MR. THOMAS C EVERETT SR. (NPI# 1104198118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104198118 |
| Entity Type | Individual |
| Full Name | MR. THOMAS C EVERETT SR. |
| Practice Address |
3599 Meadowdale Dr Valdosta GA 31606-9612 |
| Practice Telephone | 2294127884 |
| Mailing Telephone | 2294127884 |
| Enumeration Date | 2012-02-07 |
| Last Update Date | 2012-03-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172A00000X | Driver | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730217191 | Thomas Ford Everett | Dentist | Family Orthodontic Specialists, 14344 Burnhaven Dr, Burnsville, MN 55306-5306 | 2007-02-28 |
| Street Address |
3599 MEADOWDALE DR |
| City | VALDOSTA |
| State | GA |
| Zip Code | 31606-9612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376761965 | Jill Ann Matney | Pharmacist | 3200 N Oak Street Ext, Valdosta, GA 31606 | 2007-04-22 |
| 1891202388 | Angela Radney | Contractor | 3975 Howell Dr, Valdosta, GA 31606-0607 | 2018-01-05 |
| 1558895961 | Henderica C Robinson | Contractor | 3605 Hillway Dr, Valdosta, GA 31606-1618 | 2017-04-12 |
| 1750938619 | Heaven of Hope Foundation Corporation | Meals | 4416 Joe K Dr, Valdosta, GA 31606-2217 | 2019-08-23 |
| 1083805345 | Victoria Shelton | Case Manager/Care Coordinator | 3054 Shelton Rd, Valdosta, GA 31606-2480 | 2007-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528668175 | Vishwa Patel | Pharmacist | 3604 Bellhaven Dr, Valdosta, GA 31605-1210 | 2020-10-31 |
| 1124628144 | Nurturing Love Inc | Respite Care | 704 Holly Dr, Valdosta, GA 31602-3306 | 2020-10-28 |
| 1326647629 | Sheba Phillips | Social Worker | 2402 Orlando Dr, Valdosta, GA 31602-1921 | 2020-10-19 |
| 1285232777 | Khrystal Wright | Contractor | 4016 Foxborough Blvd, Valdosta, GA 31602-6726 | 2020-10-15 |
| 1134727316 | Veteran Housing of America | Lodging | 609 Jones St, Valdosta, GA 31601-4865 | 2020-10-11 |
| 1871190686 | Allegiant Solutions LLC | Clinical Medical Laboratory | 3312 N Oak Street Ext Ste G, Valdosta, GA 31605-1065 | 2020-10-05 |
| 1649887431 | Kristi Brynt Godwin | Marriage & Family Therapist | 4457 Kenilworth Cir, Valdosta, GA 31605-8018 | 2020-09-25 |
| 1841806841 | Ashley De Plato | Contractor | 3813 Robin Ln, Valdosta, GA 31605-5124 | 2020-09-16 |
| 1962017368 | Katrina Terrell Horne | Nurse Practitioner | 15 Pinetree Cir, Valdosta, GA 31601-6256 | 2020-09-11 |
| 1861006223 | Monshita Mcdonald | Nurse Practitioner | 1523 San Bernardino Way, Valdosta, GA 31601-2511 | 2020-09-03 |
| Find all providers in VALDOSTA | ||||
| Taxonomy Code | 172A00000X |
| Grouping | Other Service Providers |
| Classification | Driver |
| A person employed to operate a motor vehicle as a carrier of persons or property. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740888379 | Candice Leggett Hunter | Driver | 1505 E Roosevelt Ave, Albany, GA 31705-2061 | 2020-10-15 |
| 1497352488 | Cassandra Clayton | Driver | 10020 Crystal Ter, Jonesboro, GA 30238-7857 | 2020-10-03 |
| 1467066712 | Scotty Simmons | Driver | 320 Cicada Dr Se, Milledgeville, GA 31061-5941 | 2020-09-03 |
| 1760095665 | Kiah Hickman | Driver | 904 Baywood Cir, Morrow, GA 30260-2190 | 2020-08-28 |
| 1154948263 | Jacqueline Swanson | Driver | 703 N Hill Pkwy, Atlanta, GA 30341-1255 | 2020-07-06 |
| 1023631439 | Brittany Bennett | Driver | 30 Peaceful Path Ct, Covington, GA 30016-3411 | 2020-05-19 |
| 1881215499 | Nicole Gober | Driver | 703 Prada Ct, Lawrenceville, GA 30043-8007 | 2020-05-05 |
| 1407477680 | Cdg Transpo | Driver | 1074 Sun Valley Ct, Macon, GA 31211-7593 | 2020-04-29 |
| 1487288981 | Mary Rodgers | Driver | 1875 New Orleans Way, Mcdonough, GA 30252-8692 | 2020-02-24 |
| 1720618424 | Carunda Porter | Driver | 1867 Hillsdale Dr, Decatur, GA 30032-4911 | 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.