MR. GARRY MICHAEL (NPI# 1093070096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093070096 |
| Entity Type | Individual |
| Full Name | MR. GARRY MICHAEL |
| Credential | NP-C |
| Practice Address |
3708 Northside Dr Macon GA 31210-2404 |
| Practice Telephone | 4787454206 |
| Practice Fax Number | 4782545303 |
| Mailing Telephone | 4787454206 |
| Mailing Fax Number | 4782545303 |
| Enumeration Date | 2012-07-06 |
| Last Update Date | 2012-07-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
RN093691 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3708 NORTHSIDE DR |
| City | MACON |
| State | GA |
| Zip Code | 31210-2404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245236744 | Edward Keith Grant | Physician Assistant | 3708 Northside Dr, Macon, GA 31210-2404 | 2005-06-21 |
| 1295333680 | Daniel Braschler | Physical Therapist | 3708 Northside Dr, Macon, GA 31210-2404 | 2020-10-16 |
| 1881203958 | Bobby Holcumb IIi | Physical Therapy Assistant | 3708 Northside Dr, Macon, GA 31210-2404 | 2020-07-24 |
| 1184240426 | Jenna Walton | Nurse Practitioner | 3708 Northside Dr, Macon, GA 31210-2404 | 2020-06-23 |
| 1710525886 | April Hancock | Physical Therapist | 3708 Northside Dr, Macon, GA 31210-2404 | 2019-12-19 |
| 1942856620 | Natalia Busuttil | Physical Therapist | 3708 Northside Dr, Macon, GA 31210-2404 | 2019-08-17 |
| 1689228918 | Cameron Tidwell | Nurse Practitioner | 3708 Northside Dr, Macon, GA 31210-2404 | 2019-07-25 |
| 1255892600 | Joshua Beagle | Physical Therapist | 3708 Northside Dr, Macon, GA 31210-2404 | 2019-03-28 |
| 1629536776 | Mayur Vishnubhai Patel | Physical Therapist | 3708 Northside Dr, Macon, GA 31210-2404 | 2019-03-07 |
| 1043776891 | Lauren Clark | Nurse Practitioner | 3708 Northside Dr, Macon, GA 31210-2404 | 2019-02-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033743455 | Dana Elizabeth Toth | Nurse Practitioner | 5300 Bowman Rd, Macon, GA 31210 | 2020-02-25 |
| 1871124735 | Jessica Bello | Nurse Practitioner | 5300 Bowman Road, Macon, GA 31210 | 2020-01-30 |
| 1225505787 | Rebekah Hollinshead | Occupational Therapist | Therapy Specialists of Georgia, 4116 Arkwright Road, Macon, GA 31210 | 2018-11-01 |
| 1346744943 | Ace Medical Transport LLC. | Ambulance | 728 Gay Dr, Macon, GA 31210 | 2018-03-20 |
| 1972965226 | Omar Faruk Ahmad | Family Medicine | 3400 Riverside Drvie, Macon, GA 31210 | 2016-03-25 |
| 1083074868 | Macon Dentist Office, PC | Dentist | 206 Tom Hill Sr Blvd, Suite 106, Macon, GA 31210 | 2016-03-07 |
| 1992176952 | Kerisia Wasztyl | Marriage & Family Therapist | 4691 Pine Valley Dr, Macon, GA 31210 | 2015-10-15 |
| 1073905444 | Eunice Malave De Leon | Social Worker | 174 Spring St, Macon, GA 31210 | 2015-02-23 |
| 1396141545 | Axis Surgery Center LLC | Clinic/Center | 230 Sheraton Blvd, Ste B, Macon, GA 31210 | 2014-11-17 |
| 1073914115 | Monique Rechelle Delay Moore | Community/Behavioral Health | 646 Millrun Court, Macon, GA 31210 | 2014-09-09 |
| Find all providers in zip 31210 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053738054 | Lauren Rachel Lambeth | Nurse Practitioner | 360 Hospital Dr, Suite 110d, Macon, GA 31217-3874 | 2014-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639784788 | Natasha Allen | Nurse Practitioner | 4177 Pelham Cir, Lithonia, GA 30038-6140 | 2020-09-14 |
| 1336753920 | Henny P Brown | Nurse Practitioner | 3430 Ridgeland Pl, Alpharetta, GA 30004-8483 | 2020-09-01 |
| 1487267415 | Alethea Hope Tucker | Nurse Practitioner | 3685 Braselton Hwy Ste 100, Dacula, GA 30019-5920 | 2020-08-28 |
| 1952913808 | Carol Jo Wilbanks | Nurse Practitioner | 206 Crest Dr, Rock Spring, GA 30739-2041 | 2020-08-21 |
| 1164032017 | Myiesha Sellers Mcfarlin | Nurse Practitioner | 55 Sellers Ln, Baxley, GA 31513-2208 | 2020-08-05 |
| 1124645395 | Kisha Smalley | Nurse Practitioner | 117 Gambier Cv, Mcdonough, GA 30252-6273 | 2020-07-02 |
| 1346861127 | Finan Tedla | Nurse Practitioner | 2626 Peachtree Rd Nw Unit 1802, Atlanta, GA 30305-5633 | 2020-05-03 |
| 1841819547 | Millicent Charte Duncan | Nurse Practitioner | 138 Parkview Rd, Savannah, GA 31419-9672 | 2020-04-13 |
| 1891329660 | Tracey Lynn Murray | Nurse Practitioner | 980 Johnson Ferry Rd Ste 880, Sandy Springs, GA 30342-1609 | 2020-03-02 |
| 1841820917 | Vedic Family Practice and Wellness | Nurse Practitioner | 1240 Upper Hembree Rd Ste E, Roswell, GA 30076-0914 | 2020-01-17 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MR. GARRY MICHAEL.
| 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.