CODY BRENNAN KEETH (NPI# 1104446210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104446210 |
| Entity Type | Individual |
| Full Name | CODY BRENNAN KEETH |
| Practice Address |
745 Poplar Rd Newnan GA 30265-1618 |
| Mailing Address |
369 Lora Smith Rd Newnan GA 30265-1967 |
| Practice Telephone | 7704002630 |
| Enumeration Date | 2020-04-17 |
| Last Update Date | 2020-04-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | RN268621 | GA | Nursing Service Providers |
| Street Address |
745 POPLAR RD |
| City | NEWNAN |
| State | GA |
| Zip Code | 30265-1618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386697944 | Karen Potts-hammond | Physician Assistant | 745 Poplar Rd, Newnan, GA 30265-1618 | 2006-05-17 |
| 1003414582 | Marcus Stephen Wilbanks | Registered Nurse | 745 Poplar Rd, Newnan, GA 30265-1618 | 2020-10-15 |
| 1386241362 | Kurt Louis Wahnschaff | Registered Nurse | 745 Poplar Rd, Newnan, GA 30265-1618 | 2020-10-03 |
| 1831703206 | Bhavika J Rana | Nurse Practitioner | 745 Poplar Rd, Newnan, GA 30265-1618 | 2020-09-03 |
| 1942812318 | Graham Thomas Kittrell | Student in an Organized Health Care Education/Training Program | 745 Poplar Rd, Newnan, GA 30265-1618 | 2020-08-18 |
| 1902421548 | Seema Patel | Pharmacist | 745 Poplar Rd, Newnan, GA 30265-1618 | 2020-06-09 |
| 1316567928 | David Sanchez | Registered Nurse | 745 Poplar Rd, Newnan, GA 30265-1618 | 2020-04-23 |
| 1790304012 | Jessica Brand | Registered Nurse | 745 Poplar Rd, Newnan, GA 30265-1618 | 2020-04-16 |
| 1174168280 | Erin Vise | Registered Nurse | 745 Poplar Rd, Newnan, GA 30265-1618 | 2019-11-12 |
| 1235782228 | Mary Catherine Waite | Nurse Practitioner | 745 Poplar Rd, Newnan, GA 30265-1618 | 2019-07-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265041537 | Shiva Bazargan | Pharmacist | 3116 Sr 34 West, Newnan, GA 30265 | 2020-07-23 |
| 1992322549 | Doctorsbeyond Inc. | Clinic/Center | 277 Skyview Court, Newnan, GA 30265 | 2020-06-30 |
| 1225652936 | Jerrica Conyers | Nurse Practitioner | 1635 Highwat 34 East Suite C, Newnan, GA 30265 | 2020-05-29 |
| 1982234688 | Morgan Elizabeth Bross | Physician Assistant | 1825 Ga- 34, Newnan, GA 30265 | 2020-01-22 |
| 1013553379 | Hopebridge LLC | Behavior Technician | 2147 Newnan Crossing Boulevard East, Newnan, GA 30265 | 2019-11-21 |
| 1518528116 | Stepping Stones Psychiatric Care LLC | Nurse Practitioner | 3025 Sharpsburg Mccullum Rd, Building B Suite 103, Newnan, GA 30265 | 2019-06-25 |
| 1356823363 | Stephen William Jacon | Specialist/Technologist | 29 Muirfield Court, Newnan, GA 30265 | 2018-09-05 |
| 1881176832 | Blueprint Psychiatry, LLC | Psychiatry & Neurology | 1601 Highway 34 E Ste A, Newnan, GA 30265 | 2018-09-05 |
| 1548790769 | Timothy Collins | Physical Therapist | 1755 Ga-34, Suite 1300, Rehab Department, Newnan, GA 30265 | 2017-06-20 |
| 1497289748 | Edible Health & Wellness,llc | Clinic/Center | 90f Glenda Trace Pmb 318, Newnan, GA 30265 | 2017-04-13 |
| Find all providers in zip 30265 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043827421 | Courtney Taylor Patterson | Registered Nurse | 1225 Corinth Rd, Newnan, GA 30263-7442 | 2020-09-29 |
| 1548896426 | Sara Saavedra | Registered Nurse | 7 Oakleigh Trl, Newnan, GA 30265-2552 | 2020-03-23 |
| 1710517941 | Amy Gamino | Registered Nurse | 16 Gordon St, Newnan, GA 30263-1316 | 2020-01-15 |
| 1689236838 | Karena Speller Diyombi | Registered Nurse | 113 Village Pl, Newnan, GA 30265-5708 | 2019-07-08 |
| 1669945762 | Lauren Elizabeth Fellows | Registered Nurse | 388 Bullsboro Dr # 241, Newnan, GA 30263-1069 | 2019-01-10 |
| 1588930630 | Anita Danielle Barker-warner | Registered Nurse | 205 Hearthstone Dr, Newnan, GA 30263-5670 | 2012-03-22 |
| 1326044090 | James Mickey Wells | Registered Nurse | 80 Newnan Station Drive, Suite A, Newnan, GA 30265 | 2005-06-27 |
| 1003414582 | Marcus Stephen Wilbanks | Registered Nurse | 745 Poplar Rd, Newnan, GA 30265-1618 | 2020-10-15 |
| 1386241362 | Kurt Louis Wahnschaff | Registered Nurse | 745 Poplar Rd, Newnan, GA 30265-1618 | 2020-10-03 |
| 1205445426 | Jessica Nicole Breaux | Registered Nurse | 59 Hospital Rd, Newnan, GA 30263-1209 | 2020-07-23 |
| Find all providers in NEWNAN | ||||
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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.