JO ANN MARIE BLYTHE (NPI# 1104303171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104303171 |
| Entity Type | Individual |
| Full Name | JO ANN MARIE BLYTHE |
| Credential | NP |
| Practice Address |
458 Hemlock St Ste 200 Macon GA 31201-4200 |
| Mailing Address |
819 Malwood Dr Macon GA 31204-1449 |
| Practice Telephone | 4787415945 |
| Mailing Telephone | 4789600280 |
| Enumeration Date | 2018-07-23 |
| Last Update Date | 2018-07-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
RN232206 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
458 HEMLOCK ST STE 200 |
| City | MACON |
| State | GA |
| Zip Code | 31201-4200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770003097 | Nancy Dixon Sellars | Nurse Practitioner | 458 Hemlock St Ste 200, Macon, GA 31201-4200 | 2017-06-27 |
| 1891290904 | Susan Marie Daniel | Nurse Practitioner | 458 Hemlock St Ste 200, Macon, GA 31201-4200 | 2018-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639666340 | Yasameen Emad Muzahim | Internal Medicine | 777 Hemlock Street, Msc 165, Macon, GA 31201 | 2018-04-18 |
| 1952819419 | Putnam Dialysis LLC | Clinic/Center | 657 Hemlock Street, Suite 200, Macon, GA 31201 | 2018-01-18 |
| 1730604331 | Graham Arthur Mercier | Surgery | 169 Ashley Ave., Room 202 Main Hospital Msc 333, Charleston, SC 31201 | 2017-08-04 |
| 1376075705 | Diamond Jude | Internal Medicine | 777 Hemlock Street Msc #104, Macon, GA 31201 | 2017-04-03 |
| 1174055263 | Carol Roobin Bashuk | Hearing Instrument Specialist | 634 First Street, Macon, GA 31201 | 2017-03-29 |
| 1144752411 | Hubert Pare | Student in an Organized Health Care Education/Training Program | 777 Hemlock Street, Msc# 165, Macon, GA 31201 | 2017-03-28 |
| 1548613789 | Michael Daugherty | Counselor | 1873 Hardeman Ave, Suite 1, Macon, GA 31201 | 2016-07-22 |
| 1316317993 | 4front Healthcare of Middle Georgia, LLC | Hospice Care, Community Based | 682 1st St, Macon, GA 31201 | 2015-09-25 |
| 1881073054 | Andrew Lee Drahos | Surgery | 777 Hemlock St # 140, Macon, GA 31201 | 2015-05-21 |
| 1720474158 | April Nicole Colley | Nurse Practitioner | 1014 Forsyth Street, Macon, GA 31201 | 2015-04-13 |
| Find all providers in zip 31201 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750843876 | Jerel Keith Harris | Nurse Practitioner | 6687 Skipper Rd Apt 115, Macon, GA 31216-6456 | 2019-04-06 |
| 1316451511 | Chelsea Rizkalla | Nurse Practitioner | 890 2nd St Ste 201, Macon, GA 31201-6863 | 2017-11-27 |
| 1528686003 | Jonathan Michael Clopton | Nurse Practitioner | 777 Hemlock St, Macon, GA 31201-2102 | 2020-07-10 |
| 1558901264 | Crystal Ayer | Nurse Practitioner | 350 Hospital Dr, Macon, GA 31217-3838 | 2020-01-10 |
| 1730729799 | Laura Julie Caraway | Nurse Practitioner | 840 Pine St Ste 750, Macon, GA 31201-7528 | 2020-01-08 |
| 1114586815 | Taylor Caldwell Screws | Nurse Practitioner | 777 Hemlock St, Macon, GA 31201-2102 | 2019-06-07 |
| 1124504105 | Jami Beaver | Nurse Practitioner | 1062 Forsyth St Ste 1b, Macon, GA 31201-8638 | 2018-07-13 |
| 1124516661 | Jared Cooper | Nurse Practitioner | 777 Hemlock St, Macon, GA 31201-2102 | 2018-04-30 |
| 1902303993 | Russell James Dunn | Nurse Practitioner | 777 Hemlock St, Macon, GA 31201-2102 | 2018-04-06 |
| 1316455751 | Cessalee Ann Swars | Nurse Practitioner | 400 Charter Blvd, Macon, GA 31210-4831 | 2018-01-19 |
| Find all providers in MACON | ||||
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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.