AMY HERRICK (NPI# 1174860068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174860068 |
| Entity Type | Individual |
| Full Name | AMY HERRICK |
| Credential | NP-C |
| Practice Address |
745 Poplar Rd Newnan GA 30265-1618 |
| Practice Telephone | 7704001000 |
| Practice Fax Number | 7702376148 |
| Mailing Telephone | 7704001000 |
| Mailing Fax Number | 7702376148 |
| Enumeration Date | 2013-01-11 |
| Last Update Date | 2019-06-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
RN164161 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043543747 | Amy Lynne Herrick | Nurse Practitioner | 1201 E Michigan Ave, Ste 300, Jackson, MI 49201-1852 | 2009-09-12 |
| 1326149329 | Amy Elisabeth Herrick | Nurse Anesthetist, Certified Registered | 1411 E 31st Street, Oakland, CA 94602-1018 | 2006-09-25 |
| Street Address |
745 POPLAR RD |
| City | NEWNAN |
| State | GA |
| Zip Code | 30265-1618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386697944 | Karen Potts-hammond | Physician Assistant | 745 Poplar Rd, Newnan, GA 30265-1618 | 2006-05-17 |
| 1003414582 | Marcus Stephen Wilbanks | Registered Nurse | 745 Poplar Rd, Newnan, GA 30265-1618 | 2020-10-15 |
| 1386241362 | Kurt Louis Wahnschaff | Registered Nurse | 745 Poplar Rd, Newnan, GA 30265-1618 | 2020-10-03 |
| 1831703206 | Bhavika J Rana | Nurse Practitioner | 745 Poplar Rd, Newnan, GA 30265-1618 | 2020-09-03 |
| 1942812318 | Graham Thomas Kittrell | Student in an Organized Health Care Education/Training Program | 745 Poplar Rd, Newnan, GA 30265-1618 | 2020-08-18 |
| 1902421548 | Seema Patel | Pharmacist | 745 Poplar Rd, Newnan, GA 30265-1618 | 2020-06-09 |
| 1316567928 | David Sanchez | Registered Nurse | 745 Poplar Rd, Newnan, GA 30265-1618 | 2020-04-23 |
| 1104446210 | Cody Brennan Keeth | Registered Nurse | 745 Poplar Rd, Newnan, GA 30265-1618 | 2020-04-17 |
| 1790304012 | Jessica Brand | Registered Nurse | 745 Poplar Rd, Newnan, GA 30265-1618 | 2020-04-16 |
| 1174168280 | Erin Vise | Registered Nurse | 745 Poplar Rd, Newnan, GA 30265-1618 | 2019-11-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265041537 | Shiva Bazargan | Pharmacist | 3116 Sr 34 West, Newnan, GA 30265 | 2020-07-23 |
| 1992322549 | Doctorsbeyond Inc. | Clinic/Center | 277 Skyview Court, Newnan, GA 30265 | 2020-06-30 |
| 1225652936 | Jerrica Conyers | Nurse Practitioner | 1635 Highwat 34 East Suite C, Newnan, GA 30265 | 2020-05-29 |
| 1982234688 | Morgan Elizabeth Bross | Physician Assistant | 1825 Ga- 34, Newnan, GA 30265 | 2020-01-22 |
| 1013553379 | Hopebridge LLC | Behavior Technician | 2147 Newnan Crossing Boulevard East, Newnan, GA 30265 | 2019-11-21 |
| 1518528116 | Stepping Stones Psychiatric Care LLC | Nurse Practitioner | 3025 Sharpsburg Mccullum Rd, Building B Suite 103, Newnan, GA 30265 | 2019-06-25 |
| 1356823363 | Stephen William Jacon | Specialist/Technologist | 29 Muirfield Court, Newnan, GA 30265 | 2018-09-05 |
| 1881176832 | Blueprint Psychiatry, LLC | Psychiatry & Neurology | 1601 Highway 34 E Ste A, Newnan, GA 30265 | 2018-09-05 |
| 1548790769 | Timothy Collins | Physical Therapist | 1755 Ga-34, Suite 1300, Rehab Department, Newnan, GA 30265 | 2017-06-20 |
| 1497289748 | Edible Health & Wellness,llc | Clinic/Center | 90f Glenda Trace Pmb 318, Newnan, GA 30265 | 2017-04-13 |
| Find all providers in zip 30265 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144730326 | Jocelyn Jane Carver | Nurse Practitioner | 1605 Highway 34 E, Newnan, GA 30265 | 2017-10-02 |
| 1114332657 | Zanetta Bryant | Nurse Practitioner | 745 Poplar Rd, Newnan, GA 30265-1618 | 2014-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639784788 | Natasha Allen | Nurse Practitioner | 4177 Pelham Cir, Lithonia, GA 30038-6140 | 2020-09-14 |
| 1336753920 | Henny P Brown | Nurse Practitioner | 3430 Ridgeland Pl, Alpharetta, GA 30004-8483 | 2020-09-01 |
| 1487267415 | Alethea Hope Tucker | Nurse Practitioner | 3685 Braselton Hwy Ste 100, Dacula, GA 30019-5920 | 2020-08-28 |
| 1952913808 | Carol Jo Wilbanks | Nurse Practitioner | 206 Crest Dr, Rock Spring, GA 30739-2041 | 2020-08-21 |
| 1164032017 | Myiesha Sellers Mcfarlin | Nurse Practitioner | 55 Sellers Ln, Baxley, GA 31513-2208 | 2020-08-05 |
| 1124645395 | Kisha Smalley | Nurse Practitioner | 117 Gambier Cv, Mcdonough, GA 30252-6273 | 2020-07-02 |
| 1346861127 | Finan Tedla | Nurse Practitioner | 2626 Peachtree Rd Nw Unit 1802, Atlanta, GA 30305-5633 | 2020-05-03 |
| 1841819547 | Millicent Charte Duncan | Nurse Practitioner | 138 Parkview Rd, Savannah, GA 31419-9672 | 2020-04-13 |
| 1891329660 | Tracey Lynn Murray | Nurse Practitioner | 980 Johnson Ferry Rd Ste 880, Sandy Springs, GA 30342-1609 | 2020-03-02 |
| 1841820917 | Vedic Family Practice and Wellness | Nurse Practitioner | 1240 Upper Hembree Rd Ste E, Roswell, GA 30076-0914 | 2020-01-17 |
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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.