TAMMY L MEDLIN (NPI# 1346371663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346371663 |
| Entity Type | Individual |
| Full Name | TAMMY L MEDLIN |
| Other Name | TAMMY L HOSTETLER |
| Credential | FNP |
| Practice Address |
75 Baylor Dr Ste 155 Bluffton SC 29910-8965 |
| Mailing Address |
1010 Medical Center Dr # 200 Hardeeville SC 29927-3447 |
| Practice Telephone | 8437062523 |
| Mailing Telephone | 8436458220 |
| Mailing Fax Number | 8436458221 |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2019-04-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
20432 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN112985 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN112985NP | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | MEDICARE | 511I500096 | 01 |
| GA | NP LICENSE | 112985 | 01 |
| GA | 106275669B | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1010 Medical Center Dr # 200, Hardeeville, SC 299273447 | 8436458220 | 8436458221 |
| 1000 Towne Center Blvd Ste 604a, Pooler, GA 313224052 | 9124504450 | 9124504458 |
| Street Address |
75 BAYLOR DR STE 155 |
| City | BLUFFTON |
| State | SC |
| Zip Code | 29910-8965 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609829845 | Anthony Williamson | Psychiatry & Neurology | 75 Baylor Dr Ste 155, Bluffton, SC 29910-8965 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053912444 | Publix Super Markets, Inc | Durable Medical Equipment & Medical Supplies | 2501 May River Crossing, Bluffton, SC 29910 | 2020-11-03 |
| 1447873815 | Chatham Orthopaedic Associates, Pa | Orthopaedic Surgery | 4812 Bluffton Parkway, Bluffton, SC 29910 | 2020-05-20 |
| 1831682327 | Tattnall Hospital Company LLC | Occupational Therapist | 8201 Pinellas Dr, Bluffton, SC 29910 | 2018-06-11 |
| 1437647070 | Health Performance Systems LLC | Massage Therapist | 20 Towne Dr Ste 102, Bluffton, SC 29910 | 2018-04-30 |
| 1659880540 | Jessica Partain | Assistant Behavior Analyst | 254 Red Cedar St Ste 11, Bluffton, SC 29910 | 2017-09-24 |
| 1760901177 | Thomas Ross Miller | Specialist/Technologist | 7 Independence Place, Bluffton, SC 29910 | 2017-09-18 |
| 1982124400 | Caitlin Diane Harvey | Behavioral Analyst | 4 Oliver Ct Ste 105, Bluffton, SC 29910 | 2017-06-26 |
| 1770011041 | Michael Ross Reeves | Physical Therapist | 38 Sheridan Park Cir Ste C, Bluffton, SC 29910 | 2017-05-31 |
| 1982141750 | Jebediah S. Christy, D.d.s. - Blufton, Pllc | Dentist | 1135 Fording Island Rd, Bluffton, SC 29910 | 2017-01-31 |
| 1225589377 | Kathryn Hope | Occupational Therapist | 31 Innovation Dr Ste 100, Bluffton, SC 29910 | 2016-10-24 |
| Find all providers in zip 29910 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821578931 | Rene Michelle Phillippe | Nurse Practitioner | 424 Orchard Ridge Dr, Bluffton, IN 46714-2749 | 2018-08-17 |
| 1184115446 | Anne Marie Willmann | Nurse Practitioner | 11 Parklands Dr Unit 2218, Bluffton, SC 29910-5198 | 2018-05-22 |
| 1366950941 | Savannah Cockfield Rogers | Nurse Practitioner | 3 Plantation Park Dr, Bluffton, SC 29910-6035 | 2018-01-17 |
| 1275063034 | Andrea Dailey | Nurse Practitioner | 9999 Zurflugh Rd, Bluffton, OH 45817-9521 | 2017-06-14 |
| 1972955763 | Tiffany Williams | Nurse Practitioner | 12 Arley Way Ste 102b, Bluffton, SC 29910-8860 | 2016-07-06 |
| 1518397926 | Amy Mcnamara | Nurse Practitioner | 167 Bluffton Rd Ste G, Bluffton, SC 29910 | 2013-11-21 |
| 1841413960 | Denise Santoli | Nurse Practitioner | 48 Pennington Dr, Suite C, Bluffton, SC 29910-9041 | 2007-04-10 |
| 1790385789 | Kayla Brianne Jesse | Nurse Practitioner | 125 E Cherry St, Bluffton, IN 46714-2002 | 2020-10-28 |
| 1114543311 | Jessica C Hester | Nurse Practitioner | 8201 Pinellas Dr, Bluffton, GA 29910-4133 | 2020-06-23 |
| 1346709839 | Kimberly L Stockstill | Nurse Practitioner | 25 Sherington Dr Ste D, Bluffton, SC 29910-6031 | 2019-03-14 |
| Find all providers in BLUFFTON | ||||
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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.