CATHERINE PETTERSON (NPI# 1215024153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215024153 |
| Entity Type | Individual |
| Full Name | CATHERINE PETTERSON |
| Credential | D.D.S. |
| Practice Address |
3432 Mercer University Dr Macon GA 31204-4902 |
| Practice Telephone | 4787558366 |
| Practice Fax Number | 4787558399 |
| Mailing Telephone | 4787558366 |
| Mailing Fax Number | 4787558399 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
9771 | GA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508062365 | Catherine Marie Petterson | Occupational Therapist | 4-901 Kuhio Hwy, Unit A, Kapaa, HI 96746-1576 | 2007-06-26 |
| Street Address |
3432 MERCER UNIVERSITY DR |
| City | MACON |
| State | GA |
| Zip Code | 31204-4902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720193915 | Jennifer M Jackson | Dentist | 3432 Mercer University Dr, Macon, GA 31204-4902 | 2006-08-20 |
| 1518565217 | Christopher Derrick Coleman | Dentist | 3432 Mercer University Dr, Macon, GA 31204-4902 | 2020-10-14 |
| 1972940732 | Robert Brandon O'brien | Dentist | 3432 Mercer University Dr, Macon, GA 31204-4902 | 2013-06-03 |
| 1912094855 | Michael Burnett | Dentist | 3432 Mercer University Dr, Macon, GA 31204-4902 | 2006-10-10 |
| 1154419620 | Kristopher G Mixon | Dentist | 3432 Mercer University Dr, Macon, GA 31204-4902 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942775085 | Amy Lynn Miller | Counselor | 890 Northwoods Plaza/burrus Road, Macon, GA 31204 | 2018-10-04 |
| 1275056566 | Kenyada Moss | Counselor | 762 Thurmond Dr., Macon, GA 31204 | 2017-07-19 |
| 1508303876 | Amber Foster | Counselor | 890 Northwoods Plaza, Macon, GA 31204 | 2017-01-25 |
| 1952757585 | Sarah Vanselous Spencer | Speech-Language Pathologist | 2720 Sheraton Dr # D-140, Macon, GA 31204 | 2016-05-12 |
| 1952706343 | Matthew Wayne Frazier | Pharmacist | 4260 Log Cabin Dr, Macon, GA 31204 | 2014-10-28 |
| 1215338587 | Sharon Yvette Flewellen | Licensed Practical Nurse | 1876 Moore Street, Macon, GA 31204 | 2014-09-05 |
| 1336565647 | Accel Wellness Center, LLC | Specialist | 3083 Vineville Avenue, Macon, GA 31204 | 2014-03-11 |
| 1821439811 | Irene Gung Ho | Physician Assistant | 3203 Vineville Ave Ste A, Macon, GA 31204 | 2013-07-08 |
| 1518125657 | Jennifer Burns | Marriage & Family Therapist | 116 Pierce Avenue, Macon, GA 31204 | 2008-05-27 |
| 1255599346 | Methodist Home of The South Georgia Conference, Inc. | Voluntary or Charitable | 304 Pierce Avenue, Macon, GA 31204 | 2008-05-27 |
| Find all providers in zip 31204 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891224861 | Joshua Buckner | Dentist | 4562 Forsyth Rd # 1, Macon, GA 31210-0510 | 2017-06-05 |
| 1679029938 | Gamble Dentalsmart, PC | Dentist | 236 Tom Hill Sr. Blvd., Macon, GA 31210-1815 | 2016-08-28 |
| 1295189595 | Providence Dental LLC | Dentist | 225 N Macon St, Macon, GA 31210-6562 | 2016-04-22 |
| 1083074868 | Macon Dentist Office, PC | Dentist | 206 Tom Hill Sr Blvd, Suite 106, Macon, GA 31210 | 2016-03-07 |
| 1497001630 | Samer Mufid Othman | Dentist | 4705 Northside Dr, Suite 100, Macon, GA 31210-1698 | 2012-07-25 |
| 1881959518 | Leigh Underwood Bennett | Dentist | 4226 Hartley Bridge Rd Ste 102, Macon, GA 31216 | 2012-07-09 |
| 1285912527 | Steven N Golubow | Dentist | 6443 Zebulon Rd, Suite 3a and B, Macon, GA 31220-7638 | 2011-08-03 |
| 1497981658 | Mitchell Dental Clinic, Inc. | Dentist | 59 Frontage Rd N, Macon, MS 39341-2372 | 2009-06-02 |
| 1740496280 | John N Bowman Ddspc | Dentist | 133 Lamar St, Macon, GA 31204-3007 | 2007-05-14 |
| 1407060452 | Marion Hall Gray | Dentist | 102 W 8th St, Macon, MS 39341-2624 | 2007-05-09 |
| Find all providers in MACON | ||||
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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.