JERAD RARDIN (NPI# 1083163042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083163042 |
| Entity Type | Individual |
| Full Name | JERAD RARDIN |
| Practice Address |
1538 13th Ave Ste B300 Columbus GA 31901-2563 |
| Practice Telephone | 7063219300 |
| Practice Fax Number | 7062431284 |
| Mailing Telephone | 7063219300 |
| Mailing Fax Number | 7062431284 |
| Enumeration Date | 2016-09-30 |
| Last Update Date | 2019-09-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | RN148874 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 212731 | 05 | |
| GA | 003183133L | 05 |
| Street Address |
1538 13TH AVE STE B300 |
| City | COLUMBUS |
| State | GA |
| Zip Code | 31901-2563 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891939138 | Juliet M Walker | Physician Assistant | 1538 13th Ave Ste B300, Columbus, GA 31901-2563 | 2009-04-30 |
| 1699194712 | Columbus Neurologic Institute | Specialist | 1538 13th Ave Ste B300, Columbus, GA 31901-2563 | 2014-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790396984 | Chisholm Trail Urgent Care Pllc | Emergency Medicine | 11 Tsys Way, Columbus, GA 31901 | 2020-08-12 |
| 1770040099 | Columbus Ga Homecare, LLC | In Home Supportive Care | 1501 13th Street., Suite G, Columbus, GA 31901 | 2019-02-22 |
| 1750868782 | Health Matters, Inc. | Clinic/Center | 1124 13th St, Columbus, GA 31901 | 2018-07-23 |
| 1447754197 | Charles Chacha Maroa Babere | Student in an Organized Health Care Education/Training Program | Columbus Regional Health, Midtown Medical Center, 1900 10th Avenue, Suit 100, Columbus, GA 31901 | 2018-03-19 |
| 1861912867 | Demetria Laprel Mcgruder | Community Health Worker | 1230 2nd Ave., Columbus, GA 31901 | 2017-06-21 |
| 1679932016 | Crystal Gayle Passmore | Counselor | 233 12th St Ste 334, Columbus, GA 31901 | 2016-02-13 |
| 1700256344 | Kendra Ward | Community Health Worker | 1230 2nd Avenue, Columbus, GA 31901 | 2015-09-25 |
| 1437556701 | Wendy Denise Thomas | Adult Companion | 1501 13th Street Suite F, Columbus, GA 31901 | 2014-12-02 |
| 1134523996 | Danielle Elaine Berry | General Practice | Tree of Life Healthcare, 1968 North Avenue, Columbus, GA 31901 | 2014-10-22 |
| 1710239330 | Kati Michelle Turner | Pharmacist | 1800 10th Avenue, Columbus, GA 31901 | 2012-10-05 |
| Find all providers in zip 31901 | ||||
| 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 |
|---|---|---|---|---|
| 1427663665 | Antona Deann Napier | Nurse Practitioner | 1075 Great Oak Dr Apt I, Columbus, OH 43213-4514 | 2020-09-14 |
| 1952913618 | Cynthia Marie Nonamaker | Nurse Practitioner | 4641 Ridge Rd, Columbus, MS 39705-2862 | 2020-08-23 |
| 1467060608 | Jessica Workman | Nurse Practitioner | 4135 Willow Hollow Dr, Columbus, OH 43230-1056 | 2020-07-14 |
| 1578181558 | Carolyn Minks | Nurse Practitioner | 1527 Berkshire Rd, Columbus, OH 43221-3905 | 2020-07-07 |
| 1285268219 | Mh 102, PC | Nurse Practitioner | 1 Aflac Parkway, Columbus, GA 31907 | 2020-02-28 |
| 1831723964 | Mh 102, PC | Nurse Practitioner | 1932 Wynnton Rd, Columbus, GA 31999-0001 | 2020-02-27 |
| 1972136422 | Junauh Mariah Allgood | Nurse Practitioner | 1006 11th Ave N Apt A, Columbus, MS 39701-3543 | 2020-02-12 |
| 1790325660 | Lisa Corinne Sofocleous | Nurse Practitioner | 250 Brodbelt Ln Apt 204, Columbus, OH 43215-2458 | 2020-01-08 |
| 1093366551 | Karla Kornsey | Nurse Practitioner | 23206 Columbus Rd Ste B, Columbus, NJ 08022-1904 | 2019-09-26 |
| 1083263651 | Vita Care LLC | Nurse Practitioner | 1425 Yorkland Road, Columbus, OH 43232-1686 | 2019-09-06 |
| Find all providers in COLUMBUS | ||||
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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.