MISTY M SUDDETH (NPI# 1083789788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083789788 |
| Entity Type | Individual |
| Full Name | MISTY M SUDDETH |
| Credential | NP |
| Practice Address |
3541 Chattanooga Rd Tunnel Hill GA 30755-9393 |
| Mailing Address |
Po Box 1117 Tunnel Hill GA 30755-1117 |
| Practice Telephone | 7065164426 |
| Practice Fax Number | 7065164429 |
| Mailing Telephone | 7065164426 |
| Mailing Fax Number | 7065164429 |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2012-05-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | RN113269 NP | GA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367A00000X | Advanced Practice Midwife | APN000007995 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3541 CHATTANOOGA RD |
| City | TUNNEL HILL |
| State | GA |
| Zip Code | 30755-9393 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265706550 | Tunnel Hill Walk In Medical Center, LLC | Family Medicine | 3541 Chattanooga Rd, Tunnel Hill, GA 30755-9393 | 2012-03-04 |
| 1073745220 | Barbara Jean Conyers | Nurse Practitioner | 3541 Chattanooga Rd, Tunnel Hill, GA 30755-9393 | 2009-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134471204 | Highland Rivers Community Service Board | Community/Behavioral Health | 1149 Mount Vernon Rd, Tunnel Hill, GA 30755-6346 | 2012-10-12 |
| 1699016527 | Primary Health Care Center of Dade, Inc. | Clinic/Center | 134 Rhea Mcclanahan Dr, Tunnel Hill, GA 30755-7328 | 2013-03-01 |
| 1306228887 | Amanda Quinn | Nurse Practitioner | 134 Rhea Mcclanahan Dr, Tunnel Hill, GA 30755-7328 | 2015-06-22 |
| 1811450547 | Tracy Mechelle Headrick | In Home Supportive Care | 2103 Mulberry Ln, Tunnel Hill, GA 30755-7770 | 2019-04-10 |
| 1447789672 | Rebecca Lynn Ray | Occupational Therapy Assistant | 81 Hughes Ln, Tunnel Hill, GA 30755-8205 | 2017-06-10 |
| 1861698979 | Ellen Glenn Dreschel | Case Manager/Care Coordinator | 410 Crawford Ter, Tunnel Hill, GA 30755-9212 | 2007-06-25 |
| 1720697261 | Amy Wright X | In Home Supportive Care | 1508 Cardinal Way, Tunnel Hill, GA 30755-9279 | 2020-07-30 |
| 1265550354 | Virginia L Leonard | Chiropractor | 3525 Chattanooga Rd, Tunnel Hill, GA 30755-9393 | 2007-03-27 |
| 1033221973 | Tunnel Hill Pharmacy Inc | Pharmacy | 3535 Chattanooga Rd, Tunnel Hill, GA 30755-9393 | 2006-08-31 |
| 1770138885 | Joshua Neil Wiseman | Pharmacist | 3535 Chattanooga Rd, Tunnel Hill, GA 30755-9393 | 2019-08-06 |
| Find all providers in zip 30755 | ||||
| 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 |
|---|---|---|---|---|
| 1073745220 | Barbara Jean Conyers | Nurse Practitioner | 3541 Chattanooga Rd, Tunnel Hill, GA 30755-9393 | 2009-08-20 |
| 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 | ||||
| City | TUNNEL HILL |
| Zip Code | 30755 |
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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.