JONATHAN STOTT (NPI# 1417570102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417570102 |
| Entity Type | Individual |
| Full Name | JONATHAN STOTT |
| Credential | RNFA |
| Practice Address |
1412 Milstead Ave Ne Conyers GA 30012-3877 |
| Mailing Address |
50 Berkshire Pass Covington GA 30016-8067 |
| Practice Telephone | 7709183000 |
| Mailing Telephone | 6788954598 |
| Enumeration Date | 2020-05-28 |
| Last Update Date | 2020-05-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WR0006X |
Registered Nurse Specialization: Registered Nurse First Assistant |
RN245165 | GA | Nursing Service Providers |
| Street Address |
1412 MILSTEAD AVE NE |
| City | CONYERS |
| State | GA |
| Zip Code | 30012-3877 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033191093 | Clifford N Grossman | Radiology | 1412 Milstead Ave Ne, Conyers, GA 30012-3877 | 2005-11-16 |
| 1104486711 | Tracie Theresa Edwards | Nurse Practitioner | 1412 Milstead Ave Ne, Conyers, GA 30012-3877 | 2019-06-17 |
| 1386116309 | Walker Lake Intensivist, PC | Physician Assistant | 1412 Milstead Ave Ne, Conyers, GA 30012-3877 | 2019-01-02 |
| 1437629342 | Walker Lake Emergency Group, PC | Physician Assistant | 1412 Milstead Ave Ne, Conyers, GA 30012-3877 | 2018-12-04 |
| 1003385964 | Walker Lake Physician Services, PC | Internal Medicine | 1412 Milstead Ave Ne, Conyers, GA 30012-3877 | 2018-11-20 |
| 1104328095 | Enas Basha | Nurse Practitioner | 1412 Milstead Ave Ne, Conyers, GA 30012-3877 | 2018-03-06 |
| 1306355680 | Piedmont Rockdale Hospital Inc. | General Acute Care Hospital | 1412 Milstead Ave Ne, Conyers, GA 30012 | 2017-09-29 |
| 1093254658 | Taylor Zahn Yengst | Nurse Practitioner | 1412 Milstead Ave Ne, Conyers, GA 30012-3877 | 2017-02-15 |
| 1285186452 | Shadae Mcmillan | Podiatrist | 1412 Milstead Ave Ne, Conyers, GA 30012-3877 | 2016-11-03 |
| 1528414943 | Kimberly Anderson | Nurse Practitioner | 1412 Milstead Ave Ne, Conyers, GA 30012-3877 | 2016-05-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578188306 | The Eye Md | Ophthalmology | 1359 Milstead Road, Suite #103, Conyers, GA 30012 | 2020-06-08 |
| 1043855836 | Maurvet Minto | Counselor | 1175 Green St, Conyers, Conyers, GA 30012 | 2019-11-15 |
| 1770054561 | Sarah Elizabeth Brooks | Physical Medicine & Rehabilitation | 1290 Milstead Ave Ne, Conyers, GA 30012 | 2018-12-06 |
| 1679091276 | Valorie Antoinette Jones | Counselor | 1175 Green St Se, Conyers, GA 30012 | 2017-09-02 |
| 1558886341 | Synergy Radiology, LLC | Radiology | 1501 Milstead Road, Suite 140, Conyers, GA 30012 | 2017-08-14 |
| 1558813295 | Salon Lyon, LLC | Specialist | 1112 West Ave, Se, B, Conyers, GA 30012 | 2016-10-28 |
| 1992252753 | Traci Hunter Bryan | Pharmacist | 1501 Milstead Ave Ne, Suite 110, Conyers, GA 30012 | 2016-09-08 |
| 1316491830 | Hye Rim Kim | Anesthesiologist Assistant | 1380 Milstead Rd Ne, Suite G, Conyers, GA 30012 | 2016-08-12 |
| 1235591397 | David Jeffrey Wasserman | Optometrist | 1192 Dogwood Dr Sw, Conyers, GA 30012 | 2016-03-28 |
| 1174919187 | Anique Archer | Health Educator | 2170 Lester Rd Nw, Conyers, GA 30012 | 2015-04-07 |
| Find all providers in zip 30012 | ||||
| Taxonomy Code | 163WR0006X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Registered Nurse First Assistant |
| A perioperative registered nurse who works in collaboration with the surgeon and other health care team members to achieve optimal outcomes. The RNFA has acquired the necessary knowledge, judgment, and skills specific to the expanded role of RNFA clinical practice. Intraoperatively, the RNFA assists the surgeon. |
| Notes: Source: AORN Official Statement on RNFAs ratified by the AORN House of Delegates in 2004. [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215059167 | Debra Nothnagel Stewart | Registered Nurse | 4831 Ridgedale Ln Se, Conyers, GA 30094-4474 | 2007-04-04 |
| 1457481368 | Jerrod Laquinton Williams Sr. | Registered Nurse | 863 Flat Shoals Rd Se, Ste C #250, Conyers, GA 30094-6633 | 2007-03-07 |
| 1053455287 | Mary Ann Lov | Registered Nurse | 3355 Salem Cove Trl Se, Conyers, GA 30013-5310 | 2007-02-19 |
| 1255700092 | Specified Solutions Surgical Associates, Inc. | Registered Nurse | 863 Flat Shoals Rd Se, Ste C #250, Conyers, GA 30094-6633 | 2015-09-23 |
| 1376965947 | April Ramsey | Registered Nurse | 1301 Sigman Rd Ne, Ste 130, Conyers, GA 30012-3812 | 2014-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104433218 | Veronica A Stewart | Registered Nurse | 3187 Sable Run Rd, Atlanta, GA 30349-8828 | 2020-09-24 |
| 1598373805 | Isabel Kathryn Quitiquit-figueros | Registered Nurse | 3144 Queens Walk Ne, Atlanta, GA 30345-2165 | 2020-07-22 |
| 1639711773 | Jessica Nicole Medina | Registered Nurse | 156 W Tahoe Dr, Savannah, GA 31405-9421 | 2019-10-10 |
| 1912561259 | Concierge Medical Services | Registered Nurse | 394 Vinings Vintage Cir, Mableton, GA 30126-7238 | 2019-04-23 |
| 1518477256 | Tracey Mcgaugh | Registered Nurse | 1560 Oak Creek Dr, Marietta, GA 30066-4160 | 2017-10-09 |
| 1316461379 | Evan King | Registered Nurse | 52 Pioneer Trl, Marietta, GA 30068 | 2017-08-01 |
| 1528594272 | Molly Coble | Registered Nurse | 3795 Roland Hayes Pkwy Sw, Calhoun, GA 30701-7411 | 2017-05-02 |
| 1720432214 | Cynthia Anne Still | Registered Nurse | 2265 Cobble Creek Ln, Grayson, GA 30017-1572 | 2016-04-20 |
| 1750740684 | Surgical Assistant Counsulting of Georgia L.L.C. | Registered Nurse | 5200 Dallas Hwy Ste 200-224, Powder Springs, GA 30127-6318 | 2016-02-20 |
| 1851772404 | Surgical Assistant Solutions, LLC | Registered Nurse | 3522 Ashford Dunwoody Rd Ne # 141, Brookhaven, GA 30319-2002 | 2015-06-09 |
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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.