PATRICIA A HAGERMAN (NPI# 1346216249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346216249 |
| Entity Type | Individual |
| Full Name | PATRICIA A HAGERMAN |
| Credential | PA |
| Practice Address |
1525 Rivershyre Pkwy Lawrenceville GA 30043-6428 |
| Mailing Address |
575 Professional Dr Ste 510 Lawrenceville GA 30046-3336 |
| Practice Telephone | 7702775387 |
| Mailing Telephone | 7705132072 |
| Mailing Fax Number | 7705137896 |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2020-09-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 004006 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | MEDICARE ID | 202I979283 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689780272 | Patricia Hagerman | Nurse Practitioner | 7901 Angling Rd, Ste B-201, Portage, MI 49024-0714 | 2006-08-23 |
| Street Address |
1525 RIVERSHYRE PKWY |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30043-6428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609483882 | Brittany Javier Dunn | Counselor | 2387 Lawrenceville Huntcrest Way, Lawreneville, GA 30043 | 2020-09-30 |
| 1629614037 | Terrea Gina Bridges | Behavior Technician | 2387 Huntcrest Rd, Lawrenceville, GA 30043 | 2019-11-20 |
| 1215581756 | Elegant Lm Management, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1020 Meadowsong Circle, Lawrenceville, GA 30043 | 2019-08-01 |
| 1093299778 | Shareef Nahas | Clinical Medical Laboratory | 1130 Hurricane Shoals Rd, Suite 1800, Lawrenceville, GA 30043 | 2018-09-19 |
| 1649766874 | Nutritionecw LLC | Dietitian, Registered | 1755 North Brown Rd, Ste.200, Lawrenceville, GA 30043 | 2018-07-11 |
| 1962997965 | David Le Nguyen | Dentist | 2000 Riverside Pkwy Ste 200, Lawrenceville, GA 30043 | 2018-06-22 |
| 1932611688 | Asfc Outreach Therapeutic Counseling Services, LLC | Counselor | 1755 North Brown Road, Suite 200, Lawrenceville, GA 30043 | 2017-11-02 |
| 1518486810 | Shira Brey Williams | Specialist/Technologist | 1030 Collins Hill Rd, Lawrenceville, GA 30043 | 2017-09-18 |
| 1700300795 | Nympha J. Mathurin Meadows | Behavioral Analyst | 650 Oxford Crest Ct, Lawrenceville, GA 30043 | 2017-08-01 |
| 1992245591 | Jagruti Chaudhari | Nurse Practitioner | 855 Buford Drive, Lawrenceville, GA 30043 | 2017-03-01 |
| Find all providers in zip 30043 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184241879 | Victoria I Nwadiogbu | Physician Assistant | 1664 Hampton Hollow Trl, Lawrenceville, GA 30043-5176 | 2020-06-29 |
| 1588294441 | Dat Nguyen | Physician Assistant | 771 Old Norcross Rd Ste 355, Lawrenceville, GA 30046-4324 | 2020-01-20 |
| 1679132153 | Tatiana Tulei | Physician Assistant | 1571 Swan Valley Ct, Lawrenceville, GA 30043-7410 | 2019-06-10 |
| 1740751973 | Cheryl Dawn Tioaquen | Physician Assistant | 3060 Binghampton Ln, Lawrenceville, GA 30044-2797 | 2018-12-16 |
| 1982188322 | Benjamin J Singleton | Physician Assistant | 2020 Waters Ferry Dr, Lawrenceville, GA 30043-3172 | 2018-09-21 |
| 1629556832 | Elizabeth Chandler Harris | Physician Assistant | 301 Phiip Blvd, Suite A, Lawrenceville, GA 30046-8746 | 2018-07-31 |
| 1972970762 | Christopher James Weigel | Physician Assistant | 758 Old Norcross Rd Ste 100, Lawrenceville, GA 30046-3386 | 2015-08-27 |
| 1679887889 | William Bruce Rice | Physician Assistant | 771 Old Norcross Rd Ste And390, Lawrenceville, GA 30046-4386 | 2010-07-29 |
| 1043459613 | Lashonda Kenya Bloodsaw | Physician Assistant | 1735 N Brown Raod, Health Care Partners, Lawrenceville, GA 30043-3872 | 2009-02-05 |
| 1750320685 | Jerry U. Mercedat | Physician Assistant | 631 Professional Dr Ste 170, Lawrenceville, GA 30046-3392 | 2006-06-06 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30043 |
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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.