DR. CLARENCE H FOSSIER (NPI# 1285635847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285635847 |
| Entity Type | Individual |
| Full Name | DR. CLARENCE H FOSSIER |
| Credential | MD |
| Practice Address |
803 S Main St Greensboro GA 30642-1211 |
| Mailing Address |
111 Fieldstone Dr Suite 114 Milledgeville GA 31061-7106 |
| Practice Telephone | 7063198762 |
| Practice Fax Number | 7069993221 |
| Mailing Telephone | 4784570037 |
| Mailing Fax Number | 4784570040 |
| Enumeration Date | 2005-08-04 |
| Last Update Date | 2014-01-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 044919 | GA | Other Service Providers |
| Street Address |
803 S MAIN ST |
| City | GREENSBORO |
| State | GA |
| Zip Code | 30642-1211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225637192 | Jennifer Dixon | Nurse Practitioner | 803 S Main St, Greensboro, GA 30642-1211 | 2020-10-22 |
| 1104476936 | Jessica Devero Milner | Nurse Practitioner | 803 S Main St, Greensboro, GA 30642-1211 | 2019-09-13 |
| 1427542265 | Jessica Elizabeth Anne Simpson | Nurse Practitioner | 803 S Main St, Greensboro, GA 30642 | 2018-06-15 |
| 1790235364 | Morgan Hardigree | Nurse Practitioner | 803 S Main St, Greensboro, GA 30642-1211 | 2016-10-07 |
| 1689057754 | Nathan Wade | Nurse Practitioner | 803 S Main St, Greensboro, GA 30642-1211 | 2015-07-07 |
| 1104210459 | Sonia Suda | Internal Medicine | 803 S Main St, Greensboro, GA 30642-1211 | 2015-03-25 |
| 1093121592 | Matthew Carithers | Dentist | 803 S Main St, Greensboro, GA 30642-1211 | 2014-07-03 |
| 1538574348 | Corey Woodard | Dentist | 803 S Main St, Greensboro, GA 30642-1211 | 2014-07-01 |
| 1396183752 | Missy Leigh Jackson | Nurse Practitioner | 803 S Main St, Greensboro, GA 30642-1211 | 2013-06-07 |
| 1508202995 | Itoro Bassey Edet Daniels | Internal Medicine | 803 S Main St, Greensboro, GA 30642 | 2013-05-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821575176 | Donald Matson Keiser IIi | Pharmacist | 6380 Lake Oconee Parkway, Greensboro, GA 30642 | 2018-07-19 |
| 1427575844 | Kathleen Mcgrady | Psychologist | 1121 Careywood St, Greensboro, GA 30642 | 2017-08-25 |
| 1851733281 | April Jackson Powell | Physical Therapist | 1000 Cowles Clinc Way Ste D-100, Greensboro, GA 30642 | 2013-07-26 |
| 1003046673 | Apalachee Medical Supply & Mobility Inc | Durable Medical Equipment & Medical Supplies | 1000 Cowles Clinic Way, Aspen Building A-200, Greensboro, GA 30642 | 2009-07-17 |
| 1487808754 | Wendy C Pearson | Nurse Practitioner | 1000 Cowles Clinc Way Ste 300, Greensboro, GA 30642 | 2008-11-12 |
| 1144481516 | Kingdom Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 1020 Park Drive, Suite B, Greensboro, GA 30642 | 2008-06-18 |
| 1538369343 | Jerry Allen Spivey Jr. | Anesthesiology | 1030 Founders Row, Greensboro, GA 30642 | 2007-07-19 |
| 1578766309 | Richard Norman Lee | Dentist | 1041 Parkside Commons, Suite 104, Greensboro, GA 30642 | 2007-06-08 |
| 1609085950 | Lott Cuffie Southwest Properties | Dentist | 1050 Parkside Commons, Suite 103, Greensboro, GA 30642 | 2007-05-22 |
| 1649320490 | Greene County Nursing Center LLC | Skilled Nursing Facility | 1211 Siloam Road, Greensboro, GA 30642 | 2007-01-12 |
| Find all providers in zip 30642 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710436423 | Holderness Plastic Surgery | Specialist | 500 E Cornwallis Dr, Suite F, Greensboro, NC 27405-5681 | 2016-09-23 |
| 1619425469 | Iona Willett Windsor | Specialist | 2729 Battleground Ave, 5, Greensboro, NC 27408-2701 | 2016-09-21 |
| 1437501525 | Workready Solutions of Greensboro, Inc. | Specialist | 315 Spring Garden St, Suite 2a, Greensboro, NC 27401-2766 | 2016-07-12 |
| 1053721860 | Ck Vascular Pllc | Specialist | 1305 Lees Chapel Rd, Suite 103, Greensboro, NC 27455-2601 | 2014-05-01 |
| 1265868129 | Lindsey Ryan Brake | Specialist | 3607 Mhra 1111 Spring Garden St, Beyond Academics, The University of N.c. At Greensboro, Greensboro, NC 27412-5013 | 2013-09-23 |
| 1366685364 | Crossroads Treatment Centers | Specialist | 436 Spring Garden St, Greensboro, NC 27401-2734 | 2009-04-07 |
| 1386813038 | Alex Glenn Tomlinson | Specialist | 142 North Walnut Cir, Apt B, Greensboro, NC 27409 | 2008-02-27 |
| 1336350404 | Muriel W Boette | Specialist | 2712 Twin Lakes Dr, Greensboro, NC 27407-4717 | 2007-05-24 |
| 1669685889 | Michael C. Tanner | Specialist | 8 North Pointe Ct, Greensboro, NC 27408 | 2007-05-07 |
| 1962544064 | David Charles Best | Specialist | 600 Pasteur Dr, Greensboro, NC 27403-1140 | 2007-02-13 |
| Find all providers in GREENSBORO | ||||
| City | GREENSBORO |
| Zip Code | 30642 |
Please comment or provide details below to improve the information on DR. CLARENCE H FOSSIER.
| 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.