MISS PENNICA MARIE MUMFORD (NPI# 1205394822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205394822 |
| Entity Type | Individual |
| Full Name | MISS PENNICA MARIE MUMFORD |
| Credential | BSN,MSN, RN |
| Practice Address |
1395 Eisenhower Dr Savannah GA 31406-3901 |
| Mailing Address |
4113 Fenwick Village Dr Savannah GA 31419-5513 |
| Practice Telephone | 9126564456 |
| Practice Fax Number | 9127210121 |
| Mailing Telephone | 9128446497 |
| Enumeration Date | 2019-03-04 |
| Last Update Date | 2019-03-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WA2000X |
Registered Nurse Specialization: Administrator |
RN168735 | GA | Nursing Service Providers |
| N | 163WC0400X |
Registered Nurse Specialization: Case Management |
RN168735 | GA | Nursing Service Providers |
| N | 163WC1600X |
Registered Nurse Specialization: Continuing Education/Staff Development |
RN168735 | GA | Nursing Service Providers |
| Y | 163WG0000X |
Registered Nurse Specialization: General Practice |
RN168735 | GA | Nursing Service Providers |
| N | 163WG0600X |
Registered Nurse Specialization: Gerontology |
RN168735 | GA | Nursing Service Providers |
| N | 163WI0500X |
Registered Nurse Specialization: Infusion Therapy |
RN168735 | GA | Nursing Service Providers |
| N | 163WN1003X |
Registered Nurse Specialization: Nutrition Support |
RN168735 | GA | Nursing Service Providers |
| N | 163WP0807X |
Registered Nurse Specialization: Psych/Mental Health, Child & Adolescent |
RN168735 | GA | Nursing Service Providers |
| N | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
RN168735 | GA | Nursing Service Providers |
| N | 163WW0000X |
Registered Nurse Specialization: Wound Care |
RN168735 | GA | Nursing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4113 Fenwick Village Dr, Savannah, GA 314195513 | 9128446497 |
| Street Address |
1395 EISENHOWER DR |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31406-3901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932157880 | Michael Todd Adams | Surgery | 1395 Eisenhower Dr, Savannah, GA 31406-3905 | 2006-05-04 |
| 1104465947 | Rushena Michelle Garner | Registered Nurse | 1395 Eisenhower Dr, Savannah, GA 31406-3901 | 2019-12-26 |
| 1689213407 | Heidi K Burgan | Registered Nurse | 1395 Eisenhower Dr, Savannah, GA 31406-3901 | 2019-12-26 |
| 1538716394 | Cassandra Perisee | Registered Nurse | 1395 Eisenhower Dr, Savannah, GA 31406-3901 | 2019-08-26 |
| 1801357710 | Rayonna Phillips | Registered Nurse | 1395 Eisenhower Dr, Savannah, GA 31406-3901 | 2019-03-26 |
| 1104384627 | Marcy Mitchell | Registered Nurse | 1395 Eisenhower Dr, Savannah, GA 31406 | 2019-03-04 |
| 1013496454 | Deanna Lynn Quincy | Registered Nurse | 1395 Eisenhower Dr, Savannah, GA 31406-3901 | 2018-08-07 |
| 1972092872 | Melissa Anderson Stettler | Licensed Practical Nurse | 1395 Eisenhower Dr, Savannah, GA 31406-3901 | 2018-05-07 |
| 1194214098 | Michael Joseph Day | Registered Nurse | 1395 Eisenhower Dr, Savannah, GA 31406-3901 | 2018-05-07 |
| 1679062582 | Brenda Faye Hurt | Licensed Practical Nurse | 1395 Eisenhower Dr, Savannah, GA 31406-3901 | 2018-05-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891324042 | Magnolia Home Health, LLC Dba Home Instead Senior Care | Homemaker | 6709 Forest Park Drive, Suite B, Savannah, GA 31406 | 2020-04-08 |
| 1831737949 | Sumona Mitchell | Specialist | 1100 Eisenhower Drive 15, Suite 7, Savannah, GA 31406 | 2019-12-19 |
| 1295373090 | Gateway Behavioral Health Services | Community/Behavioral Health | 2121 East Derenne Ave, Savannah, GA 31406 | 2019-12-12 |
| 1114578820 | Kenya Burns | Technician | 6 Castle Ct, Savannah, GA 31406 | 2019-09-24 |
| 1841755287 | Southside Emergency Dental Center LLC | Dentist | 10515 White Bluff Rd., Savannah, GA 31406 | 2019-02-08 |
| 1639651003 | Rachael Putman | Physical Therapist | 37 W Fairmont Ave Suite 323, Savannah, GA 31406 | 2018-09-03 |
| 1417439852 | Happy Kids Therapies, LLC | Physical Therapist | 37 W. Fairmont Avenue Suite 102, Savannah, GA 31406 | 2018-09-01 |
| 1487146619 | Georgia Occmed LLC | Clinic/Center | 310 Eisenhower Dr Bldg 12 Ste C, Savannah, GA 31406 | 2018-06-04 |
| 1023517505 | Antioch Vascular Center, LLC | Surgery | 9104 Middleground Road, Suite 2, Savannah, GA 31406 | 2018-02-09 |
| 1518496116 | Janay C Russell | Counselor | 6711 Forest Park Drive, Savannah, GA 31406 | 2017-06-07 |
| Find all providers in zip 31406 | ||||
| Taxonomy Code | 163WG0000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588945711 | Gail Patrice Brown | Registered Nurse | 1008 Grey Fox Dr, Savannah, TX 76227-7756 | 2011-09-01 |
| 1740896059 | Charlene Rh Dimond | Registered Nurse | 900 Mohawk St, Savannah, GA 31419 | 2020-09-22 |
| 1104364173 | Sara Ruth Bennett | Registered Nurse | 4700 Waters Ave, Savannah, GA 31404-6220 | 2017-02-09 |
| 1023244803 | Erica Denise Pena | Registered Nurse | 4750 Waters Ave, Suite 202, Savannah, GA 31404-6200 | 2009-06-06 |
| 1942405642 | Lori Sue Fisher | Registered Nurse | 322 Commercial Dr, Suite 2, Savannah, GA 31406-3625 | 2007-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285240069 | Wenqiu Jennings | Registered Nurse | 2090 Breconridge Dr Sw, Marietta, GA 30064-4179 | 2020-09-17 |
| 1982226502 | Lakesha Armstrong | Registered Nurse | 386 Bakers Ferry Trl, Martinez, GA 30907-4955 | 2020-05-18 |
| 1881227924 | Margaret Ree Chapman | Registered Nurse | 3931 Highway 78 W Ste B200, Snellville, GA 30039-3907 | 2020-02-18 |
| 1639712151 | Kristin Pitts | Registered Nurse | 219 Boggs St, Lexington, GA 30648 | 2019-10-28 |
| 1134762255 | Charmante Cyrius | Registered Nurse | 2668 Westchester Pkwy Se, Conyers, GA 30013-2400 | 2019-10-21 |
| 1417509191 | Ayodeji Moses Oluloro | Registered Nurse | 3111 Blue Heron Pass, Powder Springs, GA 30127-2399 | 2019-07-12 |
| 1538725197 | Sherry Bynum Smith | Registered Nurse | 608 Pine Ln, Lawrenceville, GA 30043-4034 | 2019-05-19 |
| 1750855599 | Tanya D Miller | Registered Nurse | 1724a Old Reynolds St, Waycross, GA 31501-1036 | 2019-01-15 |
| 1770050080 | Gussie Baccus | Registered Nurse | 115 Wellington Trl, Covington, GA 30016-8629 | 2018-10-25 |
| 1780167452 | Adenike Alaga | Registered Nurse | 3196 Dolostone Way, Dacula, GA 30019 | 2018-09-10 |
| Find all providers with the same taxonomy | ||||
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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.