MR. OWEN JEFFERY CARR (NPI# 1124493606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124493606 |
| Entity Type | Individual |
| Full Name | MR. OWEN JEFFERY CARR |
| Credential | PA-C |
| Practice Address |
2709 Meredyth Dr Ste 450 Albany GA 31707-0220 |
| Practice Telephone | 2294461990 |
| Practice Fax Number | 2293125005 |
| Mailing Telephone | 2294461990 |
| Mailing Fax Number | 2293125005 |
| Enumeration Date | 2015-12-09 |
| Last Update Date | 2019-02-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | MEDICAL LICENSE | 008061 | 01 |
| FL | FLORIDA MEDICAL LICENSE | PA 9109135 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2402 Osler Ct, Albany, GA 317070205 | 2294383300 | 2294383384 |
| Street Address |
2709 MEREDYTH DR STE 450 |
| City | ALBANY |
| State | GA |
| Zip Code | 31707-0220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598974719 | Aniefiok Imeh Uyoe | Orthopaedic Surgery | 2709 Meredyth Dr Ste 450, Albany, GA 31707 | 2007-05-22 |
| 1942726054 | Robert Carlton Garrett Jr. | Nurse Practitioner | 2709 Meredyth Dr Ste 450, Albany, GA 31707 | 2017-08-21 |
| 1861927592 | Stephen F Alayli | Podiatrist | 2709 Meredyth Dr Ste 450, Albany, GA 31707-0220 | 2017-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396394011 | Barbara Cannon | Technician | 2025 Gail Avenue, Albany, GA 31707 | 2019-09-05 |
| 1669941035 | Wallace Coleman | Counselor | 2403 Osler Court, Suite B, Albany, GA 31707 | 2018-11-15 |
| 1992293955 | Tiffany Timmerman | Massage Therapist | Albany Therapeutic Massage Clinic, 1534 Dawson, Rd, Albany, GA 31707 | 2018-04-25 |
| 1225550957 | Christopher George Solomon | Nurse Practitioner | 2336 Dawson Rd., Urgent Care Center At Phoebe Northwest, Albany, GA 31707 | 2017-07-14 |
| 1689107229 | Teemercare @ Home LLC | Home Health | 1129 Dawson Rd Ste A, Albany, GA 31707 | 2017-04-11 |
| 1205373917 | Nicarro Henderson | Specialist | 2005 E Dawson Rd, Albany, GA 31707 | 2017-01-20 |
| 1235567918 | Restoration of The Minds LLC | Community/Behavioral Health | 1408 Edgerly Avenue, Albany, GA 31707 | 2013-10-16 |
| 1588091334 | Marsha Danell Glover | Pediatrics | 517 N. Westover Blvd., Albany, GA 31707 | 2013-10-10 |
| 1003253139 | Bailey Healthcare Inc | Community/Behavioral Health | 2416 Suite B Westgate Dr, Albany, GA 31707 | 2013-05-30 |
| 1346685666 | Albany Urology Surgery Center LLC | Clinic/Center | 2400 Osler Court, Albany, GA 31707 | 2013-04-30 |
| Find all providers in zip 31707 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922489384 | Jessica Patrizio | Physician Assistant | 25 Hackett Blvd # Mc69, Albany, NY 12208-3462 | 2015-06-11 |
| 1952799611 | Tezita Beemnet | Physician Assistant | 1712 E Broad Ave # Setc, Albany, GA 31705-2611 | 2015-01-05 |
| 1437485257 | Rebecca M Hosey | Physician Assistant | 116 Everett Road, Medical Pain Management Services, Pllc, Albany, NY 12205-1427 | 2009-10-29 |
| 1124185590 | Christine Elizabeth Mcgovern | Physician Assistant | 1400 Washington Ave, University Health Center, Albany, NY 12222-0100 | 2007-01-03 |
| 1508893157 | Cheryl J Perog | Physician Assistant | St. Peter's Hospitoal Occupational Health, 310 South Manning Boulevard, Albany, NY 12053 | 2006-06-27 |
| 1598744534 | Richard H Stowe Jr. | Physician Assistant | 425 W 3rd Ave Ste 550, Albany, GA 31701-1999 | 2006-01-10 |
| 1043218878 | John A Dennis | Physician Assistant | 1200 N Jefferson St, Albany, GA 31701-2057 | 2005-07-14 |
| 1265430326 | Dennis I. Silber | Physician Assistant | 2 Palisades Drive, Albany, NY 12205-1438 | 2005-07-12 |
| 1700496635 | Angela Cunningham | Physician Assistant | 43 New Scotland Ave, Albany, NY 12208-3412 | 2020-08-05 |
| 1629619846 | Daniel A Horton | Physician Assistant | 123 Everett Rd, Albany, NY 12205-1407 | 2019-09-30 |
| Find all providers in ALBANY | ||||
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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.