CANDIS JULIE SPIVEY (NPI# 1427696384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427696384 |
Entity Type | Individual |
Full Name | CANDIS JULIE SPIVEY |
Practice Address |
923 Irwin Rd Tennille GA 31089-3861 |
Mailing Address |
9811 W Charleston Blvd # 2-641 Las Vegas NV 89117-7528 |
Practice Telephone | 8434128626 |
Mailing Telephone | 8558644322 |
Mailing Fax Number | 8665402867 |
Enumeration Date | 2019-12-11 |
Last Update Date | 2019-12-11 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 246ZE0600X |
Specialist/Technologist, Other Specialization: Electroneurodiagnostic |
Technologists, Technicians & Other Technical Service Providers |
Street Address |
923 IRWIN RD |
City | TENNILLE |
State | GA |
Zip Code | 31089-3861 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427369966 | Tennille Retirement Home, LLC | Assisted Living Facility | 525 N Main St, Tennille, GA 31089-1128 | 2010-06-30 |
1437719176 | Yontia Kewanda Brookins | Case Manager/Care Coordinator | 105 E 3rd Ave, Tennille, GA 31089-1340 | 2019-06-15 |
1689186223 | Majestic Senior Living Tennille LLC | Assisted Living Facility | 401 Martin Luther King Jr Blvd, Tennille, GA 31089-1438 | 2017-11-03 |
1942452065 | Lisa G Lamar | Home Health Aide | 517 Martin Luther King Jr Blvd, Tennille, GA 31089-1440 | 2008-10-21 |
1104876390 | Community Health Care Systems, Inc. | Clinic/Center | 116 Smith St, Tennille, GA 31089-1465 | 2006-05-11 |
1659787034 | Sharon Massengale | Nurse Practitioner | 116 Smith St, Tennille, GA 31089-1465 | 2014-07-07 |
1023353497 | Alesha Michelle Edwards | Podiatrist | 116 Smith St, Tennille, GA 31089-1465 | 2012-12-11 |
1053467308 | Tanya Yvonne Jones | Family Medicine | 116 Smith St, Tennille, GA 31089-1465 | 2007-01-26 |
1306908546 | Bridgett C Bailey | Family Medicine | 116 Smith St, Tennille, GA 31089-1465 | 2006-12-14 |
1306920954 | Jane Paulk | Nurse Practitioner | 116 Smith St, Tennille, GA 31089-1465 | 2006-10-24 |
Find all providers in zip 31089 |
Taxonomy Code | 246ZE0600X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Specialist/Technologist, Other |
Specialization | Electroneurodiagnostic |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619509940 | Sheth Consultants, LLC | Specialist/Technologist, Other | 403 W Ponce De Leon Ave Ste 206, Decatur, GA 30030-2421 | 2020-02-05 |
1841847274 | John Douglas Redmond | Specialist/Technologist, Other | 7338 Eagle Ct, Midland, GA 31820-4334 | 2019-08-21 |
1295382943 | Kimberly Cara Sampson | Specialist/Technologist, Other | 201 Dailey Hill Cir, Ringgold, GA 30736-8157 | 2019-08-19 |
1386208254 | Sunwana Walker | Specialist/Technologist, Other | 515 Fairhope St, Augusta, GA 30901-1913 | 2019-04-26 |
1053899377 | Johnny Ramos | Specialist/Technologist, Other | 402 Rosewater Dr, Warner Robins, GA 31088-8688 | 2018-07-30 |
1821508227 | Molly Brake | Specialist/Technologist, Other | 3535 Peachtree Rd Ne Ste 520-637, Atlanta, GA 30326-3287 | 2017-10-11 |
1639608516 | University Neuro, LLC | Specialist/Technologist, Other | 925b Peachtree St Ne Ste 710, Atlanta, GA 30309-3918 | 2017-06-05 |
1205377975 | David Kalisz II | Specialist/Technologist, Other | 1880 Beaver Ridge Circle Suite D, Norcross, GA 30071 | 2017-03-15 |
1407399793 | Megan Keeton | Specialist/Technologist, Other | 446 Dwarf Grass Ct, Lawrenceville, GA 30045-8185 | 2016-11-18 |
1750823605 | Tonya Walsh | Specialist/Technologist, Other | 111 Mackqueen Dr, Brunswick, GA 31525-4540 | 2016-11-09 |
Find all providers with the same taxonomy |
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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.