BROOKE B CHILDERS (NPI# 1194184408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194184408 |
| Entity Type | Individual |
| Full Name | BROOKE B CHILDERS |
| Other Name | BROOKE B WRIGHT |
| Credential | NP |
| Practice Address |
220 J L White Dr Ste 120 Jasper GA 30143-4894 |
| Mailing Address |
35 W Church St Ste 101 Jasper GA 30143-1618 |
| Practice Telephone | 7066923539 |
| Mailing Telephone | 7062532828 |
| Mailing Fax Number | 7062532829 |
| Enumeration Date | 2016-02-15 |
| Last Update Date | 2020-05-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | RN161833 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
RN161833 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
RN161833 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 744 Noah Dr, Suite 108, Jasper, GA 301438705 | 7062532828 | 7062532829 |
| Street Address |
220 J L WHITE DR STE 120 |
| City | JASPER |
| State | GA |
| Zip Code | 30143-4894 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518935816 | John Farr | Obstetrics & Gynecology | 220 J L White Dr Ste 120, Jasper, GA 30143-4894 | 2006-03-10 |
| 1679978241 | Keyasha Beaty Robbs | Obstetrics & Gynecology | 220 J L White Dr Ste 120, Jasper, GA 30143-4894 | 2014-10-25 |
| 1366538720 | Otto Damasus Umana | Obstetrics & Gynecology | 220 J L White Dr Ste 120, Jasper, GA 30143-4894 | 2006-10-05 |
| 1548273592 | Piedmont Providers LLC | Internal Medicine | 220 J L White Dr Ste 120, Jasper, GA 30143-4894 | 2006-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073111845 | George Mackel, Pmhnp-bc, LLC | Nurse Practitioner | 12034 Big Canoe, 400 Shetland Trace, Jasper, GA 30143 | 2020-10-14 |
| 1598363434 | Amanda J Griggs | Massage Therapist | 54 Wolfscratch Village, Jasper, GA 30143 | 2020-10-13 |
| 1801397724 | Jema Day | Nurse Practitioner | 620 J L White Dr Ste 140, Jasper, GA 30143 | 2018-02-26 |
| 1023467545 | North Georgia Personal Care LLC | Home Health | 501 North Main St., Suite B, Jasper, GA 30143 | 2016-06-06 |
| 1871979641 | Sj & J Spine and Pain Group Holding LLC | Pain Medicine | 91 Sammy Mcghee Blvd, Suite 101, Jasper, GA 30143 | 2015-08-04 |
| 1801294293 | Highland Recovery Center | Community/Behavioral Health | 323 Roland Road, Jasper, GA 30143 | 2014-12-17 |
| 1770905861 | Leslie Rhea Hanagan | Speech-Language Pathologist | 22 Dogwood Lane, Jaser, GA 30143 | 2014-01-09 |
| 1669800660 | Pickens County Chiropractic | Chiropractor | 95 North Main Street, Jasper, GA 30143 | 2013-10-29 |
| 1407139264 | Rocky Mountain Holdings LLC | Ambulance | 70 Airport Business Court, Jasper, GA 30143 | 2011-09-27 |
| 1851681415 | Richard J Vandam | Internal Medicine | 1266 Highway 515, Piedmont Mountainside Hospital, Jasper, GA 30143 | 2011-04-15 |
| Find all providers in zip 30143 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962041772 | Hughes Medical Group | Nurse Practitioner | 1501-c S Wheeler, Jasper, TX 75951 | 2019-12-26 |
| 1134604457 | Thomas Reagan Graffagnino | Nurse Practitioner | 494 Springhill St Ste 100, Jasper, TX 75951-5055 | 2018-10-02 |
| 1972810679 | Cassandra S Kern-fuhs | Nurse Practitioner | 819 Wernsing Rd, Jasper, IN 47546-8141 | 2010-09-02 |
| 1003445297 | Vicki Wetter | Nurse Practitioner | 10650 Sw 46th St, Jasper, FL 32052-3732 | 2020-04-08 |
| 1316409451 | Aleena Herrick | Nurse Practitioner | 220 J L White Dr Ste 150, Jasper, GA 30143-4895 | 2019-04-05 |
| 1871016436 | Erica Paige Hall | Nurse Practitioner | 3400 Highway 78 E, Jasper, AL 35501-8956 | 2017-07-25 |
| 1811410954 | Brynna Chivaune Hamilton | Nurse Practitioner | 980 Highway 28 Ste 200, Jasper, TN 37347-3744 | 2017-07-20 |
| 1437683224 | Stephanie E. Tyson | Nurse Practitioner | 134 Mountainside Village Pkwy Ste 100, Jasper, GA 30143-8694 | 2017-04-18 |
| 1255725917 | Tiffany W Oliver | Nurse Practitioner | 2201 N Airport Rd, Jasper, AL 35504-7058 | 2015-03-20 |
| 1922423326 | Jelesa Shaneice Martin | Nurse Practitioner | 907 11th St Ne, Jasper, AL 35504-8821 | 2014-02-22 |
| Find all providers in JASPER | ||||
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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.