ASHLIE LYNN BRACKIN (NPI# 1215548490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215548490 |
| Entity Type | Individual |
| Full Name | ASHLIE LYNN BRACKIN |
| Practice Address |
210 W Main St Ste 4 Colquitt GA 39837-3434 |
| Practice Telephone | 2297583002 |
| Practice Fax Number | 2297589415 |
| Mailing Telephone | 2297583002 |
| Mailing Fax Number | 2297589415 |
| Enumeration Date | 2020-08-12 |
| Last Update Date | 2020-09-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN194942 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
210 W MAIN ST STE 4 |
| City | COLQUITT |
| State | GA |
| Zip Code | 39837-3434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609182765 | William Swofford Md PC | Nurse Practitioner | 210 W Main St Ste 4, Colquitt, GA 39837-3434 | 2010-08-27 |
| 1942724919 | Ansley Poague | Nurse Practitioner | 210 W Main St Ste 4, Colquitt, GA 39837-3434 | 2017-08-01 |
| 1396187936 | Susan Michelle Askew | Nurse Practitioner | 210 W Main St Ste 4, Colquitt, GA 39837-3434 | 2013-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841818044 | Hospital Authority of Miller County | Pharmacy | 213 Delores Street, Colquitt, GA 39837 | 2020-07-14 |
| 1679069231 | Vashawn Renee Mosley | Nurse Practitioner | Hospital Authority of Miller County, Miller County Hospital, 209 N. Cuthbert Street, Colquitt, GA 39837 | 2018-07-07 |
| 1427572361 | Brittany N. Harrison | Physical Therapist | 514 E. Crawford St., Colquitt, GA 39837 | 2017-08-02 |
| 1629417134 | Trevor Lee Butner | Family Medicine | Miller County Medical Center, 208 N. Cuthbert Street, Colquitt, GA 39837 | 2013-06-18 |
| 1942514609 | Mac Bradley Davis | Nurse Anesthetist, Certified Registered | 209 North Cuthbert Street, Colquitt, GA 39837 | 2010-08-04 |
| 1730410341 | Loving Care Personal Care Home | Assisted Living Facility | 168 East Crawford St, Colquitt, GA 39837 | 2010-01-21 |
| 1528110103 | The Hospital Authority of Miller County | Clinic/Center | 208 North Cuthbert St, Colquitt, GA 39837 | 2007-01-17 |
| 1780293035 | The Hospital Authority of Miller County | Pharmacy | 213 Delores Street, Colquitt, GA 39837 | 2020-07-23 |
| 1508372863 | Megan Odom Battles | Family Medicine | 208 N Cuthbert St, Colquitt, GA 39837 | 2017-12-22 |
| 1790108736 | Amy Askew Sanderson | Registered Nurse | 209 N Cuthbert St, Colquitt, GA 39837 | 2014-01-28 |
| Find all providers in zip 39837 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770027 | Markesha Leshea Groomes | Nurse Practitioner | 209 N. Cuthbert, Colquitt, GA 39837-3515 | 2020-11-03 |
| 1083212898 | Tamara Elizabeth Anderson | Nurse Practitioner | 209 N. Cuthbert Street, Colquitt, GA 39837-3518 | 2020-10-14 |
| 1679069231 | Vashawn Renee Mosley | Nurse Practitioner | Hospital Authority of Miller County, Miller County Hospital, 209 N. Cuthbert Street, Colquitt, GA 39837 | 2018-07-07 |
| 1609182765 | William Swofford Md PC | Nurse Practitioner | 210 W Main St Ste 4, Colquitt, GA 39837-3434 | 2010-08-27 |
| 1376789628 | Hope Cottage Family Healthcare, LLC | Nurse Practitioner | 201 N Cuthbert St, Colquitt, GA 39837-3518 | 2008-12-16 |
| 1316548860 | Courtney Grace Clanton | Nurse Practitioner | 209 N. Cuthbert Street, Colquitt, GA 39837-3518 | 2020-11-02 |
| 1508492158 | Abigail Jessica Glass | Nurse Practitioner | 208 N Cuthbert St, Colquitt, GA 39837-3517 | 2020-03-16 |
| 1942724919 | Ansley Poague | Nurse Practitioner | 210 W Main St Ste 4, Colquitt, GA 39837-3434 | 2017-08-01 |
| 1396187936 | Susan Michelle Askew | Nurse Practitioner | 210 W Main St Ste 4, Colquitt, GA 39837-3434 | 2013-07-24 |
| 1497018840 | Stephanie Davis Phillips | Nurse Practitioner | 209 N Cuthbert St, Colquitt, GA 39837-3518 | 2012-06-20 |
| Find all providers in COLQUITT | ||||
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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.