DESMOND NEWKIRK (NPI# 1194372201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194372201 |
| Entity Type | Individual |
| Full Name | DESMOND NEWKIRK |
| Practice Address |
185 Bradford Sq Ste C Fayetteville GA 30215-1932 |
| Mailing Address |
683pownal Ln Hampton GA 30228 |
| Practice Telephone | 7707805532 |
| Mailing Telephone | 7707805532 |
| Enumeration Date | 2019-08-22 |
| Last Update Date | 2019-08-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 146L00000X | Emergency Medical Technician, Paramedic | 12693 | GA | Emergency Medical Service Providers |
| Street Address |
185 BRADFORD SQ STE C |
| City | FAYETTEVILLE |
| State | GA |
| Zip Code | 30215-1932 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598309817 | 1st Choice Ambulance Service, LLC | Ambulance | 185 Bradford Sq Ste C, Fayetteville, GA 30215-1932 | 2019-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801370051 | Truly Nourished, LLC | Dietitian, Registered | 500 West Lanier Ave., Suite 908, Fayetteville, GA 30215 | 2018-09-23 |
| 1104343839 | Pandora G Brown | Specialist | 65 Black Watch Ct, Fayetteville, GA 30215 | 2017-08-23 |
| 1902264492 | Ty-re Lamont Dixon Sr. | Durable Medical Equipment & Medical Supplies | 220 Shoreline Dr., Fayetteville, GA 30215 | 2016-01-29 |
| 1962870030 | Matthew Christian Alvarez | Dentist | 113 Ebenezer Rd Ste 101, Fayetteville, GA 30215 | 2015-09-08 |
| 1831534346 | Kevin Tyler Goelz | Radiology | 605 Wentworth Ct, Fayetteville, GA 30215 | 2013-05-10 |
| 1518249739 | William J. Holcomb | Pharmacist | 880 Hwy 85 South, Fayetteville, GA 30215 | 2011-09-14 |
| 1407168131 | All Care Home Health Equipment, LLC | Durable Medical Equipment & Medical Supplies | 1000 Cooper Circle, Suite 201, Fayetteville, GA 30215 | 2010-07-10 |
| 1083854160 | Rachel Blanks | Licensed Practical Nurse | 170 Brookwood Lane, Fayetteville, GA 30215 | 2009-03-02 |
| 1093964975 | Brenda Carole Hayek | Nurse Practitioner | 735 Glynn Street S, Fayetteville, GA 30215 | 2008-09-16 |
| 1174700769 | Katheryn D. Mcdonell | Counselor | 110 Dawn Drive, Fayetteville, GA 30215 | 2008-01-25 |
| Find all providers in zip 30215 | ||||
| Taxonomy Code | 146L00000X |
| Grouping | Emergency Medical Service Providers |
| Classification | Emergency Medical Technician, Paramedic |
| An EMT, Paramedic is an individual trained and certified to perform advanced life support (ALS) in medical emergencies based on individual state boards. |
| Notes: Sources: Tabers Medical Dictionary and Florida EMS Clearing House. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477153997 | Hosie L Baugh | Emergency Medical Technician, Paramedic | 400 Rock Meadow Dr, Stone Mtn, GA 30088-1508 | 2020-10-26 |
| 1437778883 | Metro Staffing Agency, LLC | Emergency Medical Technician, Paramedic | 1109 Medical Center Dr Ste 4, Augusta, GA 30909-6641 | 2020-04-15 |
| 1841849486 | Angela Michelle Brown | Emergency Medical Technician, Paramedic | 202 Thomson Hwy Ste C, Wrens, GA 30833-1215 | 2019-09-06 |
| 1215426705 | Andrew Butler | Emergency Medical Technician, Paramedic | 32 Twin Oaks Pl, Savannah, GA 31407-5100 | 2018-05-09 |
| 1144735051 | Michael Scott Green | Emergency Medical Technician, Paramedic | 315 Heathrow Dr, Hiram, GA 30141-2341 | 2017-12-14 |
| 1568818342 | Mark Hulsey | Emergency Medical Technician, Paramedic | 3455 Leisure Ln, Gainesville, GA 30506-3715 | 2016-05-10 |
| 1639553555 | Michelle Sturdivant | Emergency Medical Technician, Paramedic | 95 Summer Lake Cv, Dallas, GA 30157-7617 | 2015-07-10 |
| 1669854519 | Dennis Middlebrooks | Emergency Medical Technician, Paramedic | 2917 Valley Ridge Dr, Decatur, GA 30032-5714 | 2015-06-26 |
| 1962895946 | Courtnei Williams | Emergency Medical Technician, Paramedic | 4267 Chamblee Tucker Rd, Tucker, GA 30084 | 2015-03-14 |
| 1003209735 | Us Army | Emergency Medical Technician, Paramedic | 1790 William H Wilson Ave, Fort Stewart, GA 31314-3100 | 2015-03-04 |
| Find all providers with the same taxonomy | ||||
| City | FAYETTEVILLE |
| Zip Code | 30215 |
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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.