KATIE FRISBEE (NPI# 1184175655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184175655 |
| Entity Type | Individual |
| Full Name | KATIE FRISBEE |
| Credential | PA |
| Practice Address |
460 Northside Cherokee Blvd Ste 410 Canton GA 30115-8023 |
| Mailing Address |
300 Parkbrooke Pl Ste 360 Woodstock GA 30189-7280 |
| Practice Telephone | 6787867430 |
| Mailing Telephone | 7709242573 |
| Enumeration Date | 2016-10-20 |
| Last Update Date | 2020-09-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
8182 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3686 Wheeler Rd, Augusta, GA 309096520 | 7069226300 |
| Street Address |
460 NORTHSIDE CHEROKEE BLVD STE 410 |
| City | CANTON |
| State | GA |
| Zip Code | 30115-8023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790814051 | James Courtney French Jr. | Otolaryngology | 460 Northside Cherokee Blvd Ste 410, Canton, GA 30115 | 2007-03-05 |
| 1477014603 | Tayler Mauldin | Nurse Practitioner | 460 Northside Cherokee Blvd Ste 410, Canton, GA 30115-8023 | 2019-03-29 |
| 1780183103 | Southern Ent Specialists, LLC | Otolaryngology | 460 Northside Cherokee Blvd Ste 410, Canton, GA 30115-8016 | 2018-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497364806 | Amanda Arbogast | Speech-Language Pathologist | 610 Royal Crest Court, Canton, GA 30115 | 2020-07-31 |
| 1033754163 | Kelly Marie Shirley | Nurse Practitioner | 450 Northside Cherokee Blvd., Radiology Dept., Canton, GA 30115 | 2019-11-13 |
| 1700394319 | Jennifer Lynn Davenport | Nurse Practitioner | 684 Sixes Rd Ste 125, Holly Springs, GA 30115 | 2018-01-17 |
| 1851717961 | Wal-mart Stores East, Lp | Technician/Technologist | 2200 Holly Springs Pkey, Holly Springs, GA 30115 | 2014-03-13 |
| 1194148502 | Julia Bedingfield Reid | Pharmacist | 450 Northside Cherokee Blvd Ste T20, Canton, GA 30115 | 2014-01-22 |
| 1447597992 | America's Best Contacts & Eyeglasses | Technician/Technologist | 2030 Cumming Highway, Suite 106, Canton, GA 30115 | 2013-01-03 |
| 1679821193 | Jill M Decorso | Speech-Language Pathologist | 4280 Hickory Flat Hwy, Ste 108, Canton, GA 30115 | 2012-08-15 |
| 1306113378 | Sidney Boyd Collier IIi | Pharmacist | 6111 Hickory Flat Highway, Canton, GA 30115 | 2011-11-18 |
| 1174804702 | Rayllensons Itacy | Physician Assistant | 2020 Cumming Highway, Suite 102, Canton, GA 30115 | 2011-09-09 |
| 1245534346 | Kim M. Mcmillan | Counselor | 154 Lakeside Drive, Canton, GA 30115 | 2011-01-04 |
| Find all providers in zip 30115 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326525270 | Kylie Broughal | Physician Assistant | 6119 St Hwy Rt 11, St Lawrence Medical Office Complex, Canton, NY 13617 | 2018-07-24 |
| 1740684083 | Nemi Thakker | Physician Assistant | 1351 Centennial Ct, Canton, MI 48187-5805 | 2014-10-15 |
| 1093047474 | Kirby Brown Reinecke | Physician Assistant | 120 Oakside Ct, Suite H, Canton, GA 30114-2471 | 2010-02-09 |
| 1578784013 | Aimee M Mitchell | Physician Assistant | 130 Oakside Court, Ste A Marietta Dermatology Associates Pa, Canton, GA 30114 | 2007-05-01 |
| 1447390315 | Morgan P Bowler | Physician Assistant | 460 Northside Cherokee Blvd Ste 450, Canton, GA 30115-8020 | 2007-02-08 |
| 1821052440 | James Willard Gilson | Physician Assistant | 6200 N Haggerty Rd, Canton, MI 48187 | 2006-04-12 |
| 1134188105 | Eddy Toussaint | Physician Assistant | 460 Northside Cherokee Blvd Ste 100, Canton, GA 30115-8017 | 2006-03-20 |
| 1255330098 | Stephen P Hinman | Physician Assistant | 205 State Street Road, Canton, NY 13617 | 2005-07-14 |
| 1467458612 | Barbara Jo Bizub | Physician Assistant | 4535 Dressler Rd Nw, Canton, OH 44718-2545 | 2005-06-22 |
| 1518521145 | Gabriel Martin Ibarra | Physician Assistant | 112 Southlake Cir, Canton, MS 39046-5368 | 2019-04-29 |
| Find all providers in CANTON | ||||
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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.