SUSAN DANIELLE BEITZELL (NPI# 1134639347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134639347 |
| Entity Type | Individual |
| Full Name | SUSAN DANIELLE BEITZELL |
| Credential | APRN |
| Practice Address |
340 N Milledge Ave Ste B Athens GA 30601 |
| Mailing Address |
1355 Peachtree St Ne Ste 1600 Atlanta GA 30309-3276 |
| Practice Telephone | 7065480008 |
| Mailing Telephone | 6782237774 |
| Mailing Fax Number | 6782237799 |
| Enumeration Date | 2017-10-03 |
| Last Update Date | 2018-09-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
RN217710 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
RN217710 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
340 N MILLEDGE AVE STE B |
| City | ATHENS |
| State | GA |
| Zip Code | 30601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588690382 | Kelly C Grow | Internal Medicine | 340 N Milledge Ave Ste B, Athens, GA 30601-3806 | 2006-06-23 |
| 1578047056 | Ashley Anderson Bowker | Physician Assistant | 340 N Milledge Ave Ste B, Athens, GA 30601-3806 | 2018-09-20 |
| 1356755763 | Adam Nadelson | Internal Medicine | 340 N Milledge Ave Ste B, Athens, GA 30601-3806 | 2014-06-13 |
| 1568897767 | Tara Phelps Gulsby | Nurse Practitioner | 340 N Milledge Ave Ste B, Athens, GA 30601-3806 | 2013-09-06 |
| 1699116624 | Chundra Brown Brooks | Registered Nurse | 340 N Milledge Ave Ste B, Athens, GA 30601 | 2013-07-06 |
| 1013276518 | Melissa Bienacker Baughcum | Nurse Practitioner | 340 N Milledge Ave Ste B, Athens, GA 30601 | 2012-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154971679 | Classic City Counseling & Consultation LLC | Psychologist | 159 Oneta St., Unit 1a Suite 7, Athens, GA 30601 | 2019-09-17 |
| 1982172433 | Smith Dental Care of Athens Inc. | Clinic/Center | 801 Us Highway 29 North, Athens, GA 30601 | 2018-11-02 |
| 1356865935 | Elizabeth Anne Price | Pharmacist | 9249 Hwy 29, Athens Community Based Outpatient Va Clinic, Athens, GA 30601 | 2017-07-26 |
| 1386011575 | Janna Barham Cleveland | Nurse Practitioner | 496 Reese Street, Athens, GA 30601 | 2015-08-24 |
| 1295113769 | Brent Dillin Temple | Case Manager/Care Coordinator | 9249 Highway 29 North, Athens, GA 30601 | 2015-05-15 |
| 1356736417 | Brett Magner | Family Medicine | 855 W Broad St Ste 1, Athens, GA 30601 | 2015-04-05 |
| 1619397478 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 700 Highway 29 N, Athens, GA 30601 | 2014-04-21 |
| 1972921021 | Issa Papiss Bagayogo | Psychiatry & Neurology | 297 Prince Avenue Suite 28a, Athens, GA 30601 | 2014-04-04 |
| 1447682083 | Brittany Lynn Lowery | Counselor | 250 Bray Street, Athens, GA 30601 | 2013-08-06 |
| 1417194135 | Carey Kirk | Counselor | 295 Mles St, Athens, GA 30601 | 2009-01-16 |
| Find all providers in zip 30601 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043520067 | Carrie Jackson Scruggs | Nurse Practitioner | 1500 Oglethorpe Ave Ste 3300, Athens, GA 30606-2190 | 2010-10-08 |
| 1487704540 | Athena Complete Care LLC | Nurse Practitioner | 727 W Market St, Suite 5, Athens, AL 35611-2456 | 2007-01-11 |
| 1568427169 | Ashley Bailey Pool | Nurse Practitioner | 7715 Us Highway 72, Athens, AL 35611-8979 | 2006-04-18 |
| 1417578360 | Isaiah Mccombs | Nurse Practitioner | 55 Hospital Dr, Athens, OH 45701-2302 | 2020-05-01 |
| 1114555083 | Kaelan Dawson | Nurse Practitioner | 775 Sunset Dr, Athens, GA 30606-2211 | 2020-03-27 |
| 1760036776 | Michael Raymond Butzen | Nurse Practitioner | 1270 Prince Ave Ste 301, Athens, GA 30606-2783 | 2019-07-29 |
| 1336707124 | Jake Matthew Turton | Nurse Practitioner | 3320 Old Jefferson Rd Ste 200a, Athens, GA 30607-1478 | 2019-06-05 |
| 1497221683 | Nina G Kennedy | Nurse Practitioner | 1199 Prince Ave, Athens, GA 30606-2797 | 2018-10-16 |
| 1326575952 | Lee Richard Sullivan | Nurse Practitioner | 1765 Old West Broad St, Athens, GA 30606-2853 | 2017-05-14 |
| 1558810788 | Sallie Jayne Lisle | Nurse Practitioner | 1199 Prince Ave, Athens, GA 30606-2797 | 2016-09-29 |
| Find all providers in ATHENS | ||||
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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.