ASHLEY ABT (NPI# 1053810424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053810424 |
Entity Type | Individual |
Full Name | ASHLEY ABT |
Credential | PA |
Practice Address |
90 E Stephens St Camilla GA 31730-1836 |
Mailing Address |
100 S Madison St Thomasville GA 31792-5473 |
Practice Telephone | 2293364600 |
Mailing Telephone | 2292360831 |
Mailing Fax Number | 2292360871 |
Enumeration Date | 2018-02-12 |
Last Update Date | 2018-02-12 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN244930 | GA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
90 E STEPHENS ST |
City | CAMILLA |
State | GA |
Zip Code | 31730-1836 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700830247 | Hospital Authority of Mitchell County | General Acute Care Hospital | 90 E Stephens St, Camilla, GA 31730-1836 | 2006-05-20 |
1710478771 | Carly Mccook | Speech-Language Pathologist | 90 E Stephens St, Camilla, GA 31730-1836 | 2018-05-25 |
1811497209 | Caitlin Fletcher | Occupational Therapist | 90 E Stephens St, Camilla, GA 31730-1836 | 2018-02-13 |
1174042972 | Ashley Nicole Maxwell | Occupational Therapist | 90 E Stephens St, Camilla, GA 31730-1836 | 2017-09-12 |
1760838395 | Southland Bainbridge Hospitalist Group, LLC | Hospitalist | 90 E Stephens St, Camilla, GA 31730-1836 | 2016-05-12 |
1235583857 | Hospital Authority of Mitchell County | Radiology | 90 E Stephens St, Camilla, GA 31730 | 2016-04-20 |
1104270727 | Hospital Authority of Mitchell County | Radiology | 90 E Stephens St, Camilla, GA 31730 | 2016-04-20 |
1740634336 | Hospital Authority of Mitchell County | Radiology | 90 E Stephens St, Camilla, GA 31730 | 2016-04-20 |
1902044589 | Heather Michele Griffin | Occupational Therapist | 90 E Stephens St, Camilla, GA 31730-1836 | 2009-02-04 |
1376781815 | Cheryl L Jordan | Occupational Therapist | 90 E Stephens St, Camilla, GA 31730-1836 | 2009-01-21 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700310059 | Phoebe Primary Care of Camilla | Clinic/Center | 725 Us Highway 19 S, Camilla, GA 31730 | 2017-04-13 |
1134661028 | Montreal Biggins Sr. | Counselor | 198 South Mcarthur Drive, Camilla, GA 31730 | 2016-11-09 |
1447639307 | Ledora Inman | Counselor | 198 S. Mac Arthur Drive, Camila, GA 31730 | 2015-05-26 |
1336533652 | Southern Therapeutic Massage Studio LLC | Massage Therapist | 88 W. Broad St, Camilla, GA 31730 | 2015-03-25 |
1013306604 | Jamekah Brooks | Counselor | 198 S Macarthur Drive, Camilla, GA 31730 | 2015-01-20 |
1063811651 | Develle Miller | Counselor | 198 S. Macarthur, Camilla, GA 31730 | 2014-08-19 |
1679980247 | Amanda Bryant | Counselor | 198 S. Macarthur Dr., Camilla, GA 31730 | 2014-07-16 |
1578993945 | Ted Hall | Counselor | 218 S. Mcarthur Drive, Camilla, GA 31730 | 2013-11-20 |
1700216280 | Michael D Fowler I | Case Management | 198 S. Macarthur Drive, Camilla, GA 31730 | 2013-11-19 |
1750644753 | Sally Niazi | Pharmacist | 266 E Broad Street, Camilla, GA 31730 | 2012-06-25 |
Find all providers in zip 31730 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902005358 | Kitty M Beasley | Nurse Practitioner | 24 S Ellis St, Camilla, GA 31730-1813 | 2007-07-16 |
1003854373 | Christine M Lockhart | Nurse Practitioner | 259 Us Highway 19 N, Camilla, GA 31730-1410 | 2006-06-02 |
1588274682 | Magan S Gilliam | Nurse Practitioner | 259 Us Highway 19 N, Camilla, GA 31730-1410 | 2020-08-04 |
1508305145 | Deborah Herndon | Nurse Practitioner | 259 Us Highway 19 N, Camilla, GA 31730-1410 | 2017-02-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780285486 | Aprn Mobile Clinic LLC | Nurse Practitioner | 1361 Highwoods Pass, Grovetown, GA 30813-3994 | 2020-11-08 |
1093316820 | Odyne Rose Lacossiere-dorvilus | Nurse Practitioner | 30 Myrtlewood Dr, Savannah, GA 31405-1024 | 2020-11-06 |
1104427061 | Tya Wright | Nurse Practitioner | 1450 Newnan Crossing Blvd E Apt 13205, Newnan, GA 30265-0027 | 2020-11-05 |
1235730409 | Cheryl Lynn Williams | Nurse Practitioner | 282 Somerset Dr, Dallas, GA 30132-9761 | 2020-11-04 |
1033710298 | Karen F Frazier | Nurse Practitioner | 6610 Crest Wood Ln, Douglasville, GA 30135-9046 | 2020-11-04 |
1619578986 | Marjorie Sewannyana | Nurse Practitioner | 553 Camano Way, Mcdonough, GA 30253-8377 | 2020-11-03 |
1639770027 | Markesha Leshea Groomes | Nurse Practitioner | 209 N. Cuthbert, Colquitt, GA 39837-3515 | 2020-11-03 |
1265033625 | Ashley Thomas | Nurse Practitioner | 3750 Venture Dr Ste E4, Duluth, GA 30096-1863 | 2020-11-03 |
1558962894 | Anna Marie Kodama | Nurse Practitioner | 462 Furys Ferry Rd # C, Augusta, GA 30907-9506 | 2020-11-03 |
1093315848 | Tracy Tarvers | Nurse Practitioner | 129 Wolf Creek Dr N, Macon, GA 31210-9002 | 2020-10-30 |
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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.