GREGORY LEE FISHER (NPI# 1336258268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336258268 |
| Entity Type | Individual |
| Full Name | GREGORY LEE FISHER |
| Credential | PA-C |
| Practice Address |
420 E 2nd Ave Suite 103 Rome GA 30161-3209 |
| Mailing Address |
1328 Joe Frank Harris Pkwy Se Cartersville GA 30120-4221 |
| Practice Telephone | 7065093000 |
| Mailing Telephone | 7703820029 |
| Mailing Fax Number | 7063870306 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2016-06-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
002916 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750313912 | Gregory R Fisher | Dentist | 1019 Pacific Ave., Ste. 300, Tacoma, WA 98402 | 2006-07-07 |
| 1467481226 | Gregory John Fisher | Dentist | 314 Riverside St, Portland, ME 04103-1037 | 2006-07-02 |
| 1023664851 | Gregory Walsh Fisher | Social Worker | 900 Palm St, Red Bluff, CA 96080-2626 | 2019-08-16 |
| 1962986521 | Gregory Lee Fisher | Pharmacist | 920 N Charlotte St, Pottstown, PA 19464-3999 | 2018-09-19 |
| 1518380369 | Gregory Fisher | Pharmacist | 4075 Wilmington Pike, Kettering, OH 45440-1600 | 2014-01-30 |
| 1154689990 | Gregory T Fisher | Plastic Surgery | 17785 Center Court Dr N, Ste 130, Cerritos, CA 90703-8573 | 2012-04-30 |
| 1285790972 | Gregory Fisher | Counselor | 11 4th St E, Lemmon, SD 57638-1524 | 2006-12-28 |
| 1093741084 | Gregory H Fisher | Internal Medicine | 15225 Shady Grove Rd, Suite 201, Rockville, MD 20850-3254 | 2006-06-23 |
| 1477519072 | Gregory Alan Fisher | Pediatrics | 4022 Freedom Lake Dr, Durham, NC 27704 | 2006-04-22 |
| Street Address |
420 E 2ND AVE SUITE 103 |
| City | ROME |
| State | GA |
| Zip Code | 30161-3209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699721399 | Floyd Healthcare Management Inc | Hospice Care, Community Based | 420 E 2nd Ave, Suite 105, Rome, GA 30161-3209 | 2006-05-25 |
| 1477915569 | Farrah Gardner | Nurse Practitioner | 420 E 2nd Ave, Suite 103, Rome, GA 30161-3209 | 2016-03-28 |
| 1134588916 | Julie White | Nurse Practitioner | 420 E 2nd Ave, Suite 103, Rome, GA 30161-3209 | 2016-02-22 |
| 1417281999 | Lee Caroline Duvall | Nurse Practitioner | 420 E 2nd Ave, Rome, GA 30161-3209 | 2009-09-30 |
| 1851508964 | Jonathan Garrett Gore | Emergency Medicine | 420 E 2nd Ave, Suite 103, Rome, GA 30161-3209 | 2007-05-17 |
| 1356562185 | Cline Thomas Jackson | Emergency Medicine | 420 E 2nd Ave, Suite 103, Rome, GA 30161-3209 | 2007-05-01 |
| 1316003197 | Kirby Watson Peden | Family Medicine | 420 E 2nd Ave, Suite 103, Rome, GA 30161-3209 | 2006-12-28 |
| 1881755833 | Marcia Y Williams | Internal Medicine | 420 E 2nd Ave, Suite 103, Rome, GA 30161-3209 | 2006-12-13 |
| 1154345353 | Horace Lee Cline | Emergency Medicine | 420 E 2nd Ave, Suite 103, Rome, GA 30161-3224 | 2006-07-27 |
| 1710901996 | Jeffrey M Blackmon | Emergency Medicine | 420 E 2nd Ave, Suite 103, Rome, GA 30161-3224 | 2006-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265069256 | Three Rivers Housing and Development Corporation | Chore Provider | 326 W. 9th St, Rome, GA 30161 | 2020-03-27 |
| 1144865957 | Eric Alan Fuller | Audiologist-Hearing Aid Fitter | 700 East 2nd Street, Suite C, Rome, GA 30161 | 2019-11-15 |
| 1003394883 | Cindy V Shelton | Health Educator | 204 E 1st Ave, Rome, GA 30161 | 2018-08-02 |
| 1083153597 | Julie Oglesby Allen | Counselor | 1 S Broad St Sw Ste 5, Rome, GA 30161 | 2017-02-16 |
| 1902299530 | Michael Thomas Phillips | Pharmacist | 2005 Maple Street, Rome, GA 30161 | 2015-03-06 |
| 1407259112 | Angela Smith | Community/Behavioral Health | 109 John Maddox Suite 200, Rome, GA 30161 | 2014-10-08 |
| 1215344379 | Nancy Patel | Pharmacist | 1421 North Broad St, Rome, GA 30161 | 2014-07-21 |
| 1821336629 | Wendy Pence | Nurse Practitioner | 3001 Turner Mccall Blvd, Rome, GA 30161 | 2013-01-29 |
| 1558526202 | Marilyn Teresa Ringstaff | Registered Nurse | 1513 Dean St., Rome, GA 30161 | 2008-07-22 |
| 1134310147 | Reneka L Dobbs-jackson | Family Medicine | 420 E 2nd Ave Ste 103, Rome, GA 30161 | 2007-08-05 |
| Find all providers in zip 30161 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801402888 | Meredith Gaines | Physician Assistant | 603 W 1st St Unit 1, Rome, GA 30161-3067 | 2020-09-16 |
| 1639153810 | Leone P Cordle | Physician Assistant | 126 Three Rivers Dr Ne, Rome, GA 30161-4999 | 2005-12-01 |
| 1124636527 | Alan Phrommala | Physician Assistant | 501 Redmond Rd Nw, Rome, GA 30165-1415 | 2020-07-21 |
| 1417371642 | William Brandon Newby | Physician Assistant | 18 Riverbend Dr Sw, Suite 120, Rome, GA 30161-6013 | 2014-02-07 |
| 1639437379 | Staci Robin Graves | Physician Assistant | 715 E 2nd Ave Sw, Rome, GA 30161-6148 | 2012-05-01 |
| 1669559795 | Christina Lyndell Miller | Physician Assistant | 1500 N James St, Rome, NY 13440-2844 | 2006-11-01 |
| 1902999865 | Jeffery Scott Roy | Physician Assistant | 91 Perimeter Rd, Suite 100, Rome, NY 13441-4018 | 2006-10-02 |
| 1609884196 | Jennifer M Goldbach | Physician Assistant | 304 Turner Mccall Blvd Sw, Rome, GA 30165-5621 | 2006-08-03 |
| 1093723454 | Henry G. Wood | Physician Assistant | 310 W 10th St Ne, Rome, GA 30165-2639 | 2006-08-03 |
| 1467466946 | Kristofer Ryan Foreman | Physician Assistant | 304 Turner Mccall Blvd Sw, Rome, GA 30165-5621 | 2006-07-28 |
| Find all providers in ROME | ||||
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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.