RHETT J PUDER, PHD, LLC (NPI# 1366690729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366690729 |
| Entity Type | Organization |
| Organization Name | RHETT J PUDER, PHD, LLC |
| Practice Address |
300 Hawthorne Ln Athens GA 30606-2152 |
| Practice Telephone | 7063537648 |
| Practice Fax Number | 7063537788 |
| Mailing Telephone | 7063537648 |
| Mailing Fax Number | 7063537788 |
| Enumeration Date | 2008-08-28 |
| Last Update Date | 2008-08-28 |
| Authorized Official Name | DR. RHETT J PUDER (LICENSED PSYCHOLOGIST) |
| Authorized Official Telephone | 7063537648 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
3078 | GA | Ambulatory Health Care Facilities |
| Street Address |
300 HAWTHORNE LN |
| City | ATHENS |
| State | GA |
| Zip Code | 30606-2152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649228404 | Rjpuder, LLC | Family Medicine | 300 Hawthorne Ln, Athens, GA 30606-2152 | 2006-05-04 |
| 1427401298 | Karen Dixon | Nurse Practitioner | 300 Hawthorne Ln, Athens, GA 30606-2152 | 2016-07-18 |
| 1427418391 | Athens Family Medicine LLC | Family Medicine | 300 Hawthorne Ln, Athens, GA 30606-2152 | 2016-03-04 |
| 1639550809 | Lori R Amster | Nurse Practitioner | 300 Hawthorne Ln, Athens, GA 30606 | 2015-06-14 |
| 1881072379 | Athens Associates In Family Practice | Physician Assistant | 300 Hawthorne Ln, Athens, GA 30606-2152 | 2015-05-15 |
| 1003836891 | Julie A Puder | Physician Assistant | 300 Hawthorne Ln, Athens, GA 30606-2152 | 2006-07-21 |
| 1679521298 | Alvin T Wilson IIi | Family Medicine | 300 Hawthorne Ln, Athens, GA 30606-2152 | 2006-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942816962 | Kofi Darkwa Seffah | Student in an Organized Health Care Education/Training Program | 1199 Prince Ave #70, 1270 Prince Ave Suite 201, Athens, GA 30606 | 2020-09-16 |
| 1831712363 | Rebecca John | Licensed Practical Nurse | 240 Mitchel Bridge Road, Athens, GA 30606 | 2020-05-19 |
| 1497375612 | Alfred Ka-shing Wong | Student in an Organized Health Care Education/Training Program | 1270 Prince Ave Suite 201, Athens, GA 30606 | 2020-04-17 |
| 1881223956 | Lauren Fesperman | Nurse Practitioner | 242 King Ave Ste 130, Athens, GA 30606 | 2020-04-02 |
| 1255966081 | Westminster Presbyterian Homes, Inc. | Skilled Nursing Facility | 1400 Live Oak Ln, Building 100, Athens, GA 30606 | 2020-03-12 |
| 1255981700 | Carol Cameron Cready-pyle | Social Worker | 1551 Jennings Mill Pkwy Ste 1700, Athens, GA 30606 | 2019-09-17 |
| 1013576016 | Lauren Gruendling | Nurse Practitioner | 242 King Avenue, Suite 210, Athens, GA 30606 | 2019-06-12 |
| 1760045223 | Dominic Ofosu Amakye | Student in an Organized Health Care Education/Training Program | 1270 Prince Avenue Suite 201, Athens, GA 30606 | 2019-04-19 |
| 1740740422 | Juan G Salazar Castillo | Student in an Organized Health Care Education/Training Program | Community Internal Medicine of Athens, 1500 Oglethorpe Ave Suite 200d, Athens, GA 30606 | 2019-03-20 |
| 1750869020 | Jennifer Emily Chapman | Physical Therapist | 1021 Parkway Blvd Ste 101, Athens, GA 30606 | 2018-07-30 |
| Find all providers in zip 30606 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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|---|---|---|---|---|
| 1154841989 | Advantage Behavioral Health Systems | Clinic/Center | 130 Mill Center Blvd, Athens, GA 30606 | 2017-06-22 |
| 1912072372 | Advantage Bhs | Clinic/Center | 115 Berlin St, Athens, GA 30601-2267 | 2006-11-21 |
| 1154357721 | The Edna Brooks Foundation, Inc. | Clinic/Center | 142 E State St, Athens, OH 45701-1746 | 2006-06-24 |
| 1417560335 | Chrysalis Health and Wellness | Clinic/Center | 1005 E State St Ste E, Athens, OH 45701-2151 | 2020-08-29 |
| 1588287213 | Jennifer Boone, Lcsw LLC | Clinic/Center | 1 Huntington Rd Ste 703, Athens, GA 30606-7214 | 2020-05-28 |
| 1215585344 | Bright Awakenings Counseling, LLC | Clinic/Center | 1 Huntington Rd Ste 101, Athens, GA 30606-7205 | 2019-09-02 |
| 1619440351 | Love Without Walls Adult Care | Clinic/Center | 111 Park St, Athens, TN 37303-4255 | 2019-01-05 |
| 1356840250 | Leslie Holliday Ring, LLC | Clinic/Center | 337 S Milledge Ave Ste 210, Athens, GA 30605-5664 | 2018-02-06 |
| 1114439239 | Hopewell Health Centers Inc | Clinic/Center | 141 Columbus Rd, Athens, OH 45701-1315 | 2017-10-30 |
| 1225579758 | Advantage Behavioral Health Systems | Clinic/Center | 240 Mitchell Bridge Rd, Athens, GA 30606 | 2017-03-16 |
| Find all providers in ATHENS | ||||
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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.