KELCIE ANNE MATTHEWS (NPI# 1326662263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326662263 |
Entity Type | Individual |
Full Name | KELCIE ANNE MATTHEWS |
Practice Address |
82 College Ln Dahlonega GA 30533 |
Mailing Address |
5827 Ridgedale Ct Gainesville GA 30506-6950 |
Practice Telephone | 7707222750 |
Mailing Telephone | 7707222750 |
Enumeration Date | 2020-06-06 |
Last Update Date | 2020-06-06 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Street Address |
82 COLLEGE LN |
City | DAHLONEGA |
State | GA |
Zip Code | 30533 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750651170 | Karen Lee Barrett | Nurse Practitioner | 82 College Ln, Dahlonega, GA 30533 | 2012-01-02 |
1699333922 | Amanda Maxfield | Specialist/Technologist | 82 College Ln, Dahlonega, GA 30533 | 2019-06-01 |
1972161297 | Trent Dobbs Elsberry | Specialist/Technologist | 82 College Ln, Dahlonega, GA 30533 | 2019-06-01 |
1992363295 | Brandon Crosby | Specialist/Technologist | 82 College Ln, Dahlonega, GA 30533 | 2019-05-31 |
1336654946 | Ryan Bussell | Specialist/Technologist | 82 College Ln, Dahlonega, GA 30533 | 2017-12-05 |
1932512340 | Becky Murck | Nurse Practitioner | 82 College Ln, Dahlonega, GA 30533 | 2014-06-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093320244 | Brittany Jamison | Speech-Language Pathologist | 180 Horizon Drive, Dahlonega, GA 30533 | 2020-09-14 |
1386109718 | Leanna Scoggin | Specialist/Technologist | 50 Hawksnest Dr, Apt. 300, Dahlonega, GA 30533 | 2019-02-11 |
1558753665 | Chelsey Park Health & Rehabilitation LLC | Skilled Nursing Facility | 200 Mountain Park Drive, Dahlonega, GA 30533 | 2015-02-26 |
1609286574 | Lanier Dental Group, Inc | Clinic/Center | 5458 S Chestatee, Dahlonega, GA 30533 | 2014-05-01 |
1265787444 | Lumpkin County Emergency Medical Services | Ambulance | 57a Pine Tree Way, Dahlonega, GA 30533 | 2012-07-13 |
1427333095 | Dahlonega Pediatric and Adolescent Medicine | Pediatrics | 1055 North Grove St., Dahlonega, GA 30533 | 2011-10-14 |
1851690259 | Anselm Kwaku Addo | Pharmacist | 566 East Main St, Dahlonega, GA 30533 | 2011-03-24 |
1497064810 | The Maher Rehabilitation Institute LLC | Physical Therapist | 155 Sunset Drive, Dahlonega, GA 30533 | 2010-10-04 |
1639498926 | Georgia Mountains Community Services | Day Training, Developmentally Disabled Services | 1220 Pecks Mill Road, Dahlonega, GA 30533 | 2010-05-26 |
1346574084 | Durall Capital Holdings, LLC | Clinic/Center | 59 Tipton Drive, Dahlonega, GA 30533 | 2009-09-29 |
Find all providers in zip 30533 |
Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912508540 | Robert Owen Calvert IIi | Student in an Organized Health Care Education/Training Program | 10734 Bossier Dr, Johns Creek, GA 30022-7977 | 2020-11-02 |
1194323469 | Kathlynn Barber | Student in an Organized Health Care Education/Training Program | 248 Sunset Ridge Dr, Newnan, GA 30263-7704 | 2020-10-09 |
1063019917 | Shayla Robinson | Student in an Organized Health Care Education/Training Program | 1887 Hudson Xing Apt 9, Tucker, GA 30084-5661 | 2020-10-05 |
1639786460 | Clarissa Chamorro | Student in an Organized Health Care Education/Training Program | 840 Old Alabama Rd Sw, Mableton, GA 30126-4108 | 2020-09-25 |
1417563909 | Josephine Almanzar | Student in an Organized Health Care Education/Training Program | 199 Armour Dr Ne Ste E, Atlanta, GA 30324-3973 | 2020-09-20 |
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 |
1487269338 | Nhu Ai Thi Vo | Student in an Organized Health Care Education/Training Program | 5295 Locomotive Ln, Norcross, GA 30071-2751 | 2020-09-08 |
1669087516 | Nurin Ghazzawi | Student in an Organized Health Care Education/Training Program | 1953 Valley Ridge Ln, Duluth, GA 30096-6024 | 2020-09-08 |
1871107029 | Ashlie Simmons | Student in an Organized Health Care Education/Training Program | 40 Hardwood Forest Cir, Brunswick, GA 31525-4738 | 2020-09-04 |
1427660166 | Kassie Howard | Student in an Organized Health Care Education/Training Program | 2601 Northlake Dr # 1722, Suwanee, GA 30024-2942 | 2020-08-22 |
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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.