P LYNN WISEMAN (NPI# 1336241371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336241371 |
| Entity Type | Individual |
| Full Name | P LYNN WISEMAN |
| Other Name | PATRICIA NEWTON |
| Credential | CNS |
| Practice Address |
200 Crescent Centre Park Department of Behavioral Health Tucker GA 30084 |
| Mailing Address |
3495 Piedmont Road Ne Nine Piedmont Center Atlanta GA 30305-1736 |
| Practice Telephone | 7704963609 |
| Practice Fax Number | 7704963708 |
| Mailing Telephone | 4043647000 |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0808X |
Clinical Nurse Specialist Specialization: Psych/Mental Health |
RN126821 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
200 CRESCENT CENTRE PARK DEPARTMENT OF BEHAVIORAL HEALTH |
| City | TUCKER |
| State | GA |
| Zip Code | 30084 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851409858 | Catherine M Salazar | Obstetrics & Gynecology | 200 Crescent Centre Park, Department of Obstetrics & Gynecology, Tucker, GA 30084 | 2006-08-29 |
| 1134287360 | Meryl P Stein | Podiatrist | 200 Crescent Centre Park, Department of Podiatry, Tucker, GA 30084 | 2006-12-04 |
| 1457440596 | Sharon R Lehman | Pediatrics | 200 Crescent Centre Park, Pediatrics Health Care Team A, Tucker, GA 30084 | 2006-10-12 |
| 1427151885 | Jon H Sudman | Pediatrics | 200 Crescent Centre Park, Pediatrics Health Care Team A, Tucker, GA 30084 | 2006-09-07 |
| 1225130255 | Alice D Mintz | Clinical Nurse Specialist | 200 Crescent Centre Park, Department of Behavioral Health, Tucker, GA 30084 | 2006-09-01 |
| 1629170667 | Robbin R Ryan | Counselor | 200 Crescent Centre Park, Department of Behavioral Health, Tucker, GA 30084 | 2006-09-01 |
| 1245332287 | Ellen H Bern | Counselor | 200 Crescent Centre Park, Department of Behavioral Health, Tucker, GA 30084 | 2006-09-01 |
| 1578674784 | Donald J Hanchett | Internal Medicine | 200 Crescent Centre Park, Internal Medicine Health Care Team A, Tucker, GA 30084 | 2006-08-31 |
| 1154432367 | Charles E Curry Jr. | Family Medicine | 200 Crescent Centre Park, Internal Medicine Health Care Team A, Tucker, GA 30084 | 2006-08-31 |
| 1891806006 | Malcolm T Simpson | Family Medicine | 200 Crescent Centre Park, Internal Medicine Health Care Team A, Tucker, GA 30084 | 2006-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609401355 | Excellent Medical Transport | Ambulance | 4378 Sentry Dr, Tucker, GA 30084 | 2020-03-03 |
| 1811468796 | Caleb Lee Ebbets | Physical Therapist | 1459 Montreal Road, Medical Office Building, Suite 301, Tucker, GA 30084 | 2018-12-17 |
| 1417436130 | Benjamin Han Wook Chong | Physical Therapist | 1460 Montreal Road East, Suite 300, Tucker, GA 30084 | 2018-08-13 |
| 1336659325 | Lavista Acupuncture and Herbal Medicine | Acupuncturist | 4915 Lavista Rd, Tucker, GA 30084 | 2017-10-04 |
| 1699294207 | Debrica Butler | Counselor | 1021 Oak Chase Dr., Apt C, Tucker, GA 30084 | 2017-09-14 |
| 1295264695 | Jolanta Wazgowska Hopkins | Social Worker | 4404 Idlewood Lane, Tucker, GA 30084 | 2017-06-08 |
| 1164956157 | Sage Dental Group of Georgia LLC | Dentist | 4320 Lavista Rd, Suite C119, Tucker, GA 30084 | 2017-04-17 |
| 1689107807 | Mashail Manzur | Podiatrist | 1460 Montreal Rd E, Ste 275, Tucker, GA 30084 | 2017-04-05 |
| 1053765578 | Jessica Spruyt | Speech-Language Pathologist | 3756 Lavista Rd Suite 104, Tucker, GA 30084 | 2016-04-21 |
| 1265802318 | Spine and Orthopedics of Atlanta, LLC | Clinic/Center | 1462 Montreal Rd Ste 218, Tucker, GA 30084 | 2015-10-01 |
| Find all providers in zip 30084 | ||||
| Taxonomy Code | 364SP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225130255 | Alice D Mintz | Clinical Nurse Specialist | 200 Crescent Centre Park, Department of Behavioral Health, Tucker, GA 30084 | 2006-09-01 |
| 1912009952 | Jane M Kerner-mendoza | Clinical Nurse Specialist | 200 Crescent Centre Parkway, Department of Behavioral Health, Tucker, GA 33084 | 2006-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619493988 | Aleaser Palmer | Clinical Nurse Specialist | 615 Lawrenceville Suwanee Rd, Lawrenceville, GA 30046-4325 | 2017-08-18 |
| 1548501745 | Maria Flordesol Abuloc Culpa-bondal | Clinical Nurse Specialist | 145 Stone Brooke Dr, Gray, GA 31032-5864 | 2013-03-13 |
| 1730425307 | Brenda Gayle Smith | Clinical Nurse Specialist | 20 Hawkins St Apt G, Dahlonega, GA 30533-1154 | 2012-12-29 |
| 1861745994 | Sherry Marie Mccoy | Clinical Nurse Specialist | 3015 Veterans Parkaway, Moultrie, GA 31788 | 2012-10-26 |
| 1205112489 | Sharon Lee Evers | Clinical Nurse Specialist | 130 Lagrange St, Newnan, GA 30263-2938 | 2011-11-01 |
| 1609183755 | Marcia Younker | Clinical Nurse Specialist | 825 S Mulberry St, D, Jackson, GA 30233-2474 | 2010-09-10 |
| 1235467978 | Venus Denise Millington-upshaw | Clinical Nurse Specialist | 950 Dannon View Sw, Suite 4201, Atlanta, GA 30331-2160 | 2009-11-18 |
| 1063749588 | David H Fowler | Clinical Nurse Specialist | 306 Shorter Ave, Rome, GA 30165 | 2009-11-04 |
| 1972743623 | Kim Sandy Teague | Clinical Nurse Specialist | 985 Ridge Tarn, Atlanta, GA 30350-3426 | 2009-02-20 |
| 1063651982 | Beverly Lynn Philson | Clinical Nurse Specialist | 80 Jesse Hill Jr Dr, Se, Atlanta, GA 30303-3801 | 2009-02-17 |
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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.