MICKIE CARTER (NPI# 1144525395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144525395 |
Entity Type | Individual |
Full Name | MICKIE CARTER |
Credential | MS, PA-C |
Practice Address |
284 Hwy 641 N Camden TN 38320 |
Mailing Address |
147 Whitehead Rd Paris TN 38242-7737 |
Practice Telephone | 9037244266 |
Mailing Telephone | 9037244266 |
Enumeration Date | 2011-01-19 |
Last Update Date | 2015-08-25 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
1731 | TN | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
284 HWY 641 N |
City | CAMDEN |
State | TN |
Zip Code | 38320 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447574249 | Virginia Margarita Peebles | Nurse Practitioner | 176 Briarwood Ave, Suite B, Camden, TN 38320 | 2010-03-23 |
1194857417 | Tron D Baker | Case Manager/Care Coordinator | 495 Liberty Rod, Camden, TN 38320 | 2007-03-12 |
1801968854 | Michael Eugene Bogard | Physical Therapist | 77 East Lake St, Camden, TN 38320 | 2006-11-14 |
1134217029 | Agustin V Vitualla | General Practice | 135 Hospital Dr, Camden, TN 38320 | 2006-10-10 |
1629000567 | Freds Stores of Tennessee Inc | Durable Medical Equipment & Medical Supplies | 195 North 641, Camden, TN 38320 | 2006-07-07 |
1215995287 | Quality Home Health Care, Inc. | Home Health | 279 W Main St, Camden, TN 38320 | 2006-05-01 |
1285612564 | Camden Medical Clinic, Inc | Clinic/Center | 160 Hospital Dr., Camden, TN 38320 | 2006-01-06 |
1073513636 | William Hall Mcconnell | Optometrist | 194 W. Main St., Camden, TN 38320 | 2005-07-26 |
1790077139 | Ccc Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 115 Vicksburg Ave, Camden, TN 38320 | 2011-05-04 |
1730240441 | State of Tennessee | Public Health or Welfare | 225 Hospital Drive, Camden, TN 38320 | 2006-12-13 |
Find all providers in zip 38320 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013064203 | Amanda White | Physician Assistant | 1600 Haddon Ave Fl 6, Camden, NJ 08103-3101 | 2007-01-03 |
1164535803 | Stephanie Baxley Batten | Physician Assistant | 166 Court Inn Ln, Camden, SC 29020-2900 | 2006-08-16 |
1386281079 | Megan Demarco | Physician Assistant | 1 Cooper Plz, Camden, NJ 08103-1461 | 2019-12-02 |
1932742764 | Rachel Marie Wiegand | Physician Assistant | 1 Cooper Plz, Camden, NJ 08103-1461 | 2019-10-24 |
1255892899 | Galia Wilk | Physician Assistant | 1865 Harrison Ave Ste 1300, Camden, NJ 08105-3602 | 2019-03-27 |
1649769878 | Andrew C Harrison | Physician Assistant | 1 Cooper Plz, Camden, NJ 08103 | 2018-05-03 |
1740679588 | Melissa Anne Pryzbylkowski | Physician Assistant | 1 Cooper Plz, Camden, NJ 08103-1461 | 2015-01-16 |
1053733394 | Mykenzi Gibbs | Physician Assistant | 1045 W Dekalb St, Camden, SC 29020-4162 | 2014-01-06 |
1083044051 | John A Tenuto | Physician Assistant | 1 Cooper Plz, Camden, NJ 08103-1461 | 2013-11-12 |
1285972042 | Jessica Lyn Bryson | Physician Assistant | 3 Cooper Plz Rm 220, Camden, NJ 08103 | 2013-01-29 |
Find all providers in CAMDEN |
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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.