MR. GARETH GENE WALKER (NPI# 1255776993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255776993 |
| Entity Type | Individual |
| Full Name | MR. GARETH GENE WALKER |
| Practice Address |
514 Covinton Street Jackson GA 30233 |
| Mailing Address |
1615 Murray Ave El Cajon CA 92020-5637 |
| Practice Telephone | 6196977808 |
| Practice Fax Number | 6197495730 |
| Mailing Telephone | 6196977808 |
| Mailing Fax Number | 6197495730 |
| Enumeration Date | 2013-05-08 |
| Last Update Date | 2013-05-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
PCH006682 | GA | Nursing Service Related Providers |
| Street Address |
514 COVINTON STREET |
| City | JACKSON |
| State | GA |
| Zip Code | 30233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366800914 | Georgia Ophthalmologists LLC | Durable Medical Equipment & Medical Supplies | 860 W 3rd St, Jackson, GA 30233 | 2016-02-10 |
| 1306225057 | Young Dreaden | Nurse Practitioner | 2978 Hwy 36w, Jackson, GA 30233 | 2015-05-28 |
| 1609255520 | Neta J Roby | Nurse Practitioner | Hwy 36, Georgia Diagnostic Classification Prison, Jackson, GA 30233 | 2015-05-26 |
| 1033546098 | Henrietta Lindsay | Social Worker | 463-b Ernest Biles Dr, Jackson, GA 30233 | 2013-10-04 |
| 1730489592 | Mary L. Melton | Licensed Practical Nurse | 463 Ernest Biles Dr., Jackson, GA 30233 | 2010-10-27 |
| 1083864250 | Chastity Moore Brown | Dentist | 1520 Lucky Street, Griffin, GA 30233 | 2008-09-24 |
| 1568661320 | Joseph Fowlkes | Internal Medicine | 2978 Highway 36 W, Jackson, GA 30233 | 2007-07-12 |
| 1942386289 | Butts County Board of Commissioners | Ambulance | 154 Sylvan Drive, Jackson, GA 30233 | 2006-10-30 |
| 1841238300 | Jackson Pharmacy Services | Pharmacy | 22 Mulberry St., Jackson, GA 30233 | 2006-06-04 |
| 1740755719 | Byron A Thompson | Counselor | 794 Mcdonough Rd, Jackson, GA 30233 | 2018-10-05 |
| Find all providers in zip 30233 | ||||
| Taxonomy Code | 3747A0650X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Attendant Care Provider |
| An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316559966 | Royeisha Deshawn Walker | Technician | 3635 Hancock St, Jackson, MS 39213-5803 | 2020-08-17 |
| 1407495245 | Tiffany Marie Griffin | Technician | 1980 Highway 80 W, Jackson, MS 39204-2303 | 2019-12-26 |
| 1881230084 | Warren Johnson | Technician | 1932 Linda Ln, Jackson, MS 39213-4447 | 2019-11-22 |
| 1679117980 | Cynthia Bailey | Technician | 916 Carnation Street, Jackson, MS 39213 | 2019-10-30 |
| 1871136374 | Shirley Collins Williams | Technician | 3132 Sage St, Jackson, MS 39213 | 2019-10-28 |
| 1750923959 | Patricia Ann Benjamino | Technician | 8 Poplar Street, Jackson, NJ 08527 | 2019-10-09 |
| 1043852155 | Laquinta Cavett | Technician | 3740 John F Kennedy Blvd, Jackson, MS 39213-2919 | 2019-10-09 |
| 1699326843 | Mary Ann Henderson | Technician | 339 Mason Blvd, Jackson, MS 39212-5151 | 2019-09-27 |
| 1154970978 | Jasmine Lindsey | Technician | 4001 Rainey Rd, Jackson, MS 39212-5325 | 2019-09-04 |
| 1477876530 | Mick Inc. | Technician | 334 Josanna Street, Suite #209, Jackson, MS 39202 | 2010-03-03 |
| Find all providers in JACKSON | ||||
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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.