SHIRLEY YOUNGBLOOD (NPI# 1073611059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073611059 |
| Entity Type | Individual |
| Full Name | SHIRLEY YOUNGBLOOD |
| Credential | NP |
| Practice Address |
56 Hospital Street Hiawassee GA 30546 |
| Mailing Address |
Po Box 409 Hiawassee GA 30546-0409 |
| Practice Telephone | 7068962289 |
| Practice Fax Number | 7068966007 |
| Mailing Telephone | 7068962289 |
| Mailing Fax Number | 7068966007 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | RN053003 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | MEDICAID | 7003727 | 01 |
| Street Address |
56 HOSPITAL STREET |
| City | HIAWASSEE |
| State | GA |
| Zip Code | 30546 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356440853 | Robert F Stahlkuppe | Family Medicine | 56 Hospital Street, Hiawassee, GA 30546 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952621153 | Georgia Mountains Community Services | Day Training, Developmentally Disabled Services | 1188 Bell Creek Rd, Hiawassee, GA 30546 | 2010-06-10 |
| 1154504090 | Samuel Jason Ledford | Dentist | 19 S. Main St., Hiawassee, GA 30546 | 2007-12-14 |
| 1881751428 | Edwards Medical Practice LLC | Family Medicine | 129 South Main Street Suite A, Hiawassee, GA 30546 | 2007-01-02 |
| 1093878282 | Elizabeth Wing Solomon | Internal Medicine | 1220 Chatuge Circle, Hiawassee, GA 30546 | 2006-12-18 |
| 1912069535 | Holly Tiger | Social Worker | 10 West Bell Street, Hiawassee, GA 30546 | 2006-12-14 |
| 1962579268 | Jay S Cochran Md PC | General Practice | 2000 Us Highway 76 West, Hiawassee, GA 30546 | 2006-11-29 |
| 1538262530 | Walter E Spiva | Chiropractor | 1628 Highway 76 North, Hiawassee, GA 30546 | 2006-09-06 |
| 1982632428 | Shelly Mcintyre | Psychiatry & Neurology | 120 River St Ste B, Hiawassee, GA 30546 | 2006-06-30 |
| 1013979855 | Tracy L Edwards | Family Medicine | 129 South Main St, Suite A, Hiawassee, GA 30546 | 2006-04-05 |
| 1841264249 | Jose Matias Arencibia | Optometrist | 344 S Main St, Hiawassee, GA 30546 | 2006-02-14 |
| Find all providers in zip 30546 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841186 | Cynthia Marie Benjamin Bates | Nurse Practitioner | 2746 Willis Foreman Rd, Hephzibah, GA 30815-6935 | 2020-11-06 |
| 1841891199 | Gloria Oduro | Nurse Practitioner | 983 Bentley Estates Dr, Dacula, GA 30019-7795 | 2020-11-03 |
| 1689274094 | Shundria Brown | Nurse Practitioner | 2122 Ellwyn Dr, Chamblee, GA 30341-1520 | 2020-10-27 |
| 1629677455 | Amy Lynn Patterson | Nurse Practitioner | 254 Senna St, Marietta, GA 30064-4417 | 2020-10-22 |
| 1538768965 | Tabitha Ford | Nurse Practitioner | 110 Shorter St Lot 9, Ty Ty, GA 31795-3179 | 2020-10-16 |
| 1902404320 | Shanelle Lynette Raiford | Nurse Practitioner | 2028 Hidden Meadow Ln, Stone Mountain, GA 30088-4448 | 2020-10-16 |
| 1760089072 | Diana Maresi Bulimu | Nurse Practitioner | 6050 Peachtree Pkwy # 240-178, Norcross, GA 30092-3336 | 2020-10-08 |
| 1760089692 | Natalie Xiomara Leak | Nurse Practitioner | 4855 Chesterfield Ct, Suwanee, GA 30024-1350 | 2020-10-05 |
| 1548877723 | Camille Watson-clarke | Nurse Practitioner | 3650 Steve Reynolds Blvd Ste 316, Duluth, GA 30096-4506 | 2020-09-30 |
| 1801403654 | Jacqueline Richart | Nurse Practitioner | 6300 Hospital Pkwy Ste 260, Johns Creek, GA 30097-1829 | 2020-09-25 |
| 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.