ROSA MARIA PHILLIPS


Address: 649 Amicalola Woods Rd, Dawsonville, GA 30534-1205
Phone: 7069749041

ROSA MARIA PHILLIPS (NPI# 1467063610) 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) 1467063610
Entity Type Individual
Full Name ROSA MARIA PHILLIPS
Credential APRN
Practice Address 649 Amicalola Woods Rd
Dawsonville
GA 30534-1205
Practice Telephone 7069749041
Mailing Telephone 7069749041
Enumeration Date 2020-08-12
Last Update Date 2020-08-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
RN222620 GA Physician Assistants & Advanced Practice Nursing Providers
N 363LA2200X Nurse Practitioner
Specialization: Adult Health
RN222620 GA Physician Assistants & Advanced Practice Nursing Providers
N 363LG0600X Nurse Practitioner
Specialization: Gerontology
RN222620 GA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 649 AMICALOLA WOODS RD
City DAWSONVILLE
State GA
Zip Code 30534-1205

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NPI Name Taxonomy Address Enumeration
1780175331 Sharon Redd Occupational Therapist 923 Riverbend Rd, Dawsonville, GA 30534 2018-05-18
1588103808 Hearing Aid Solutions LLC Hearing Instrument Specialist 169 Hwy 9, Suite 100, Dawsonville, GA 30534 2017-02-20
1881140598 Meagan Wilson Registered Nurse 6002 Ga 53, Suite 100, Dawsonville, GA 30534 2016-09-01
1265892293 Interventional Spine and Pain Management Center, PC Pain Medicine 6002 Hwy 52 East, Suite 110, Dawsonville, GA 30534 2016-03-03
1174961304 Meredith Michelle Tatum Hulsey Physician Assistant 1080 Lumpkin Campground Road S, Suite 300, Dawsonville, GA 30534 2013-06-10
1932467115 David Kenneth Woolsey Chiropractor 1100 Old Dawson Village Rd, Suite 010, Dawsonville, GA 30534 2012-04-25
1275836769 Martha Leslie Baker Counselor 121 Old Dawson Village Rd E, Building 800, Unit 010, Dawsonville, GA 30534 2010-12-06
1982914073 James Paul Whitcomb Pharmacist 751 Highway 53 East Fred's #1451, Dawsonville, GA 30534 2010-10-07
1801123302 Sj&j Spine and Pain Group Pain Medicine 5959 Highway 53 W, Suite 100b, Dawsonville, GA 30534 2009-11-04
1215260617 Durall Capital Holdings, LLC Clinic/Center 35 Lumpkin Campground Road N, Dawsonville, GA 30534 2009-09-16
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Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1679170740 Jennifer Lassiter Nurse Practitioner 4116 Holley Rd., Lizella, GA 31052 2020-10-02
1891301164 Tashoy Wallace Nurse Practitioner 121 Odyssey Turn, Conyers, GA 30012-3681 2020-09-21
1912513672 Katherine Anne Sego Nurse Practitioner 4060 Rolling Meadows Ln, Watkinsville, GA 30677-3011 2020-09-18
1548872468 Phyllis Kelly Wood Nurse Practitioner 217 Banks Rd, Suite 31, Fayetteville, GA 30214 2020-08-21
1588276505 Sherron Johnson Nurse Practitioner 1980 Wrights Way, Jonesboro, GA 30236-7205 2020-08-20
1942811682 Ashlee Renee Mack Nurse Practitioner 116 Slate Cir, Savannah, GA 31419-9681 2020-08-16
1508476581 Jarvis Reese Nurse Practitioner 413 Tug Ct, Warner Robins, GA 31088-2134 2020-08-05
1750991790 Akosua Frema Sarfo Nurse Practitioner 116 Ginkgo Ln, Grovetown, GA 30813-5392 2020-08-04
1851919039 Robert Brant Nurse Practitioner 20 Fairway Oaks, Waverly, GA 31565-2767 2020-07-14
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Competitor

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City DAWSONVILLE
Zip Code 30534

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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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