MICHELLE DENISE MCMICKIN


Address: 52 Woodmont Dr, Lagrange, GA 30241-7703
Phone: 2293477215

MICHELLE DENISE MCMICKIN (NPI# 1184288920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184288920
Entity Type Individual
Full Name MICHELLE DENISE MCMICKIN
Practice Address 52 Woodmont Dr
Lagrange
GA 30241-7703
Practice Telephone 2293477215
Mailing Telephone 2293477215
Enumeration Date 2019-04-26
Last Update Date 2019-04-26
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
197311 GA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 52 WOODMONT DR
City LAGRANGE
State GA
Zip Code 30241-7703

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NPI Name Taxonomy Address Enumeration
1073994182 Pathways Center for Behavioral and Developmental Growth Community/Behavioral Health 102 Corporate Park Drive East, Lagrange, GA 30241 2015-06-15
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1578756565 Richard Freeman Simmons Dentist 2219 B West Point Rd, Dr Richard F Simmons, Lagrange, GA 30241 2007-08-22
1013071851 Troup County School District Local Education Agency (LEA) 100 North Davis Road, Lagrange, GA 30241 2006-12-19
1851748172 Medventures Physical Therapy, LLC Physical Therapist 1075 Lafayette Parkway, Ste 220, Lagrange, GA 30241 2016-05-17
1154784205 Med Ventures Mri, LLC Radiology 1075 Lafayette Parkway, Ste 120, Lagrange, GA 30241 2016-04-05
1437514965 Holly Renee Abbott Counselor 104 Harwell Ave, Lagrange, GA 30241 2015-12-29
1386780104 Andre D Feria Md Internal Medicine 142 Old Mill Road, Lagrange, GA 30241 2007-01-29
1356354500 Mohd Khairul Anam Internal Medicine 142 Old Mill Road, Lagrange, GA 30241 2006-08-15
1417914052 Troup County Health Department Public Health or Welfare 1220 Hogansville Rd, Department of Family and Childrens Services Health Cent, Lagrange, GA 30241 2006-04-27
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356959001 Amy Elizabeth Robinson Nurse Practitioner 2169 W Point Rd, Lagrange, GA 30240-4002 2020-07-20
1144859224 Jamie Danielle Oubre Nurse Practitioner 3335 Hamilton Rd, Lagrange, GA 30241-8716 2020-04-02
1538705694 Jennifer Costello Nurse Practitioner 336 Forest St, Lagrange, OH 44050-9685 2019-11-25
1407333115 Tiffany Brush Nurse Practitioner 1555 Doctors Dr Ste 101, Lagrange, GA 30240-4132 2018-07-25
1326491663 Jennifer Cline Taunton Nurse Practitioner 110 Kildare Ct, Lagrange, GA 30240-9583 2016-07-21
1285064931 Sj &j Medical Group and Urgent Care Nurse Practitioner 304 Smith St, Lagrange, GA 30240-2746 2013-11-16
1700226107 Jessica Marie Harrison Nurse Practitioner 102 Main St Ste 204, Lagrange, GA 30240-3225 2013-06-28
1659691848 Janet L Cox Nurse Practitioner 1786 Commerce Pkwy, Lagrange, KY 40031-8786 2010-06-10
1801128459 Stephanie White Nurse Practitioner 1075 Lafayette Pkwy Ste 210, Lagrange, GA 30241-3733 2010-02-08
1053331546 Harry Rafael Sevilla Abilla Nurse Practitioner 310 North Davis Street, Lagrange, GA 30240 2006-07-20
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Competitor

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City LAGRANGE
Zip Code 30241

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Dataset Information

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.

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