MR. JERROD LAQUINTON WILLIAMS SR.


Address: 863 Flat Shoals Rd Se, Ste C #250, Conyers, GA 30094-6633
Phone: 4049320295

MR. JERROD LAQUINTON WILLIAMS SR. (NPI# 1457481368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1457481368
Entity Type Individual
Full Name MR. JERROD LAQUINTON WILLIAMS SR.
Credential CSA
Practice Address 863 Flat Shoals Rd Se
Ste C #250
Conyers
GA 30094-6633
Practice Telephone 4049320295
Mailing Telephone 4049320295
Enumeration Date 2007-03-07
Last Update Date 2015-10-07
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WR0006X Registered Nurse
Specialization: Registered Nurse First Assistant
2610 DC Nursing Service Providers

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1891116224 Jerrod Williams Pharmacist 10373 N Sam Houston Pkwy E Apt 925, Humble, TX 77396-4453 2014-01-03

Office Location

Street Address 863 FLAT SHOALS RD SE
STE C #250
City CONYERS
State GA
Zip Code 30094-6633

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225540396 Remedy Home Therapy Clinic/Center 863 Flat Shoals Rd Se, Suite C #316, Conyers, GA 30094 2017-10-30
1255700092 Specified Solutions Surgical Associates, Inc. Registered Nurse 863 Flat Shoals Rd Se, Ste C #250, Conyers, GA 30094-6633 2015-09-23

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164029054 Darlene Fletcher Counselor 827 St. Clair Dr., Conyers, GA 30094 2020-10-05
1194363366 Clara A Matthews Physician Assistant 1930 Windsor Creek Drive Sw, Conyers, GA 30094 2019-12-18
1659838571 Sensitive Home Care Agency Inc. PACE Provider Organization 2225 Morning Dew, Conyers, GA 30094 2019-02-27
1679097992 Sheira Dennis Case Management 3828 Martingale Dr Se, Conyers, GA 30094 2017-07-28
1730571399 Wellness and Trauma Recovery Center Counselor 1775 Parker Rd. Building C, Suite 210, Conyers, GA 30094 2015-02-19
1760870612 Michael Terrell Technician/Technologist 806 Cambridge Creek Dr, Conyers, GA 30094 2014-12-30
1538567466 Jennifer Angela Johnson Registered Nurse 2240 Wren Rd Se, Conyers, GA 30094 2014-12-09
1225445208 Wanda Marcella Rainey-reed Counselor 1453 Klondike Rd Sw Ste D, Conyers, GA 30094 2014-07-22
1508155268 Nicklaus Trent Rice Obstetrics & Gynecology 2750 Owens Dr, Conyers, GA 30094 2011-04-04
1720219660 Candace Alexander Dentist 863 Flat Shoals Rd Se, Suite C #220, Conyers, GA 30094 2009-07-27
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Taxonomy Information

Taxonomy Code 163WR0006X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Registered Nurse First Assistant

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215059167 Debra Nothnagel Stewart Registered Nurse 4831 Ridgedale Ln Se, Conyers, GA 30094-4474 2007-04-04
1053455287 Mary Ann Lov Registered Nurse 3355 Salem Cove Trl Se, Conyers, GA 30013-5310 2007-02-19
1417570102 Jonathan Stott Registered Nurse 1412 Milstead Ave Ne, Conyers, GA 30012-3877 2020-05-28
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

Providers in the same taxonomy and state

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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Competitor

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City CONYERS
Zip Code 30094

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Dataset Information

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.

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