MH 102, PC (NPI# 1285268219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285268219 |
| Entity Type | Organization |
| Organization Name | MH 102, PC |
| Practice Address |
1 Aflac Parkway Columbus GA 31907 |
| Mailing Address |
Po Box 5 Winooski VT 05404-0005 |
| Practice Telephone | 7062438391 |
| Mailing Telephone | 8028570400 |
| Enumeration Date | 2020-02-28 |
| Last Update Date | 2020-02-28 |
| Authorized Official Name | BEVERLY RAYMOND (PRESIDENT) |
| Authorized Official Telephone | 8028570400 |
| Authorized Official Credential | NP |
| Is Organization Subpart | Y |
| Parent Organization Name | MH 102, PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| Aflac PSA | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457985590 | Mh 102, PC | Nurse Practitioner | 193 Tilley Dr, South Burlington, VT 05403-4440 | 2020-02-27 |
| 1831723964 | Mh 102, PC | Nurse Practitioner | 1932 Wynnton Rd, Columbus, GA 31999-0001 | 2020-02-27 |
| 1174157218 | Mh 102, PC | Nurse Practitioner | 813 E 68th St Ste B, Savannah, GA 31405-4710 | 2020-02-27 |
| 1457985509 | Mh 102, PC | Nurse Practitioner | 5204 Bernard Dr Ste 300a, Roanoke, VA 24018-4345 | 2020-02-27 |
| 1588298624 | Mh 102, PC | Nurse Practitioner | 817 Botetourt Ct Ste 106, Chesapeake, VA 23320-4886 | 2020-02-27 |
| 1285105171 | Mh 102, PC | Nurse Practitioner | 2322 Blue Stone Hills Dr Ste 260, Harrisonburg, VA 22801-5403 | 2018-12-17 |
| 1811476286 | Mh 102, PC | Nurse Practitioner | 1020 Barrow Industrial Pkwy, Winder, GA 30680-3891 | 2018-08-07 |
| 1689177040 | Mh 102, PC | Nurse Practitioner | 98 Alexandria Pike Ste 52, Warrenton, VA 20186-2849 | 2018-03-13 |
| 1720599657 | Mh 102, PC | Nurse Practitioner | 864 Spring St Nw, Atlanta, GA 30308-1007 | 2017-10-18 |
| 1053754275 | Mh 102, PC | Non-Pharmacy Dispensing Site | 5650 Main St, C/o Vcs Health Center, Manchester Center, VT 05255-9711 | 2013-04-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | MH 102, PC | Po Box 5, Winooski, VT 05404 |
| Street Address |
1 AFLAC PARKWAY |
| City | COLUMBUS |
| State | GA |
| Zip Code | 31907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730702051 | At Ease Private Home Care, LLC | Home Health | 3906 Pond View Court, Columbus, GA 31907 | 2020-05-20 |
| 1427602978 | Alicia Keeshan Taylor | Massage Therapist | 5401 Gunboat Dr Unit 31, Columbus, GA 31907 | 2019-08-01 |
| 1285101071 | Valerie Rena Bickham | Chore Provider | 1259 Bismarck Drive, Columbus, GA 31907 | 2018-10-30 |
| 1629555172 | West Georgia Regenerative Medicine LLC | Physical Therapist | 3624 Edgewood Rd Ste B, Columbus, GA 31907 | 2018-07-26 |
| 1659866747 | Transitional Independence, LLC | In Home Supportive Care | 5633 Lexington Dr, Columbus, GA 31907 | 2018-06-29 |
| 1598285892 | Aa Personal Care, LLC | Nursing Care | 547 Moye Rd, Columbus, GA 31907 | 2017-06-27 |
| 1366981573 | Sabrina Renae Crosby Lopes | Counselor | 1120 21st Unit -a, Columbus, GA 31907 | 2017-02-21 |
| 1326445073 | Angela James | Nurse Practitioner | 6400 Flatrock Road, Columbus, GA 31907 | 2014-11-24 |
| 1841617255 | Sabrina Ann Patterson | Community Health Worker | 2726 Courtland, Columbus, GA 31907 | 2014-03-24 |
| 1811319866 | Christine Denise Vanmeter | Counselor | 2100 Corner Ave., Columbus, GA 31907 | 2014-01-10 |
| Find all providers in zip 31907 | ||||
| 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 |
|---|---|---|---|---|
| 1427663665 | Antona Deann Napier | Nurse Practitioner | 1075 Great Oak Dr Apt I, Columbus, OH 43213-4514 | 2020-09-14 |
| 1952913618 | Cynthia Marie Nonamaker | Nurse Practitioner | 4641 Ridge Rd, Columbus, MS 39705-2862 | 2020-08-23 |
| 1467060608 | Jessica Workman | Nurse Practitioner | 4135 Willow Hollow Dr, Columbus, OH 43230-1056 | 2020-07-14 |
| 1578181558 | Carolyn Minks | Nurse Practitioner | 1527 Berkshire Rd, Columbus, OH 43221-3905 | 2020-07-07 |
| 1831723964 | Mh 102, PC | Nurse Practitioner | 1932 Wynnton Rd, Columbus, GA 31999-0001 | 2020-02-27 |
| 1972136422 | Junauh Mariah Allgood | Nurse Practitioner | 1006 11th Ave N Apt A, Columbus, MS 39701-3543 | 2020-02-12 |
| 1790325660 | Lisa Corinne Sofocleous | Nurse Practitioner | 250 Brodbelt Ln Apt 204, Columbus, OH 43215-2458 | 2020-01-08 |
| 1093366551 | Karla Kornsey | Nurse Practitioner | 23206 Columbus Rd Ste B, Columbus, NJ 08022-1904 | 2019-09-26 |
| 1083263651 | Vita Care LLC | Nurse Practitioner | 1425 Yorkland Road, Columbus, OH 43232-1686 | 2019-09-06 |
| 1346892619 | Nicole Nuxol Talley | Nurse Practitioner | 1335 Dublin Rd Ste 124-d, Columbus, OH 43215 | 2019-07-16 |
| Find all providers in COLUMBUS | ||||
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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.