VERONICA EBERHART (NPI# 1073902094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073902094 |
Entity Type | Individual |
Full Name | VERONICA EBERHART |
Credential | AGACNP |
Practice Address |
1404 River Pl Ste 501 Braselton GA 30517-5600 |
Mailing Address |
Po Box 742616 Atlanta GA 30374-2616 |
Practice Telephone | 7705342020 |
Practice Fax Number | 7705348025 |
Mailing Telephone | 7702198420 |
Enumeration Date | 2015-01-14 |
Last Update Date | 2020-11-09 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
RN180727 | GA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1404 RIVER PL STE 501 |
City | BRASELTON |
State | GA |
Zip Code | 30517-5600 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821097296 | Stephen Peyton Prater | Internal Medicine | 1404 River Pl Ste 501, Braselton, GA 30517-5600 | 2005-07-19 |
1710396734 | Ifeoma Ezeh Omoregie | Physician Assistant | 1404 River Pl Ste 501, Braselton, GA 30517-5600 | 2014-08-04 |
1639584675 | Peggy Gail Whiten | Nurse Practitioner | 1404 River Pl Ste 501, Braselton, GA 30517-5600 | 2014-06-28 |
1265726384 | Pavani Kolakalapudi | Internal Medicine | 1404 River Pl Ste 501, Braselton, GA 30517-5600 | 2011-06-06 |
1336439991 | Laura Divoky | Internal Medicine | 1404 River Pl Ste 501, Braselton, GA 30517-5600 | 2011-04-15 |
1760772990 | Jeh-wei Cheng | Internal Medicine | 1404 River Pl Ste 501, Braselton, GA 30517-5600 | 2011-04-08 |
1215251897 | Zaid Houfdhi Said | Internal Medicine | 1404 River Pl Ste 501, Braselton, GA 30517 | 2010-03-25 |
1154564367 | Nima Ghasemzadeh | Internal Medicine | 1404 River Pl Ste 501, Braselton, GA 30517-5600 | 2009-04-17 |
1801089842 | Ankit Arvindbhai Patel | Internal Medicine | 1404 River Pl Ste 501, Braselton, GA 30517-5600 | 2007-08-23 |
1811004088 | Ryan T Whitney | Internal Medicine | 1404 River Pl Ste 501, Braselton, GA 30517-5600 | 2006-08-24 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063904076 | Northeast Georgia Dental Group | Dentist | 1205 Friendship Road, Braselton, GA 30517 | 2018-06-05 |
1548772544 | Shaniqua Lynee Sims | Nurse Practitioner | 1515 River Pl Ste 280, Braselton, GA 30517 | 2017-10-30 |
1538671847 | Georgia Pain and Wellness Center | Durable Medical Equipment & Medical Supplies | 1255 Frienship Road, Suite 150, Braselton, GA 30517 | 2017-10-26 |
1295137735 | Connie Johnson | Occupational Therapy Assistant | 5373 Thompsons Mill Rd., Braselton, GA 30517 | 2014-09-16 |
1780970921 | Christopher Thomas Middendorf | Hospitalist | 1400 River Place, Braselton, GA 30517 | 2011-06-27 |
1407140999 | Ashley Williams Zimmerman | Registered Nurse | 1515 River Pl Ste 340, Braselton, GA 30517 | 2011-06-02 |
1891097382 | Thu Mong Tran Nguyen | Dentist | 1702 Ammon Falls Ct, Braselton, GA 30517 | 2010-12-03 |
1053436030 | Andrew L Tam | Dentist | 5122 Hwy 53, Braselton, GA 30517 | 2007-03-20 |
1871503987 | Kathy Baxendale Morse | Nurse Practitioner | 2695 Old Winder Hwy, Suite 200, Pediatric Associates, Braselton, GA 30517 | 2006-08-09 |
1073585782 | Champak Patel | Legal Medicine | 5196 Hwy 53, Braselton, GA 30517 | 2006-02-06 |
Find all providers in zip 30517 |
Taxonomy Code | 363LG0600X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Gerontology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609323427 | Jessica Litton | Nurse Practitioner | 1400 River Pl Ste 501, Braselton, GA 30517-5600 | 2016-09-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235746009 | Jummai Folashade Akinrinmade | Nurse Practitioner | 5290 Hidden Valley Ln, Cumming, GA 30028-7024 | 2020-09-25 |
1396350997 | Ellen Allen | Nurse Practitioner | 8040 Highway 54, Sharpsburg, GA 30277-2112 | 2020-09-10 |
1588277867 | Saleta Anica Brogdon | Nurse Practitioner | 10 Muirfield Dr, Covington, GA 30016-6536 | 2020-08-26 |
1043828106 | Shonkeisha Byrd | Nurse Practitioner | 1160 Great River Pkwy, Lawrenceville, GA 30045-7015 | 2020-07-15 |
1558982272 | Irene Kamau | Nurse Practitioner | 3605 Glenbarrett Ln Ne, Marietta, GA 30066-8509 | 2020-05-05 |
1891324133 | Branette Young | Nurse Practitioner | 1120 Lehavre Ct, Hampton, GA 30228-3022 | 2020-04-08 |
1851938559 | Sandra Holloway | Nurse Practitioner | 607 Bethany St, Sparks, GA 31647-7139 | 2019-12-02 |
1013550508 | Monica Smart Mills | Nurse Practitioner | 8315 Champion Trl, Fairburn, GA 30213-4739 | 2019-10-28 |
1063053478 | Emily Elizabeth Adams | Nurse Practitioner | 887 W Marietta St Nw, Atlanta, GA 30318-5252 | 2019-10-07 |
1922661800 | Dorcus Healthcare Services LLC | Nurse Practitioner | 105 Greystone Dr, Guyton, GA 31312-5548 | 2019-04-17 |
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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.