl B Hartzog Dmd Pa | Dentist | 123 Catherine Avenue North, Estill, SC 29918 | 2013-10-01 |
| 1790900249 | Lesters Diabetic Shoe Serv | Durable Medical Equipment & Medical Supplies | 41 Blair Circle, Estill, SC 29918 | 2007-04-17 |
| 1821182452 | Michelle Marie Mckenzie | Optometrist | 2010 Browning Gate Road, Estill, SC 29918 | 2006-10-03 |
| 1538192349 | Hampton County School District 2 | Local Education Agency (LEA) | 319 E 4th Street, Estill, SC 29918 | 2006-07-08 |
| 1730512005 | Laveda Yolanda Odom | Pharmacist | 100 Prison Rd, Estill, SC 29918 | 2013-08-09 |
| 1285844761 | Zoltan Robert Vendal | Clinic/Center | 100 Prison Rd., Estill, SC 29918 | 2007-05-23 |
| 1124476320 | Latoya Monique Williams | Pharmacist | 136 Martin Luther King Jr. Blvd N, Estill, SC 29918-0335 | 2016-05-27 |
| 1811037633 | David Leroy Barnes Sr. | Dentist | 144 Catherine Street North, Estill, SC 29918-0547 | 2007-02-08 |
| 1295857456 | Hannas Discount Pharmacy | Durable Medical Equipment & Medical Supplies | 26 East Railroad Ave, Estill, SC 29918-1088 | 2007-04-06 |
| 1548380017 | Chris Michael Hanna Sr. | Pharmacist | 26 E Railroad Ave, Estill, SC 29918-1088 | 2007-03-30 |
| Find all providers in zip 29918 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841898038 | Latoya Gibson | Nurse Practitioner | 48 Centennial Way, Greenville, SC 29605-4662 | 2020-10-12 |
| 1003413469 | South Carolina Provider Services | Nurse Practitioner | 413 Wildflower Rd, Easley, SC 29642-8642 | 2020-10-07 |
| 1578173555 | Amy Kelly | Nurse Practitioner | 115 N Sumter St Ste 300, Sumter, SC 29150-4967 | 2020-08-05 |
| 1588293278 | Kimberly Dianne Billie Jackson | Nurse Practitioner | 940 Morningside Dr, Sumter, SC 29153-7724 | 2020-04-04 |
| 1427696475 | Porscha Rush | Nurse Practitioner | 1040 Frye Rd, Galivants Ferry, SC 29544-8018 | 2019-12-19 |
| 1306483011 | Julie Marie Sim | Nurse Practitioner | 35 Bill Fries Dr Bldg F, Hilton Head Island, SC 29926-2731 | 2019-12-02 |
| 1144780909 | Chantal Pilar Debreceny | Nurse Practitioner | 1167 Basketweave Drive, #204, Mount Pleasant, SC 29466 | 2019-03-20 |
| 1396225769 | Kristin Claude | Nurse Practitioner | 421 Se Main St Ste 100, Simpsonville, SC 29681-2697 | 2018-08-15 |
| 1376031732 | Migina Anica Timpson | Nurse Practitioner | 317 Saint Francis Dr Ste 220, Greenville, SC 29601-3976 | 2018-05-01 |
| 1932601903 | Jamie Andrews Odom | Nurse Practitioner | 2720 Sunset Blvd Ste 300, West Columbia, SC 29169-4810 | 2018-03-06 |
| 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.