MRS. LAURIE EILEEN BIVINS (NPI# 1417932567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417932567 |
| Entity Type | Individual |
| Full Name | MRS. LAURIE EILEEN BIVINS |
| Other Name | MISS LAURIE EILEEN MARSHALL |
| Credential | RN, MSN, CPNP |
| Practice Address |
1664 Mulkey Rd Austell GA 30106-1114 |
| Practice Telephone | 7709417709 |
| Practice Fax Number | 7709416441 |
| Mailing Telephone | 7709417709 |
| Mailing Fax Number | 7709416441 |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2011-09-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 094302 | GA | Nursing Service Providers |
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
85069 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 0000438688C | 05 |
| Street Address |
1664 MULKEY RD |
| City | AUSTELL |
| State | GA |
| Zip Code | 30106-1114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225398175 | Kevin Chapla | Internal Medicine | 1664 Mulkey Rd, Austell, GA 30106-1114 | 2012-05-25 |
| 1487941597 | Abdalsamih Taeb | Internal Medicine | 1664 Mulkey Rd, Austell, GA 30106-1114 | 2011-07-09 |
| 1659515864 | Nidhi Gupta Huff | Internal Medicine | 1664 Mulkey Rd, Austell, GA 30106 | 2009-05-01 |
| 1538327937 | Aseem Shrivastava | Internal Medicine | 1664 Mulkey Rd, Austell, GA 30106-1114 | 2008-06-02 |
| 1497947220 | Ragheed Alturkmani | Internal Medicine | 1664 Mulkey Rd, Austell, GA 30106 | 2007-08-15 |
| 1225240179 | Jody Michael Hughes | Internal Medicine | 1664 Mulkey Rd, Austell, GA 30106 | 2007-05-04 |
| 1992863385 | Sylvonne Kenyatta Cox | Physician Assistant | 1664 Mulkey Rd, Austell, GA 30106-1114 | 2006-12-05 |
| 1508946526 | Kathryn M Mcminn | Internal Medicine | 1664 Mulkey Rd, Austell, GA 30106 | 2006-10-16 |
| 1093792400 | Faye E. Spector Maloney | Pediatrics | 1664 Mulkey Rd, Austell, GA 30106-1114 | 2005-12-28 |
| 1750366472 | Prakash V Desai | Pediatrics | 1664 Mulkey Rd, Austell, GA 30106-1114 | 2005-12-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073126231 | Courtney Lashune Dorsett | Nurse Practitioner | 1005 Cureton Drive, Austell, Austell, GA 30106 | 2020-08-27 |
| 1184240491 | Brian H Eves | Dietitian, Registered | 3972 Brantley Drive, Austell, GA 30106 | 2020-06-23 |
| 1669014486 | Jesse Mccoy | Registered Nurse | 3950 Austell Rd., Austell, GA 30106 | 2019-10-14 |
| 1427522820 | Envision Optics LLC | Optometrist | 1680 E West Connector, Austell, GA 30106 | 2019-01-18 |
| 1972042380 | Thomas Dental Group | Clinic/Center | 1133 East West Connector, Suite 120, Austell, GA 30106 | 2017-02-17 |
| 1245779792 | Colton Dental Group | Clinic/Center | 2495 East-west Connector, Ste 60, Austell, GA 30106 | 2017-02-16 |
| 1144691684 | Georgia Dental Professionals, PC | Dentist | 780 East West Connector Sw, Suite 108, Austell, GA 30106 | 2015-10-09 |
| 1285013714 | Ikeade Bello Alamu | Nurse Practitioner | 2870 Betula Drive, Austell, GA 30106 | 2015-05-29 |
| 1376922211 | Jessica Williams | Obstetrics & Gynecology | 1700 Hospital South Dr Ste 500, Austell, GA 30106 | 2015-05-26 |
| 1558799593 | Tonya Renee Baldwin | Speech-Language Pathologist | 4229 Brass Trl., Austell, GA 30106 | 2013-10-30 |
| Find all providers in zip 30106 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730279555 | Pamela Gresham Pomar | Nurse Practitioner | 393 Maxham Rd Ste A&b, Austell, GA 30168-5539 | 2006-10-13 |
| 1891340667 | Skitzy Joy Tobias | Nurse Practitioner | 1790 Mulkey Rd, Austell, GA 30106-1122 | 2019-08-07 |
| 1720586365 | Lisa A Samples | Nurse Practitioner | 3950 Austell Rd, Austell, GA 30106-1121 | 2018-01-29 |
| 1063871994 | Emily Jane Tackett | Nurse Practitioner | 3950 Austell Rd, Austell, GA 30106-1121 | 2016-02-20 |
| 1013309327 | Amber Borders | Nurse Practitioner | 1810 Mulkey Rd, Suite 201, Austell, GA 30106-1151 | 2015-02-23 |
| 1760610299 | Katherine Ryan Cardenas | Nurse Practitioner | 393 Maxham Rd Ste A&b, Austell, GA 30168-5539 | 2009-06-23 |
| 1639232713 | Rebecca Lynn Cannon | Nurse Practitioner | 1810 Mulkey Rd, Suite 201, Austell, GA 30106-1151 | 2006-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565811 | Rebecca Danielle Wegman | Nurse Practitioner | 5445 Meridian Mark Rd Ste 380, Atlanta, GA 30342-4755 | 2020-10-09 |
| 1629675657 | Casey Cullins | Nurse Practitioner | 980 Johnson Fy Rd Ne Ste 680, Atlanta, GA 30342-1608 | 2020-10-02 |
| 1336755289 | Taylor Bishop | Nurse Practitioner | 51 Hidden Lake Ct, Savannah, GA 31419-1664 | 2020-09-16 |
| 1942815717 | Valerie Renee' Grenald | Nurse Practitioner | Augusta University Health, Augusta, GA 30912-0001 | 2020-09-09 |
| 1538798095 | Brittany Nicole Heitkamp | Nurse Practitioner | 5461 Meridian Mark Rd Ste 540, Atlanta, GA 30342-3283 | 2020-04-06 |
| 1629606421 | Anna Elizabeth Patton | Nurse Practitioner | 12 Sammy Mcghee Blvd Ste 102, Jasper, GA 30143-7712 | 2020-03-29 |
| 1093342131 | Lindsay Pare | Nurse Practitioner | 2225 Twin Lakes Dr, Atlanta, GA 30339-4123 | 2020-03-26 |
| 1215564976 | Stephanie Laurel Toole | Nurse Practitioner | 625 Big Shanty Rd Nw, Kennesaw, GA 30144-3646 | 2020-03-24 |
| 1740816487 | Aleksa Rozman | Nurse Practitioner | 1121 Johnson Ferry Rd Ste 220, Marietta, GA 30068-2763 | 2020-03-13 |
| 1912530866 | Rebecca L Brigola | Nurse Practitioner | 4120 Five Forks Trickum Rd Sw Ste 102, Lilburn, GA 30047-8975 | 2020-02-19 |
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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.