PEGGY JO MCCOMAS (NPI# 1407166598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407166598 |
| Entity Type | Individual |
| Full Name | PEGGY JO MCCOMAS |
| Credential | LPN |
| Practice Address |
25 Moss Ln Euharlee GA 30145-2762 |
| Practice Telephone | 7703348807 |
| Mailing Telephone | 7703348807 |
| Enumeration Date | 2010-10-07 |
| Last Update Date | 2010-10-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 164W00000X | Licensed Practical Nurse | 77271 | GA | Nursing Service Providers |
| N | 164W00000X | Licensed Practical Nurse | 5148443 | FL | Nursing Service Providers |
| Y | 164X00000X | Licensed Vocational Nurse | 229118 | TX | Nursing Service Providers |
| Street Address |
25 MOSS LN |
| City | EUHARLEE |
| State | GA |
| Zip Code | 30145-2762 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134241755 | Joy Hafner Bailey | Counselor | 38 Lowry Way, Kingston, GA 30145 | 2007-04-04 |
| 1578777967 | Carole Elaine Gooch | Nurse Practitioner | 30 Ward Mountain Rd, Kingston, GA 30145-1129 | 2007-05-09 |
| 1073774105 | House Calls of Nw Georgia, LLC | Nurse Practitioner | 30 Ward Mountain Rd, Kingston, GA 30145-1129 | 2008-06-20 |
| 1700281664 | Christa Care Home and Health Services Inc | Home Health | 486 Brewer Rd, Kingston, GA 30145-1821 | 2014-11-04 |
| 1841656600 | Michele Abdul-qawiy | Counselor | 486 Youngs Mill Rd, Kingston, GA 30145-1864 | 2016-01-11 |
| 1700242575 | Tracey Cooke | Counselor | 486 Youngs Mill Rd, Kingston, GA 30145-1864 | 2016-01-11 |
| 1912328097 | Brandon Williamson | Specialist/Technologist | 16 Talon Ct, Kingston, GA 30145-1868 | 2013-12-17 |
| 1679017750 | Moore Surgical Assistant, LLC | Specialist/Technologist, Other | 80 Moore Rd, Kingston, GA 30145-2619 | 2016-12-08 |
| 1073092144 | Joel Rader | Speech-Language Pathologist | 1061 Euharlee Rd, Euharlee, GA 30145-2807 | 2018-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073092144 | Joel Rader | Speech-Language Pathologist | 1061 Euharlee Rd, Euharlee, GA 30145-2807 | 2018-08-09 |
| 1649522665 | Highland Rivers Community Service Board | Community/Behavioral Health | 380 Euharlee Rd Sw, Euharlee, GA 30120-6111 | 2012-10-15 |
| 1629377072 | Hugh Burch Fannin | Pharmacist | 388 Euharlee Rd Sw, Euharlee, GA 30120-6111 | 2011-03-24 |
| Taxonomy Code | 164X00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Vocational Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043770399 | Sophia Delorise Norman | Licensed Vocational Nurse | 2701 Trees of Kennesaw Pkwy Nw, Kennesaw, GA 30152-8223 | 2019-03-22 |
| 1295222545 | Leteka Scott | Licensed Vocational Nurse | 816 E Sharpe St, Bainbridge, GA 39819-4187 | 2018-04-21 |
| 1942753058 | Kayla Williams | Licensed Vocational Nurse | 51 Liberty Woods Dr, Fort Stewart, GA 31315-1793 | 2016-07-26 |
| 1083065676 | Valerie Jenkins | Licensed Vocational Nurse | 9 Riviera Ln, Riverdale, GA 30296-1380 | 2016-06-25 |
| 1811307606 | Tanya Price | Licensed Vocational Nurse | 304 Vista Dr, Americus, GA 31719-2220 | 2014-05-01 |
| 1003188152 | Yesnia Combs | Licensed Vocational Nurse | 1000 Chastain Rd Nw # 201, Kennesaw, GA 30144-5588 | 2012-02-06 |
| 1396042685 | Willi L Ash Howell | Licensed Vocational Nurse | 749 Birchwood Ln Sw, Marietta, GA 30060-5123 | 2011-02-22 |
| 1487719464 | Lisa Yvonne Harper | Licensed Vocational Nurse | 100 Hughes Dr, Midway, GA 31320-3448 | 2006-12-27 |
| 1003900911 | Rashonda Martin | Licensed Vocational Nurse | 3543 Windemere Dr., Hephzibah, GA 30815 | 2006-10-03 |
| 1487214656 | Kaiya Hamilton | Licensed Vocational Nurse | 2109 Fairburn Rd Ste A, Douglasville, GA 30135-1037 | 2019-06-19 |
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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.