NASSIFATOU BAKARY (NPI# 1447719711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447719711 |
| Entity Type | Individual |
| Full Name | NASSIFATOU BAKARY |
| Practice Address |
1626 Jeurgens Ct Norcross GA 30093-2219 |
| Mailing Address |
417 W 3rd Ave Albany GA 31701-1943 |
| Practice Telephone | 7702796200 |
| Mailing Telephone | 2293126900 |
| Enumeration Date | 2019-03-17 |
| Last Update Date | 2019-03-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN180323 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1626 JEURGENS CT |
| City | NORCROSS |
| State | GA |
| Zip Code | 30093-2219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316985336 | Pruitthealth Hospice, Inc. | Hospice Care, Community Based | 1626 Jeurgens Ct, Norcross, GA 30093-2219 | 2006-06-02 |
| 1669097895 | Kedy Ernst Jean-louis | Social Worker | 1626 Jeurgens Ct, Norcross, GA 30093-2219 | 2020-06-12 |
| 1821645748 | Nikki Reed | Nurse Practitioner | 1626 Jeurgens Ct, Norcross, GA 30093-2219 | 2019-08-26 |
| 1831693746 | Michelle Doolittle | Registered Nurse | 1626 Jeurgens Ct, Norcross, GA 30093-2219 | 2018-03-23 |
| 1043676299 | Pruitthealth Physicians Services, LLC | Family Medicine | 1626 Jeurgens Ct, Norcross, GA 30093-2219 | 2016-01-04 |
| 1629441514 | Pruitthealth Therapy Services | Assisted Living Facility | 1626 Jeurgens Ct, Norcross, GA 30093-2219 | 2015-11-02 |
| 1063544427 | Pruitthealth Care Management, Inc. | Case Management | 1626 Jeurgens Ct, Norcross, GA 31602 | 2007-03-12 |
| 1346385333 | Pruitthealth Pharmacy Services - Atlanta, Inc. | Pharmacy | 1626 Jeurgens Ct, Suite A, Norcross, GA 30093-2219 | 2007-02-20 |
| 1962547992 | Pruitthealth Pharmacy Services - Atlanta, Inc. | Pharmacy | 1626 Jeurgens Ct, Norcross, GA 30093-2219 | 2007-02-20 |
| 1871519629 | Margaret Anne White | Internal Medicine | 1626 Jeurgens Ct, Norcross, GA 30093-2219 | 2006-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013517465 | Tequila Olivia Banks | Counselor | 8303 Dunleaf Arc Way Nw, Norcross, GA 30093 | 2020-10-27 |
| 1922643485 | Anthony Ervin | Case Manager/Care Coordinator | 6251 Smithpoint Dr. Bldg B, Peachtree Corners, GA 30093 | 2019-11-08 |
| 1164908885 | Marianne Altares | Speech-Language Pathologist | 1709 Oakbrook Lake Dr, Norcross, GA 30093 | 2018-07-16 |
| 1518480763 | Braces Now 14, LLC | Dentist | 4141 Steve Reynolds Blvd, Suite 2, Norcross, GA 30093 | 2017-07-19 |
| 1457802902 | Audrey Fernandes | Dentist | 4846 Jimmy Carter Blvd, Suite 203, Norcross, GA 30093 | 2016-10-19 |
| 1922456318 | Diana Lleras | Counselor | 6020 Dawson Bld Suite I, Norcross, GA 30093 | 2016-05-26 |
| 1376941500 | Katerine Velez | Counselor | 6020 Dawson Blvd., Siute I, Norcross, GA 30093 | 2014-12-22 |
| 1679979017 | Allison Ballay Donnelly | Speech-Language Pathologist | 1626 Jeurgens Ct., Norcross, GA 30093 | 2014-11-12 |
| 1588913701 | Sunrise Pharmacy | Pharmacy | 1235 Indian Trail Rd, Suite 200a, Norcross, GA 30093 | 2012-09-04 |
| 1821347154 | Shakirah Forde | Counselor | 1770 Indian Trail Lilburn Rd Ste 120, Norcross, GA 30093 | 2012-08-31 |
| Find all providers in zip 30093 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821610536 | Kimberly Fischer | Nurse Practitioner | 5054 Beverly Glen Village Ln Apt F, Norcross, GA 30092-3035 | 2020-05-15 |
| 1932749470 | Heidi Joung | Nurse Practitioner | 5585 Trace Views Dr, Norcross, GA 30071-1493 | 2020-01-13 |
| 1376017558 | Celestina Ifeoma Aniekwe | Nurse Practitioner | 2595 Woodbine Hill Way, Norcross, GA 30071-2852 | 2019-01-22 |
| 1790203487 | Lauren Sillery Oberg | Nurse Practitioner | 1942 Beaver Ruin Rd, Norcross, GA 30071-3828 | 2017-09-01 |
| 1275073397 | Quyen Phan | Nurse Practitioner | 6107 Oakbrook Pkwy, Norcross, GA 30093-1771 | 2017-03-08 |
| 1194107631 | Audra Elizabeth Moore | Nurse Practitioner | 6131 S Norcross Tucker Rd Ste 6, Norcross, GA 30093-5536 | 2015-06-21 |
| 1013304997 | Clinica Nueva LLC | Nurse Practitioner | 5944 Buford Hwy, Norcross, GA 30071-2444 | 2015-04-19 |
| 1982011359 | Rika Medical Clinic, LLC | Nurse Practitioner | 6131 S Norcross Tucker Rd Ste 700, Norcross, GA 30093-5535 | 2014-07-17 |
| 1740612985 | Amy Carmichael Maresca | Nurse Practitioner | 4356 Communications Dr, Norcross, GA 30093-2901 | 2013-07-30 |
| 1902165954 | Catherine Elizabeth Schempp | Nurse Practitioner | 5985 Peachtree Parkway, Norcross, GA 30092 | 2012-05-11 |
| Find all providers in NORCROSS | ||||
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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.