BEVERLY CUMMINS (NPI# 1174788509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174788509 |
| Entity Type | Individual |
| Full Name | BEVERLY CUMMINS |
| Credential | CFA |
| Practice Address |
2047 Reflective Waters Rd Villa Rica GA 30180-6971 |
| Practice Telephone | 7709854257 |
| Practice Fax Number | 7709854258 |
| Mailing Telephone | 7709854257 |
| Mailing Fax Number | 7709854258 |
| Enumeration Date | 2008-07-24 |
| Last Update Date | 2008-07-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SM0705X |
Clinical Nurse Specialist Specialization: Medical-Surgical |
062682524 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2047 REFLECTIVE WATERS RD |
| City | VILLA RICA |
| State | GA |
| Zip Code | 30180-6971 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174161624 | Crucible Communication Therapy LLC | Speech-Language Pathologist | 9765 Walnut Grove Trail, Villa Rica, GA 30180 | 2019-12-16 |
| 1366802845 | Medic-pearl, LLC | Ambulance | 1108 Charter Oak Ct, Villa Rica, GA 30180 | 2016-02-26 |
| 1396138368 | Josette Etienne | Nurse Practitioner | 403 Permian Way Suite A, Villa Rica, GA 30180 | 2015-03-13 |
| 1447690516 | Judith L.m. Thigpen | Nurse Practitioner | 736 Highway 78 West, Minute Clinic, Villa Rica, GA 30180 | 2013-07-03 |
| 1477890168 | Wesley Douglas Mckenzie | Pharmacist | 2500 Mirror Lake Blvd, Villa Rica, GA 30180 | 2013-01-15 |
| 1497005359 | Malika Remie Rajendra | Optometrist | 600 Hwy 61, Villa Rica, GA 30180 | 2012-09-18 |
| 1972876449 | Catherine Elaine Tyson | Pharmacist | 601 Dallas Road, Villa Rica, GA 30180 | 2012-02-14 |
| 1619262433 | Villa Rica Rx LLC | Pharmacy | 222 West Wilson Street, Villa Rica, GA 30180 | 2011-06-09 |
| 1851602874 | Jules Chopin Sybert | Nurse Practitioner | 736 W. Bankhead Hwy, Villa Rica, GA 30180 | 2010-06-24 |
| 1487984019 | Lisa Wood | Occupational Therapy Assistant | 1207 Woods Walk, Villa Rica, GA 30180 | 2010-01-04 |
| Find all providers in zip 30180 | ||||
| Taxonomy Code | 364SM0705X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Medical-Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386917045 | Heather Woodward Melvin | Clinical Nurse Specialist | 1610 Forsyth St, Macon, GA 31201-1408 | 2012-02-10 |
| 1477923704 | Melissa Ann Carroll | Clinical Nurse Specialist | 190 Bear Creek Rd, Moreland, GA 30259-2813 | 2015-09-29 |
| 1386813129 | Atlanta Surgical 1st Assist P.C. | Clinical Nurse Specialist | 2801 N Decatur Rd, Suite 200, Decatur, GA 30033-5949 | 2008-02-26 |
| 1487646287 | Amanda Kathryn Klosky | Clinical Nurse Specialist | 2001 Peachtree Rd Ne, Ste 705, Atlanta, GA 30309-1476 | 2005-08-17 |
| City | VILLA RICA |
| Zip Code | 30180 |
Please comment or provide details below to improve the information on BEVERLY CUMMINS.
| 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.