AUDREY CABE (NPI# 1366870925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366870925 |
| Entity Type | Individual |
| Full Name | AUDREY CABE |
| Other Name | AUDREY HAMMOND |
| Credential | PA-C |
| Practice Address |
840 Pine St Ste 880 Macon GA 31201 |
| Mailing Address |
840 Pine St Ste 880 Macon GA 31201-7525 |
| Practice Telephone | 4787437092 |
| Practice Fax Number | 4787437320 |
| Mailing Telephone | 4787437092 |
| Mailing Fax Number | 4787437320 |
| Enumeration Date | 2013-10-17 |
| Last Update Date | 2018-07-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 6975 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
6975 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | MEDICARE PTAN | 202I976538 | 01 |
| Street Address |
840 PINE ST STE 880 |
| City | MACON |
| State | GA |
| Zip Code | 31201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770679250 | Michael T Lancaster | Nurse Practitioner | 840 Pine St Ste 880, Macon, GA 31201 | 2006-10-04 |
| 1255985719 | Christina Stonecypher | Neurological Surgery | 840 Pine St Ste 880, Macon, GA 31201 | 2019-08-01 |
| 1306498605 | Ae Mary Irwin | Neurological Surgery | 840 Pine St Ste 880, Macon, GA 31201-7525 | 2019-07-16 |
| 1659857662 | Robert Ashley Brunson | Neurological Surgery | 840 Pine St Ste 880, Macon, GA 31201-7525 | 2018-07-12 |
| 1396263125 | Elizabeth Delores Thompson | Physician Assistant | 840 Pine St Ste 880, Macon, GA 31201 | 2017-08-31 |
| 1457590481 | Marlene Briones Gamallo | Physical Therapist | 840 Pine St Ste 880, Macon, GA 31201-7525 | 2009-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639666340 | Yasameen Emad Muzahim | Internal Medicine | 777 Hemlock Street, Msc 165, Macon, GA 31201 | 2018-04-18 |
| 1952819419 | Putnam Dialysis LLC | Clinic/Center | 657 Hemlock Street, Suite 200, Macon, GA 31201 | 2018-01-18 |
| 1730604331 | Graham Arthur Mercier | Surgery | 169 Ashley Ave., Room 202 Main Hospital Msc 333, Charleston, SC 31201 | 2017-08-04 |
| 1376075705 | Diamond Jude | Internal Medicine | 777 Hemlock Street Msc #104, Macon, GA 31201 | 2017-04-03 |
| 1174055263 | Carol Roobin Bashuk | Hearing Instrument Specialist | 634 First Street, Macon, GA 31201 | 2017-03-29 |
| 1144752411 | Hubert Pare | Student in an Organized Health Care Education/Training Program | 777 Hemlock Street, Msc# 165, Macon, GA 31201 | 2017-03-28 |
| 1548613789 | Michael Daugherty | Counselor | 1873 Hardeman Ave, Suite 1, Macon, GA 31201 | 2016-07-22 |
| 1316317993 | 4front Healthcare of Middle Georgia, LLC | Hospice Care, Community Based | 682 1st St, Macon, GA 31201 | 2015-09-25 |
| 1881073054 | Andrew Lee Drahos | Surgery | 777 Hemlock St # 140, Macon, GA 31201 | 2015-05-21 |
| 1720474158 | April Nicole Colley | Nurse Practitioner | 1014 Forsyth Street, Macon, GA 31201 | 2015-04-13 |
| Find all providers in zip 31201 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609052075 | Erica Diouf | Physician Assistant | 2844 Barrett Ave, Macon, GA 31206-4834 | 2008-01-16 |
| 1447376660 | Tm Martin Inc | Physician Assistant | 238 Wesley Cir, Macon, GA 31204-2458 | 2007-03-21 |
| 1376923425 | Eryn Dunwody | Physician Assistant | 3708 Northside Dr, Macon, GA 31210-2404 | 2015-06-04 |
| 1801213467 | Jeffrey Brown | Physician Assistant | 575 1st St, Macon, GA 31201-2825 | 2014-03-20 |
| 1861760027 | Vein Specialists of The South | Physician Assistant | 556 3rd St, Macon, GA 31201-7934 | 2011-12-02 |
| 1831388149 | Paul D Folendore IIi | Physician Assistant | 777 Hemlock St, Macon, GA 31201-2102 | 2007-10-23 |
| 1578647277 | Tracy Denise Davis | Physician Assistant | 688 Walnut St, Suite 200, Macon, GA 31201-2677 | 2006-10-25 |
| 1235176819 | Jessica Lyn Menard | Physician Assistant | 840 Pine St, Suite 880, Macon, GA 31201 | 2006-06-01 |
| 1740236314 | Nandan Ramesh Hichkad | Physician Assistant | 840 Pine St, Suite 880, Macon, GA 31201 | 2006-05-25 |
| 1205816964 | Paul Jeffrey White | Physician Assistant | 3708 Northside Dr, Macon, GA 31210-2404 | 2006-01-19 |
| Find all providers in MACON | ||||
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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.