TRACIE COGDELL (NPI# 1124674866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124674866 |
| Entity Type | Individual |
| Full Name | TRACIE COGDELL |
| Practice Address |
217 Arrowhead Blvd Bldg Suite2a Jonesboro GA 30236-1169 |
| Mailing Address |
1904 Watercrest Dr Jonesboro GA 30236-8031 |
| Practice Telephone | 4047205359 |
| Mailing Telephone | 4047205359 |
| Enumeration Date | 2019-08-16 |
| Last Update Date | 2019-08-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services |
| Street Address |
217 ARROWHEAD BLVD BLDG SUITE2A |
| City | JONESBORO |
| State | GA |
| Zip Code | 30236-1169 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972123362 | Life Source Counseling & Consulting, LLC | Clinic/Center | 118 North Avenue, Suite A, Jonesboro, GA 30236 | 2020-04-25 |
| 1639609555 | New Beginnings Behavioral Counseling,llc | Social Worker | 9456 S Main St Ste E2, Jonesboro, GA 30236 | 2017-06-13 |
| 1437696762 | Clarissa Alexandra Poole | Counselor | 2106 Fair Ridge Ct, Jonesboro, GA 30236 | 2017-01-25 |
| 1588012892 | Sundance Healthcare Service Inc | In Home Supportive Care | 7861 Collinswood Court, Jonesboro, GA 30236 | 2016-05-26 |
| 1942669205 | Adrianne Smiley Gurley | Occupational Therapist | 1299 Battlecreek Rd Ste 210, Jonesboro, GA 30236 | 2016-02-15 |
| 1336505809 | Integrated Health Center | Dentist | 8600 Tara Blvd, Suite D, Jonesboro, GA 30236 | 2016-01-13 |
| 1467827402 | Surrell Porter | Nurse Practitioner | 1287 Georgia Highway 138 Spur, Suite 8, Jonesboro, GA 30236 | 2015-12-02 |
| 1740688910 | Jacqueline Carolyn Edwards | Registered Nurse | 8081 Tara Blvd, 265, Jonesboro, GA 30236 | 2014-12-19 |
| 1770991861 | Lower Extremity Diagnostics, LLC | Podiatrist | 6911 Tara Boulevard, Jonesboro, GA 30236 | 2014-08-01 |
| 1760899710 | Fresenius Medical Care Jonesboro, LLC | Clinic/Center | 8060 Summitt Business Parkway, Jonesboro, GA 30236 | 2014-07-22 |
| Find all providers in zip 30236 | ||||
| Taxonomy Code | 343900000X |
| Grouping | Transportation Services |
| Classification | Non-emergency Medical Transport (VAN) |
| A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982227914 | Naquita Dobbs | Non-emergency Medical Transport (VAN) | 7875 Waterwheel Way, Jonesboro, GA 30238-4125 | 2020-05-26 |
| 1255991444 | Safe Drive Non Emergency Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 2210 Brazos St, Jonesboro, AR 72401-6303 | 2019-06-19 |
| 1043784325 | 404 Transport, LLC | Non-emergency Medical Transport (VAN) | 1560b Commercial Ct, Jonesboro, GA 30238-6500 | 2019-01-19 |
| 1487123626 | Peniel Collective LLC | Non-emergency Medical Transport (VAN) | 131 Eden Cir, Jonesboro, LA 71251-5737 | 2018-11-16 |
| 1962985432 | Jonathan Rogers | Non-emergency Medical Transport (VAN) | 131 Eden Circle, Jonesboro, LA 71251 | 2018-09-11 |
| 1366899635 | Larry Bryant | Non-emergency Medical Transport (VAN) | 8124 Tucker Rd, Jonesboro, GA 30238-2189 | 2016-05-17 |
| 1578951877 | Van Dorn's Medical Transport, LLC | Non-emergency Medical Transport (VAN) | 2007 Pine Forest Ct, Jonesboro, GA 30236-5417 | 2015-01-08 |
| 1487077517 | Help Foundation Inc. | Non-emergency Medical Transport (VAN) | 1934 Spivey Village Cir, Jonesboro, GA 30236-3849 | 2014-01-24 |
| 1528362555 | Karibuni, LLC | Non-emergency Medical Transport (VAN) | 9118 Snipe Ln, Jonesboro, GA 30236-5162 | 2011-01-05 |
| 1275785040 | True Life Transportation, Inc. | Non-emergency Medical Transport (VAN) | 10056 Point View Dr, Jonesboro, GA 30238-7805 | 2008-10-10 |
| Find all providers in JONESBORO | ||||
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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.