JUDY LYNN HASTINGS (NPI# 1306009444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306009444 |
Entity Type | Individual |
Full Name | JUDY LYNN HASTINGS |
Credential | NP |
Practice Address |
6381 Zebulon Rd Macon GA 31220-2601 |
Mailing Address |
548 Commanche Dr Macon GA 31210-4205 |
Practice Telephone | 4784761911 |
Mailing Telephone | 4787195544 |
Enumeration Date | 2008-07-09 |
Last Update Date | 2014-01-15 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN125871 | GA | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 286678650A | 05 | |
GA | DEA | MH1822368 | 01 |
GA | MEDICARE | GRP6042 | 01 |
GA | RR MEDICARE | P00779970 | 01 |
GA | LICENSE | RN125871 | 01 |
Street Address |
6381 ZEBULON RD |
City | MACON |
State | GA |
Zip Code | 31220-2601 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386847614 | Georgia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 6381 Zebulon Rd, Macon, GA 31220-2601 | 2007-06-06 |
1588128581 | Samuel Scott Collier | Nurse Practitioner | 6381 Zebulon Rd, Macon, GA 31220-2601 | 2019-01-24 |
1841652310 | Christopher Hayes | Nurse Practitioner | 6381 Zebulon Rd, Macon, GA 31220-2601 | 2016-03-24 |
1598124380 | Jessica Lynn | Nurse Practitioner | 6381 Zebulon Rd, Macon, GA 31220-2601 | 2016-02-22 |
1508129438 | Venyette Thomas | Nurse Practitioner | 6381 Zebulon Rd, Macon, GA 31220 | 2012-06-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174864979 | Kenwana Michelle Vanderbilt | Psychologist | Macon Outpatient Clinic- 5398 Thomaston Rd., Suite B, Macon, GA 31220 | 2013-03-05 |
1720287345 | Lynda Jean Logan | Registered Nurse | 5398 Thomaston Road Suite B, Macon, GA 31220 | 2007-07-13 |
1811085434 | Timmi Hagan | Dentist | 4196 Cavalier Dr, Macon, GA 31220 | 2006-10-10 |
1154375756 | Lois Jane Macdonnell | Psychiatry & Neurology | 5566 Thomaston Rd, Macon, GA 31220 | 2006-05-19 |
1710260575 | Vijay H Patel | Pharmacist | 1280 Gray Hwy, Macon, GA 31220 | 2011-09-27 |
1023065638 | Dublin Vamc | Clinic/Center | 5566 Thomaston Rd, Macon, GA 31220 | 2006-05-28 |
1184934549 | Crystal M Wilson | Licensed Practical Nurse | 270 Dolly Madison Ct, Macon, GA 31220-2605 | 2010-10-19 |
1144605890 | Teresa Goodridge | Case Manager/Care Coordinator | 1151 Ridgeview Cir, Macon, GA 31220-2630 | 2015-07-23 |
1306245592 | Pasquale Pietrefesa | Pharmacist | 423 Panorama Pl, Macon, GA 31220-2652 | 2014-08-14 |
1376101196 | Detra K Dixon | Nurse Practitioner | 227 Amalie Dr, Macon, GA 31220-2667 | 2019-06-05 |
Find all providers in zip 31220 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093315848 | Tracy Tarvers | Nurse Practitioner | 129 Wolf Creek Dr N, Macon, GA 31210-9002 | 2020-10-30 |
1578160560 | Ida Mayaka | Nurse Practitioner | 210 Autumn Trace Ct, Macon, GA 31210-8025 | 2020-10-03 |
1427664465 | Shanna Lynn Beaulieu | Nurse Practitioner | 781 Spring St Ste 230, Macon, GA 31201-2185 | 2020-09-16 |
1467070557 | Raquel Simmons | Nurse Practitioner | 670 Ivy Brook Way, Macon, GA 31210-5520 | 2020-07-06 |
1174159800 | Jamie K Polk | Nurse Practitioner | 3951 Ridge Ave Ste C, Macon, GA 31210-5064 | 2020-03-13 |
1033743455 | Dana Elizabeth Toth | Nurse Practitioner | 5300 Bowman Rd, Macon, GA 31210 | 2020-02-25 |
1730730581 | Lindsay Fernandez | Nurse Practitioner | 102 Saint Johns Pl, Macon, GA 31210-8606 | 2019-09-24 |
1003468240 | Skylar Nelson | Nurse Practitioner | 330 Hospital Dr Ste 200, Macon, GA 31217-8034 | 2019-07-09 |
1861051880 | Courtney Elizabeth Avery | Nurse Practitioner | 540 Charter Blvd Ste 400, Macon, GA 31210-4882 | 2019-06-12 |
1376101196 | Detra K Dixon | Nurse Practitioner | 227 Amalie Dr, Macon, GA 31220-2667 | 2019-06-05 |
Find all providers in MACON |
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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.