MITZIE REAGAN (NPI# 1326587312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326587312 |
| Entity Type | Individual |
| Full Name | MITZIE REAGAN |
| Credential | FNP |
| Practice Address |
1199 Prince Ave Athens GA 30606 |
| Mailing Address |
1199 Prince Ave Athens GA 30606-2797 |
| Practice Telephone | 7064757110 |
| Mailing Telephone | 7064757110 |
| Enumeration Date | 2017-02-23 |
| Last Update Date | 2018-05-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN232191 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1199 PRINCE AVE |
| City | ATHENS |
| State | GA |
| Zip Code | 30606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912902271 | Joel P Cook | Radiology | 1199 Prince Ave, Athens, GA 30606-2797 | 2005-06-14 |
| 1780283200 | Jenny Edwards Tolley | Registered Nurse | 1199 Prince Ave, Athens, GA 30606-2797 | 2020-10-26 |
| 1649896143 | Monique Mellissa Hayles | Registered Nurse | 1199 Prince Ave, Athens, GA 30606-2797 | 2020-06-19 |
| 1407478514 | Andrew Finley Woodham | Physician Assistant | 1199 Prince Ave, Athens, GA 30606-2797 | 2020-05-12 |
| 1366062713 | Mecca Sabri Bennett | Registered Nurse | 1199 Prince Ave, Athens, GA 30606-2797 | 2020-04-24 |
| 1710521778 | Jessica Russell | Registered Nurse | 1199 Prince Ave, Athens, GA 30606-2797 | 2019-11-03 |
| 1083178321 | Mary H Brown | Registered Nurse | 1199 Prince Ave, Athens, GA 30606-2797 | 2019-01-30 |
| 1144784372 | Jennifer Simpson Etheridge | Registered Nurse | 1199 Prince Ave, Athens, GA 30606-2797 | 2019-01-22 |
| 1629542089 | Ansley Brooke Waters | Registered Nurse | 1199 Prince Ave, Athens, GA 30606-2797 | 2019-01-17 |
| 1740750462 | Jonathan Hydrick | Registered Nurse | 1199 Prince Ave, Athens, GA 30606-2797 | 2018-11-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942816962 | Kofi Darkwa Seffah | Student in an Organized Health Care Education/Training Program | 1199 Prince Ave #70, 1270 Prince Ave Suite 201, Athens, GA 30606 | 2020-09-16 |
| 1831712363 | Rebecca John | Licensed Practical Nurse | 240 Mitchel Bridge Road, Athens, GA 30606 | 2020-05-19 |
| 1497375612 | Alfred Ka-shing Wong | Student in an Organized Health Care Education/Training Program | 1270 Prince Ave Suite 201, Athens, GA 30606 | 2020-04-17 |
| 1881223956 | Lauren Fesperman | Nurse Practitioner | 242 King Ave Ste 130, Athens, GA 30606 | 2020-04-02 |
| 1255966081 | Westminster Presbyterian Homes, Inc. | Skilled Nursing Facility | 1400 Live Oak Ln, Building 100, Athens, GA 30606 | 2020-03-12 |
| 1255981700 | Carol Cameron Cready-pyle | Social Worker | 1551 Jennings Mill Pkwy Ste 1700, Athens, GA 30606 | 2019-09-17 |
| 1013576016 | Lauren Gruendling | Nurse Practitioner | 242 King Avenue, Suite 210, Athens, GA 30606 | 2019-06-12 |
| 1760045223 | Dominic Ofosu Amakye | Student in an Organized Health Care Education/Training Program | 1270 Prince Avenue Suite 201, Athens, GA 30606 | 2019-04-19 |
| 1740740422 | Juan G Salazar Castillo | Student in an Organized Health Care Education/Training Program | Community Internal Medicine of Athens, 1500 Oglethorpe Ave Suite 200d, Athens, GA 30606 | 2019-03-20 |
| 1750869020 | Jennifer Emily Chapman | Physical Therapist | 1021 Parkway Blvd Ste 101, Athens, GA 30606 | 2018-07-30 |
| Find all providers in zip 30606 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295333409 | Olivia Palmer | Nurse Practitioner | 770 W Market St, Athens, AL 35611 | 2020-10-12 |
| 1831706449 | Melissa Mason | Nurse Practitioner | 700 Oglethorpe Ave # C7, Athens, GA 30606-2221 | 2020-09-28 |
| 1972117992 | Kei Martin | Nurse Practitioner | 25569 Evergreen Ln, Athens, AL 35613-6162 | 2020-09-08 |
| 1699315192 | Paul Stewart | Nurse Practitioner | 906 Rolling Dr, Athens, TX 75751-2944 | 2020-01-13 |
| 1679118616 | Erica Lyn Prater | Nurse Practitioner | 445 Providence Rd, Athens, GA 30606-1933 | 2019-11-13 |
| 1932758828 | Paula White | Nurse Practitioner | 12 Walcon Ln Apt 2, Athens, TN 37303-3764 | 2019-09-04 |
| 1114574621 | April Lee White | Nurse Practitioner | 3655 Whiteoak Creek Rd, Athens, WV 24712-9628 | 2019-08-20 |
| 1255988937 | Brandi Jones | Nurse Practitioner | 115 Medical Cir Ste 100, Athens, TX 75751-9004 | 2019-08-19 |
| 1467008128 | Erica Denise Long | Nurse Practitioner | 220 S Jackson St, Athens, TN 37303-4713 | 2019-08-16 |
| 1215598131 | Patricia Ann Torres | Nurse Practitioner | 494 Baxter St, Athens, GA 30605-1172 | 2019-06-21 |
| Find all providers in ATHENS | ||||
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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.