CAROLINE R MCKINNON (NPI# 1205347630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205347630 |
| Entity Type | Individual |
| Full Name | CAROLINE R MCKINNON |
| Credential | PHD, PMHCNS-BC |
| Practice Address |
688 Lambeth Dr Evans GA 30809-4272 |
| Practice Telephone | 7067216779 |
| Mailing Telephone | 7067216779 |
| Enumeration Date | 2017-10-12 |
| Last Update Date | 2017-10-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
RN186809 | GA | Nursing Service Providers |
| Street Address |
688 LAMBETH DR |
| City | EVANS |
| State | GA |
| Zip Code | 30809-4272 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326674060 | Dominion Behavioral Health Services LLC | Psychiatric Unit | 817 Prairie Lane, Evans, GEORGIA 30809 | 2020-03-13 |
| 1710478102 | Georgia Dental Professionals, PC | Dentist | 5131 Washington Rd, Evans, GA 30809 | 2018-05-22 |
| 1649770678 | Angel Legare | Physician Assistant | 404 Town Park Blvd Ste 101, Evans, GA 30809 | 2018-02-16 |
| 1952829541 | Felicia Evette Rhodes | Home Health Aide | 715 Jones Creek, Evans, GA 30809 | 2017-09-02 |
| 1659733582 | Patricia J. Stewart Lpc, LLC | Counselor | 465 N. Belair Rd. Ste 2d, Evans, GA 30809 | 2016-03-21 |
| 1114306727 | John Mccaskey | Family Medicine | 465 N Belair Rd Ste 1b, Evans, GA 30809 | 2015-05-28 |
| 1053702878 | Jennifer Wahl | Assistant Behavior Analyst | 1135 Waltons Pass, Evans, GA 30809 | 2015-02-16 |
| 1609298777 | Custom Pharmacy, Inc | Pharmacy | 1202 Town Park Lane, Suite 200, Evans, GA 30809 | 2014-01-09 |
| 1457797938 | Perfect Health Always On Call, LLC | Non-Pharmacy Dispensing Site | 4244 Washington Rd, Evans, GA 30809 | 2013-05-11 |
| 1417207119 | Tommy Battle | Respiratory Therapist, Registered | 101 Pond View, Evans, GA 30809 | 2012-09-11 |
| Find all providers in zip 30809 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134744717 | Leighana Caldwell | Registered Nurse | 4104 Springridge Ct, Powder Springs, GA 30127-3546 | 2020-06-10 |
| 1083236087 | Adenike Anne Apata | Registered Nurse | 3796 Okefenokee Rdg, Loganville, GA 30052-7167 | 2020-05-12 |
| 1780233452 | Kellie Tedisco | Registered Nurse | 129 Kelly Farm Dr, Luthersville, GA 30251-1607 | 2019-09-05 |
| 1114575859 | Justin Vassell | Registered Nurse | 1903 Phoenix Boulevard, Suite 200, College Park, GA 30349 | 2019-08-27 |
| 1871053819 | Gay Nell Robinson | Registered Nurse | 733 Erika Ln, Grovetown, GA 30813-8305 | 2019-03-25 |
| 1184123812 | Alex Whitman Peterson | Registered Nurse | 1010 Huntcliff Ste 1350, Atlanta, GA 30350-1809 | 2018-02-08 |
| 1629586748 | Dianne Marie Knettel | Registered Nurse | 37 Calumet Pkwy Ste 100, Newnan, GA 30263-6734 | 2018-01-11 |
| 1619499357 | Orchid Archer | Registered Nurse | 702 Riverbend Drive, Martinez, GA 30907 | 2017-07-14 |
| 1407381817 | Divine Psychiatric Care | Registered Nurse | 2651 Cedar Dr, Lawrenceville, GA 30043-1325 | 2017-04-23 |
| 1992157671 | Carol J Strickland | Registered Nurse | 637 Sycamore St, Swainsboro, GA 30401-5542 | 2016-07-06 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CAROLINE R MCKINNON.
| 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.