DEIRDRE DANNETTE WOMACK (NPI# 1194348391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194348391 |
Entity Type | Individual |
Full Name | DEIRDRE DANNETTE WOMACK |
Practice Address |
221 Bordeaux Dr Fayetteville GA 30214-5301 |
Practice Telephone | 4045398592 |
Mailing Telephone | 4045398592 |
Enumeration Date | 2020-05-21 |
Last Update Date | 2020-05-21 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 376J00000X | Homemaker | Nursing Service Related Providers |
Street Address |
221 BORDEAUX DR |
City | FAYETTEVILLE |
State | GA |
Zip Code | 30214-5301 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548872468 | Phyllis Kelly Wood | Nurse Practitioner | 217 Banks Rd, Suite 31, Fayetteville, GA 30214 | 2020-08-21 |
1073139317 | Tyisha Salter Scott | Counselor | 110 Habersham Drive, Suite 142, Fayetteville, GA 30214 | 2020-06-23 |
1194341412 | Camille Franncine Bolton | Physical Therapist | 500 Floy Farr Parkway, Suite 303, Fayetteville, GA 30214 | 2020-06-23 |
1205465895 | Gillian Vaughan Heard | Physician Assistant | 1275 Ga-54 #201, Fayetteville, GA 30214 | 2020-04-06 |
1881234557 | Peach Fits,inc | Mastectomy Fitter | 285 Glynn Street South, Suites 102 and 104, Fayetteville, GA 30214 | 2020-01-10 |
1255981072 | Delta Healthcare Providers | Clinic/Center | 1275 W Lanier Ave, #200, Fayetteville, GA 30214 | 2019-09-13 |
1861965592 | Hierarchy for Wellness | Specialist | 805 S Glynn St Bldg 127 142, Fayetteville, GA 30214 | 2019-01-04 |
1356810634 | Fayette Dental Group PC | Clinic/Center | 720 W Lanier Ave, Fayetteville, GA 30214 | 2018-11-16 |
1891263299 | Mattie Mae Farmer Clark | Specialist/Technologist, Other | Piedmont Fayette Hospital, 1255 Highway 54 West, Fayetteville, GA 30214 | 2018-11-05 |
1093293607 | Allyson Holland | Pharmacist | 880 Highway 85 South, Fayetteville, GA 30214 | 2018-08-06 |
Find all providers in zip 30214 |
Taxonomy Code | 376J00000X |
Grouping | Nursing Service Related Providers |
Classification | Homemaker |
An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards. |
Notes: [7/1/2003: definition added] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770181539 | Mary Lou Butler | Homemaker | 1383 Lorelei Dr, Fayetteville, OH 45118-9263 | 2020-10-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265042329 | Verntavius Jaymel Denham | Homemaker | 200 New St, Eatonton, GA 31024-7920 | 2020-08-04 |
1114542438 | Shanita Davis | Homemaker | 1245 Stoney Field Pl, Lawrenceville, GA 30043-3830 | 2020-06-11 |
1891324042 | Magnolia Home Health, LLC Dba Home Instead Senior Care | Homemaker | 6709 Forest Park Drive, Suite B, Savannah, GA 31406 | 2020-04-08 |
1285279810 | Latisha Sonia Dollison | Homemaker | 985 Mount Zion Rd Apt 15c, Morrow, GA 30260-2256 | 2019-11-06 |
1558910786 | Marcia Pauly | Homemaker | 4035 Flintridge Dr, Stone Mountain, GA 30083-3122 | 2019-09-10 |
1174171862 | Mary Robson | Homemaker | 514 Raintree Hl, Peachtree City, GA 30269-2240 | 2019-08-27 |
1700433273 | Theresa Ann Cuyler | Homemaker | 5335 Glatigny St, Savannah, GA 31405-5013 | 2019-08-20 |
1760947113 | Alicia Tate | Homemaker | 8455 Highway 85 Ste A3, Riverdale, GA 30274-5115 | 2019-02-08 |
1043702277 | Wellone Homecare Services | Homemaker | 2302 Parklake Dr Ne Ste 144, Atlanta, GA 30345-2896 | 2018-06-04 |
1629579081 | Phillip Dale Rogers | Homemaker | 536 Norville Dr Nw, Resaca, GA 30735-6174 | 2018-02-21 |
Find all providers with the same taxonomy |
City | FAYETTEVILLE |
Zip Code | 30214 |
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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.