MRS. PATTI MCGEE MACDONALD (NPI# 1073761797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073761797 |
Entity Type | Individual |
Full Name | MRS. PATTI MCGEE MACDONALD |
Credential | NP |
Practice Address |
4750 Waters Ave Ste 307 Savannah GA 31404-6268 |
Practice Telephone | 9123507914 |
Practice Fax Number | 9123507973 |
Mailing Telephone | 9123507914 |
Mailing Fax Number | 9129507973 |
Enumeration Date | 2008-09-05 |
Last Update Date | 2018-08-07 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | RN073225 | GA | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
RN073225 | GA | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 933355779A | 05 | |
AMERIGROUP | 01289425 | 01 | |
GA | RR MEDICARE | P00649645 | 01 |
SC | NP1628 | 05 | |
GA | WELLCARE | 539222 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
4750 Waters Ave, Suite 307, Savannah, GA 314046200 | 9123507914 | 9129507973 |
Street Address |
4750 WATERS AVE STE 307 |
City | SAVANNAH |
State | GA |
Zip Code | 31404-6268 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851370019 | Christopher H. Rittmeyer | Pediatrics | 4750 Waters Ave Ste 307, Savannah, GA 31404-6268 | 2006-01-15 |
1477840437 | Alesha J. Froehlich | Nurse Practitioner | 4750 Waters Ave Ste 307, Savannah, GA 31404 | 2011-06-28 |
1346393261 | Miller Carlton Hamrick | Surgery | 4750 Waters Ave Ste 307, Savannah, GA 31404 | 2007-01-22 |
1174567309 | William Carson Boswell | Surgery | 4750 Waters Ave Ste 307, Savannah, GA 31404-6268 | 2006-06-16 |
1962452250 | David E Carney | Surgery | 4750 Waters Ave Ste 307, Savannah, GA 31404-6268 | 2006-05-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043864580 | Carli A Boatright | Registered Nurse | 4750 Waters Ave Suite 206, Savannah, GA 31404 | 2019-08-01 |
1619530573 | Morgan Johnson | Student in an Organized Health Care Education/Training Program | Memorial Health University Medical Center, 4700 Waters Ave, Savannah, GA 31404 | 2019-04-17 |
1477050243 | Kevin Timperman | Student in an Organized Health Care Education/Training Program | 4700 Waters Avenus, Surgery Residency Program, Mhumc, Savannah, GA 31404 | 2018-04-09 |
1376048959 | Nina Jo Paletta | Student in an Organized Health Care Education/Training Program | Memorial University Medical Center, 4700 Waters Ave., Savannah, GA 31404 | 2018-03-27 |
1972036200 | Jose Adrian Lara Gonzalez | Student in an Organized Health Care Education/Training Program | 4700 Waters Ave, Memorial University Medical Center, Internal Medicine Residency Program, Savannah, GA 31404 | 2017-04-04 |
1407210396 | Lexie Hester Vaughn | Student in an Organized Health Care Education/Training Program | 1250 East 66th St, Savannah, GA 31404 | 2016-04-07 |
1336503291 | Miles Love | Student in an Organized Health Care Education/Training Program | 1250 East 66th Street, Savannah, GA 31404 | 2016-04-07 |
1134536881 | David Patch | Specialist/Technologist | Pediatric Residency Program, Memorial University, Medical Center 4700 Waters Avenue, Savannah, GA 31404 | 2014-07-15 |
1962846683 | Alan Danilo Zevallos | Internal Medicine | 4700 Waters Avenue, University Medical Center, Internal Medicine Residency Program, Memorial Health, Savannah, GA 31404 | 2013-04-24 |
1730446394 | Joshua Ryan Fann | Prosthetist | 3840 Waters Ave, Savannah, GA 31404 | 2012-04-19 |
Find all providers in zip 31404 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336755289 | Taylor Bishop | Nurse Practitioner | 51 Hidden Lake Ct, Savannah, GA 31419-1664 | 2020-09-16 |
1043316417 | Patricia Fall | Nurse Practitioner | 322 Commercial Dr, Ste 2, Savannah, GA 31406-3639 | 2006-09-15 |
1063058667 | Abby Elizabeth Smith | Nurse Practitioner | 765 Florence Rd, Savannah, TN 38372-3451 | 2019-11-19 |
1417319682 | Rachel Naomi Schwartz | Nurse Practitioner | 4700 Waters Ave, Savannah, GA 31404-6220 | 2016-03-25 |
1225411846 | Julianne Shelley Temple | Nurse Practitioner | 106 E Broad St, Savannah, GA 31401-2917 | 2015-07-01 |
1083004345 | Carisa Elmore | Nurse Practitioner | 4700 Waters Ave, Savannah, GA 31404-6220 | 2015-01-26 |
1932598174 | Sommer Clark | Nurse Practitioner | 460 Mall Blvd, Savannah, GA 31406-4801 | 2015-01-12 |
1689077372 | Jennifer L. David | Nurse Practitioner | 4700 Waters Ave, Savannah, GA 31404-6220 | 2014-10-08 |
1073946737 | Kathleen Laird Brown | Nurse Practitioner | 2 Wheeler St, Savannah, GA 31405-5700 | 2013-08-16 |
1558638098 | Amber Stewart Andrews | Nurse Practitioner | 4700 Waters Ave, Savannah, GA 31404-6220 | 2011-11-29 |
Find all providers in SAVANNAH |
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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.