MARISSA MARIE GALAN (NPI# 1235742503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235742503 |
| Entity Type | Individual |
| Full Name | MARISSA MARIE GALAN |
| Credential | NP |
| Practice Address |
1365 Rock Quarry Rd Ste 202 Stockbridge GA 30281-5023 |
| Practice Telephone | 7707716580 |
| Practice Fax Number | 7707716589 |
| Mailing Telephone | 7707716580 |
| Mailing Fax Number | 7707716589 |
| Enumeration Date | 2020-08-26 |
| Last Update Date | 2020-08-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | RN268489 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | STATE LICENSE # | RN268489 | 01 |
| Street Address |
1365 ROCK QUARRY RD STE 202 |
| City | STOCKBRIDGE |
| State | GA |
| Zip Code | 30281-5023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518223411 | Akshay Garg | Physical Medicine & Rehabilitation | 1365 Rock Quarry Rd Ste 202, Stockbridge, GA 30281-5023 | 2012-04-04 |
| 1962985028 | Nikita Harish Patel | Nurse Practitioner | 1365 Rock Quarry Rd Ste 202, Stockbridge, GA 30281-5023 | 2018-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164039095 | Colette Alls | Social Worker | 447 Lakeshore Dr, Stockbridge, GA 30281 | 2020-09-24 |
| 1982216800 | Pediatric and Family Behavioral Health of Georgia | Counselor | 1004 Ulster Court, Stockbridge, GA 30281 | 2020-08-21 |
| 1518577659 | Qunique Taveka Toxey | Behavior Technician | 115 N Park Trail, Suite 123, Stockbridge, GA 30281 | 2020-08-04 |
| 1497377675 | Melanie Harvey | Pharmacist | 4467 North Henry Boulevard, Stockbridge, GA 30281 | 2020-05-11 |
| 1114550571 | Cecile Maria Dunkley Layne | Counselor | 255 Corporte Drive, Stockbridge, GA 30281 | 2020-02-13 |
| 1306407143 | Palliative Care of Georgia. LLC | Home Health | 275 Corporate Center Court Ste C, Stockbridge, GA 30281 | 2019-06-24 |
| 1154883791 | Aaliyah Nura Fardan-alexander | Nurse's Aide | 105 Singletree, Stockbridge, GA 30281 | 2019-04-02 |
| 1306306261 | Prosthetic Care, Inc. | Prosthetic/Orthotic Supplier | 150 County Club Drive, Suite 200, Stockbridge, GA 30281 | 2019-03-25 |
| 1356814172 | Kristina Louissaint | Nurse Practitioner | 650 Country Club Dr, Stockbridge, GA 30281 | 2019-01-03 |
| 1942789284 | Cameren Barnes | Physical Therapist | 5473 N Henry Blvd, Stockbridge, GA 30281 | 2018-08-08 |
| Find all providers in zip 30281 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356814172 | Kristina Louissaint | Nurse Practitioner | 650 Country Club Dr, Stockbridge, GA 30281 | 2019-01-03 |
| 1124563663 | Beaufils Consulting Group, LLC | Nurse Practitioner | 109 S Lee St, Stockbridge, GA 30281-3709 | 2016-12-19 |
| 1528258134 | Linda Ann Thames | Nurse Practitioner | 900 Eagles Parkway, Stockbridge, GA 30281 | 2007-07-30 |
| 1235341017 | Lisa Sims | Nurse Practitioner | 203 Medical Blvd, Stockbridge, GA 30281-7218 | 2007-05-04 |
| 1811938111 | Samantha Stoddard | Nurse Practitioner | 1240 Eagles Landing Pkwy Ste 280, Stockbridge, GA 30281-5173 | 2006-06-09 |
| 1740893411 | Kimberly Victoria Smith | Nurse Practitioner | 1035 Southcrest Dr Ste 250, Stockbridge, GA 30281-6117 | 2020-08-24 |
| 1558996892 | Christy Tucker | Nurse Practitioner | 1050 Hospital Dr, Stockbridge, GA 30281-7384 | 2020-03-06 |
| 1518444926 | Sharah Lou Davis | Nurse Practitioner | 1133 Eagles Landing Pkwy, Stockbridge, GA 30281-5085 | 2018-07-27 |
| 1124520101 | Thuy-an Hoang Nguyen | Nurse Practitioner | 1240 Eagles Landing Pkwy Ste 110, Stockbridge, GA 30281-5173 | 2018-03-06 |
| 1710489018 | Eric Andrew Dennin | Nurse Practitioner | 1365 Rock Quarry Rd, Stockbridge, GA 30281-5029 | 2018-03-02 |
| Find all providers in STOCKBRIDGE | ||||
| City | STOCKBRIDGE |
| Zip Code | 30281 |
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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.