GINA S DUNGAN


Address: 220 Northside Drive, Valdosta, GA 31602
Phone: 2292412800

GINA S DUNGAN (NPI# 1346326048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346326048
Entity Type Individual
Full Name GINA S DUNGAN
Credential NPC
Practice Address 220 Northside Drive
Valdosta
GA 31602
Practice Telephone 2292412800
Practice Fax Number 2292410454
Mailing Telephone 2292412800
Mailing Fax Number 2292410454
Enumeration Date 2006-10-27
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner R112406 GA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
GA 00922402A 05

Office Location

Street Address 220 NORTHSIDE DRIVE
City VALDOSTA
State GA
Zip Code 31602

Providers in the same location

NPI Name Taxonomy Address Enumeration
1740366442 Pamela H Temples Obstetrics & Gynecology 220 Northside Drive, Valdosta, GA 31602 2006-10-27
1447336185 Alexander M Culbreth IIi Obstetrics & Gynecology 220 Northside Drive, Valdosta, GA 31602 2006-10-27
1255417994 Joe C Clifton Obstetrics & Gynecology 220 Northside Drive, Valdosta, GA 31602 2006-10-27
1437235199 Sara N Yarbrough Obstetrics & Gynecology 220 Northside Drive, Valdosta, GA 31602 2006-10-27
1871679571 Mary T Dazey Advanced Practice Midwife 220 Northside Drive, Valdosta, GA 31602 2006-10-27
1851477558 Frank Q Smith Obstetrics & Gynecology 220 Northside Drive, Valdosta, GA 31602 2006-10-27
1750467452 Paula L Bennett Nurse Practitioner 220 Northside Drive, Valdosta, GA 31602 2006-10-27
1699851337 Bolan P Woodward Obstetrics & Gynecology 220 Northside Drive, Valdosta, GA 31602 2006-10-27
1417033168 Roy E Swindle Jr. Obstetrics & Gynecology 220 Northside Drive, Valdosta, GA 31602 2006-10-27
1790861441 Thomas H Moseley Jr. Obstetrics & Gynecology 220 Northside Drive, Valdosta, GA 31602 2006-10-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477198117 Amber Michele Baugh Behavior Technician 2236 Bemiss Road, Valdosta, GA 31602 2019-11-15
1528611365 Nishaben T. Patel Nurse Practitioner 3120 North Oak Street Extension, Suite B, Valdosta, GA 31602 2019-07-22
1427615871 Blair Elizabeth Tomlinson Nurse Practitioner 2124 Lakeshore Drive, Valdosta, GA 31602 2019-05-21
1346704152 Mildred Itaska Borowski Counselor 3790 North Highway 41, Suite A, Valdosta, GA 31602 2019-01-25
1962991703 Southern Healthcare Alliance, LLC Physical Medicine & Rehabilitation 101-f W. Northside Drive, Valdosta, GA 31602 2018-05-08
1336636646 Kaitlyn Thrift Behavioral Analyst 2225 Bemiss Road Suite D, Valdosta, GA 31602 2018-04-23
1407379845 Lindsey Marie Richardson Dentist 103 W. Cranford Ave, Valdosta, GA 31602 2017-07-18
1962922427 Taylor Nicole Fiveash Nurse Practitioner 101 W Northisde Dr, Bldg G, Valdosta, GA 31602 2017-06-26
1720520646 Southern Sleepers Anesthesia LLC Nurse Anesthetist, Certified Registered 4120-b N. Valdosta Road, Valdosta, GA 31602 2016-11-09
1134670557 Cataract and Laser Surgery Center of South Georgia, P.C. Clinic/Center 4120-b N. Valdosta Rd., Valdosta, GA 31602 2016-10-20
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285101964 Anne Marie Diaz Nurse Practitioner 410 Connell Road Suite T, Valdosta, GA 31602-3160 2018-10-31
1437648235 Whitney Renee Apperson Nurse Practitioner 2418 N Oak St Ste G, Valdosta, GA 31602-2575 2018-05-07
1366991374 Melissa Kelly Milicevic Nurse Practitioner 304 Janet St Ste B, Valdosta, GA 31602-2643 2016-10-03
1184805400 Pamela W Powell Nurse Practitioner 4711 Woodland Pt, Valdosta, GA 31602-0823 2007-11-15
1356318265 Thomas Alexandeer Mackean Nurse Practitioner 704 Gil Harbin Industrial Blvd, Valdosta, GA 31601-6513 2006-03-01
1487260949 Joshua Caleb Vining Nurse Practitioner 3200 N Ashley St Ste C, Valdosta, GA 31602-5911 2020-09-21
1164081311 Mary Deason Perritt Nurse Practitioner 2700 N Oak St Bldg B, Valdosta, GA 31602-5903 2019-06-11
1689130312 Kala Jo Bugg Nurse Practitioner 2501 N Patterson St, Valdosta, GA 31602-1785 2019-02-19
1104382092 Meredith Emily Decesare Nurse Practitioner 2263 Pineview Dr, Valdosta, GA 31602-7316 2019-02-15
1700353547 Joseph Bret Evans Nurse Practitioner 410 Connell Rd, Valdosta, GA 31602-1898 2018-10-30
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Competitor

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City VALDOSTA
Zip Code 31602

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Dataset Information

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.

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