HOUSE CALLS OF NW GEORGIA, LLC (NPI# 1073774105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073774105 |
| Entity Type | Organization |
| Organization Name | HOUSE CALLS OF NW GEORGIA, LLC |
| Practice Address |
30 Ward Mountain Rd Kingston GA 30145-1129 |
| Mailing Address |
30 Ward Mountain Road Kingston GA 30145 |
| Practice Telephone | 0762664387 |
| Practice Fax Number | 7062917383 |
| Mailing Telephone | 7062664387 |
| Mailing Fax Number | 7062917383 |
| Enumeration Date | 2008-06-20 |
| Last Update Date | 2009-04-27 |
| Authorized Official Name | CAROLE M. GOOCH (NURSE PRACTITIONER) |
| Authorized Official Telephone | 7062664387 |
| Authorized Official Credential | NURSE PRACTITION |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
RN069392 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
30 WARD MOUNTAIN RD |
| City | KINGSTON |
| State | GA |
| Zip Code | 30145-1129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578777967 | Carole Elaine Gooch | Nurse Practitioner | 30 Ward Mountain Rd, Kingston, GA 30145-1129 | 2007-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134241755 | Joy Hafner Bailey | Counselor | 38 Lowry Way, Kingston, GA 30145 | 2007-04-04 |
| 1700281664 | Christa Care Home and Health Services Inc | Home Health | 486 Brewer Rd, Kingston, GA 30145-1821 | 2014-11-04 |
| 1841656600 | Michele Abdul-qawiy | Counselor | 486 Youngs Mill Rd, Kingston, GA 30145-1864 | 2016-01-11 |
| 1700242575 | Tracey Cooke | Counselor | 486 Youngs Mill Rd, Kingston, GA 30145-1864 | 2016-01-11 |
| 1912328097 | Brandon Williamson | Specialist/Technologist | 16 Talon Ct, Kingston, GA 30145-1868 | 2013-12-17 |
| 1679017750 | Moore Surgical Assistant, LLC | Specialist/Technologist, Other | 80 Moore Rd, Kingston, GA 30145-2619 | 2016-12-08 |
| 1407166598 | Peggy Jo Mccomas | Licensed Practical Nurse | 25 Moss Ln, Euharlee, GA 30145-2762 | 2010-10-07 |
| 1073092144 | Joel Rader | Speech-Language Pathologist | 1061 Euharlee Rd, Euharlee, GA 30145-2807 | 2018-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285234252 | Healthstar Physicians of Hot Springs, Pllc | Family Medicine | 220 Madison 2620, Kingston, AR 72742 | 2020-10-29 |
| 1225637309 | Christine Marie Pabst | Nurse Practitioner | 667 Meadowland Ave, Kingston, PA 18704-5316 | 2020-10-20 |
| 1952908386 | Ulster Dialysis, LLC | Clinic/Center | 900 Miron Ln, Kingston, NY 12401-1567 | 2020-10-08 |
| 1386241636 | Mellissa Ilgen, Dds, Pllc | Clinic/Center | 26114 Illinois Ave Ne, Kingston, WA 98346-7674 | 2020-10-08 |
| 1154938744 | Dale Sumilang | Registered Nurse | 55 Lower College Rd Rm 204, Kingston, RI 02881-1972 | 2020-09-28 |
| 1942817689 | Brenna Grace Maynard | Student in an Organized Health Care Education/Training Program | 55 Lower College Rd, Kingston, RI 02881-1972 | 2020-09-27 |
| 1790398626 | Carmine P Milo | Registered Nurse | 22 Dunwoodie Dr, Kingston, NY 12401-6920 | 2020-08-29 |
| 1659984268 | Julia Ann Forbes | Social Worker | 3 Schoolhouse Ln, Kingston, MA 02364-1861 | 2020-08-25 |
| 1679185565 | Gina Weidow | Social Worker | 480 Pierce St Ste 316, Kingston, PA 18704-5512 | 2020-08-20 |
| 1053922245 | Olivia R Mackrell | Social Worker | 1023 Decker St, Kingston, NY 12401-1405 | 2020-08-12 |
| Find all providers in KINGSTON | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336392430 | Carol A Sellers | Nurse Practitioner | 1 Family Practice Drive, Kingston, NY 12401-2832 | 2008-11-03 |
| 1568421006 | Judy A Misiaszek | Nurse Practitioner | 80 Route 125, Kingston, NH 03848-3535 | 2006-03-22 |
| 1184613986 | Deborah Emma Bessette | Nurse Practitioner | 142 Aaron Ct, Willow Park Complex, Kingston, NY 12401-2962 | 2005-10-14 |
| 1598305807 | Kellie St Martin | Nurse Practitioner | 11 Tremont St, Kingston, MA 02364-1231 | 2020-01-14 |
| 1609397512 | Lanny L Cleary | Nurse Practitioner | 396 Broadway, Kingston, NY 12401-4626 | 2017-06-30 |
| 1609106517 | Katherine Arensmeyer | Nurse Practitioner | 382 Pierce St, Kingston, PA 18704-5535 | 2009-12-29 |
| 1508001066 | Beth A Saubermann | Nurse Practitioner | 360 Washington Ave, Kingston, NY 12401 | 2008-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154110 | Christina Danielle Palau Vaccari | Nurse Practitioner | 712 Pasley Ave Se, Atlanta, GA 30316-2158 | 2020-11-07 |
| 1427657113 | Cynthia Diane Prather | Nurse Practitioner | 3264 Lower Boston Rd, Thomasville, GA 31757-1311 | 2020-10-22 |
| 1932706728 | Alecia Ann Czarnecki | Nurse Practitioner | 6240 Crooked Creek Dr, Rex, GA 30273-5006 | 2020-10-05 |
| 1801401112 | Cotenna D. Clark | Nurse Practitioner | 1857 Cameo Ct, Tucker, GA 30084-7002 | 2020-09-14 |
| 1487264370 | Helen Young Yates | Nurse Practitioner | 40 Red Rock Ct Ne, Ludowici, GA 31316-6280 | 2020-08-05 |
| 1982214334 | Jasmine Alecia Henderson | Nurse Practitioner | 52 Roseberry Cir, Port Wentworth, GA 31407-5612 | 2020-07-31 |
| 1275142994 | Theresia Richardson | Nurse Practitioner | 2033 Buford Hwy Ste 109, Buford, GA 30518-8802 | 2020-07-28 |
| 1063021277 | Elsa Duncan Duncan | Nurse Practitioner | 1822 E Gwinnett St, Savannah, GA 31404-1853 | 2020-07-24 |
| 1154941946 | Joy P Wharton | Nurse Practitioner | 182 Silver Arrow Cir, Austell, GA 30168-7490 | 2020-04-21 |
| 1235769985 | Michelle Brack | Nurse Practitioner | 502 Hall Rd, Thomasville, GA 31757-8105 | 2020-01-22 |
| 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.