TARA DARLENE KENDRICK


Address: 170 Curtis Pkwy Ne, Suite 1, Calhoun, GA 30701-2062
Phone: 7068795770

TARA DARLENE KENDRICK (NPI# 1376942144) 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) 1376942144
Entity Type Individual
Full Name TARA DARLENE KENDRICK
Credential FNP-C
Practice Address 170 Curtis Pkwy Ne
Suite 1
Calhoun
GA 30701-2062
Mailing Address Po Box 12938
C/o Clinic Management
Calhoun
GA 30703-7013
Practice Telephone 7068795770
Practice Fax Number 7066244336
Enumeration Date 2014-08-18
Last Update Date 2018-12-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LX0001X Nurse Practitioner
Specialization: Obstetrics & Gynecology
RN144327 GA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
GA 003155554B 05

Office Location

Street Address 170 CURTIS PKWY NE
SUITE 1
City CALHOUN
State GA
Zip Code 30701-2062

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558337063 Joy Akunna Nwadike Obstetrics & Gynecology 170 Curtis Pkwy Ne, Suite 1, Calhoun, GA 30701-2062 2006-02-24
1316255359 Adventist Health System Georgia, Inc Clinic/Center 170 Curtis Pkwy Ne, Calhoun, GA 30701-2062 2010-09-23
1619108206 Melodi Lynne Lewis-carvour Physician Assistant 170 Curtis Pkwy Ne, Suite 1, Calhoun, GA 30701-2062 2009-07-31
1841329794 Calhoun Obstetrics and Gynecology Associates Clinic/Center 170 Curtis Pkwy Ne, Suite 1, Calhoun, GA 30701-2062 2007-03-05

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NPI Name Taxonomy Address Enumeration
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1225679186 Alexandra Halleck Physical Therapy Assistant 1387 Hwy 41 N, Calhoun, GA 30701 2019-10-02
1508325432 Angela Munyan Chin Nurse Practitioner 1754 Everett Springs Rd Ne, Calhoun, GA 30701 2019-03-19
1548745342 Gacalhoun Snf LLC Skilled Nursing Facility 1387 Highway 41 N., Calhoun, GA 30701 2018-09-27
1568990018 Katherine Ann Hayes Physical Therapy Assistant Blue Ridge Nursing Home Calhoun, 1387 Us 41 N, Calhoun, GA 30701 2017-05-30
1639566508 Moslem Eskandari Pharmacist 1101 Red Bud Rd, Calhoun, GA 30701 2015-04-18
1366882367 Stella P. Bonner Dentist 500 South Wall St., Calhoun, GA 30701 2013-07-05
1417393885 New Serenity Inc Clinic/Center 1321 Hwy 41 N, Calhoun, GA 30701 2013-05-13
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Taxonomy Information

Taxonomy Code 363LX0001X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Obstetrics & Gynecology

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1871901090 Carol Lumpkin Nurse Practitioner 15 Porter St East, Winder, GA 30680 2014-07-31
1992138788 Lindley Ann Cone Kent Nurse Practitioner 285 Boulevard Ne Ste 110, Atlanta, GA 30312-4207 2013-08-15
1881963122 Heather Calhoun Quaile Nurse Practitioner 3233 S Cherokee Ln Bldg 1000, Woodstock, GA 30188-4461 2011-12-15
1275812760 Leah Galloway Pombo Nurse Practitioner 9 Dunwoody Park Ste 108, Atlanta, GA 30338-6712 2011-08-15
1033315122 Suni Hamm Carroll Nurse Practitioner 1105 N 5th Ave Ne, Rome, GA 30165-2603 2007-06-25
1619189784 Pamela T. Puett Nurse Practitioner 1279 Highway 54 W Ste 220, Fayetteville, GA 30214-4552 2007-05-03
1538201330 Betty S Rhyne Nurse Practitioner 618 E Lamar St, Americus, GA 31709-3738 2007-02-12
1457389751 Katina Catrice Hunter Nurse Practitioner 4849 Paulsen St Ste 314, Savannah, GA 31405-4426 2006-06-28
1912945288 Angela B Townsend Nurse Practitioner 11168 Columbia St, Blakely, GA 39823-3474 2006-06-02
1316900343 Regina C Bogle Nurse Practitioner 1301 Sigman Rd Ne Ste 180, Conyers, GA 30012-3924 2006-04-10
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Competitor

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City CALHOUN
Zip Code 30701

Improve Information

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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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