ANGELA LONG (NPI# 1477083913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477083913 |
Entity Type | Individual |
Full Name | ANGELA LONG |
Practice Address |
6126 Prestley Mill Rd Ste H Douglasville GA 30134-5624 |
Mailing Address |
8342 Highway 54 Sharpsburg GA 30277-2109 |
Practice Telephone | 6787152993 |
Enumeration Date | 2017-06-18 |
Last Update Date | 2017-06-18 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN208639 | GA | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699826412 | Angela Dale Long | Social Worker | 1 Trafalgar Sq Ste 204, Nashua, NH 03063-1998 | 2007-01-16 |
1598789406 | Angela Nicole Long | Marriage & Family Therapist | 901 E Tahquitz Canyon Way, Suite A201, Palm Springs, CA 92262-6757 | 2006-07-26 |
1801859657 | Angela Long | Optometrist | 2617 W 16th Street, Bedford, IN 47421 | 2006-04-11 |
1851940704 | Angela Dawn Long | Registered Nurse | 120 N Walnut St, Jefferson, TX 75657-1934 | 2019-09-04 |
1639532609 | Angela L Long | Nurse Practitioner | 19 Wolf Creek Dr, Dept Otolaryngology, Swansea, IL 62226-2355 | 2016-03-29 |
1720458706 | Angela Desiree Long | Nurse Practitioner | 9000 Franklin Square Dr, Baltimore, MD 21237-3901 | 2015-10-02 |
1356608699 | Angela Long | Home Health Aide | 1707 L St Nw, Suite 900, Washington, DC 20036-4201 | 2012-04-11 |
1124286877 | Angela M Long | Registered Nurse | 1910 Malvern Ave, Hot Springs, AR 71901-7752 | 2008-05-29 |
1689864761 | Angela Long | Family Medicine | 27w281 Geneva Rd, Winfield, IL 60190-2035 | 2007-07-26 |
1619029147 | Angela C. Long | Dietitian, Registered | 1530 Us Highway 43, Winfield, AL 35594-5056 | 2007-01-17 |
Street Address |
6126 PRESTLEY MILL RD STE H |
City | DOUGLASVILLE |
State | GA |
Zip Code | 30134-5624 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053897181 | Phoenixlaboratory Services LLC | Physiological Laboratory | 6126 Prestley Mill Rd Ste H, Douglasville, GA 30134-5624 | 2018-07-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851915631 | Lilian Pereira | Nurse Practitioner | Bethesda Medical Group, LLC, 9280 Hwy 5 - Suite D, Douglasville, GA 30134 | 2020-06-08 |
1548822901 | Sweet Resolve LLC | Nurse Practitioner | 4318 Ridge Rd, Ste 111 Pmb 1017, Douglasville, GA 30134 | 2019-07-05 |
1598328791 | Straight Street Life Center Inc | Case Manager/Care Coordinator | 12461 Veterans Memorial, Douglasville, GA 30134 | 2019-04-15 |
1174014930 | Caitlin Waldrip | Chiropractor | 8326a Office Park Dr., Douglasville, GA 30134 | 2018-05-28 |
1861901050 | Michelle Denise Winston | Licensed Practical Nurse | 6497 E Strickland, Douglasville, GA 30134 | 2017-09-20 |
1518335843 | Willis Anthony Rogers | Durable Medical Equipment & Medical Supplies | 7094 Rose Lake Circle, Douglasville, GA 30134 | 2015-09-03 |
1497135131 | Patricia Warren | Social Worker | 8317 Office Park Drive Ste.#e, Douglasville, GA 30134 | 2015-06-08 |
1457747321 | Kidz Rock Therapy Services, LLC | Occupational Therapist | 6732 West Spring Street, Douglasville, GA 30134 | 2015-04-08 |
1386068476 | Naa Y Oden | Psychologist | 4813 Ridge Rd Ste 111-639, Douglasville, GA 30134 | 2014-02-10 |
1467893271 | American Ems | Ambulance | 7240 Bankhead Hwy, Douglasville, GA 30134 | 2013-07-09 |
Find all providers in zip 30134 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033710298 | Karen F Frazier | Nurse Practitioner | 6610 Crest Wood Ln, Douglasville, GA 30135-9046 | 2020-11-04 |
1851915631 | Lilian Pereira | Nurse Practitioner | Bethesda Medical Group, LLC, 9280 Hwy 5 - Suite D, Douglasville, GA 30134 | 2020-06-08 |
1184268682 | Rasheedat Adunni Ibrahim | Nurse Practitioner | 6712 Brookfield Way, Douglasville, GA 30134-1461 | 2019-10-29 |
1538717475 | Shantel Brown | Nurse Practitioner | 3347 Surveyor Ct, Douglasville, GA 30135-8102 | 2019-09-03 |
1457825358 | Marcia Ann-marie Wilson | Nurse Practitioner | 4279 Caroline Court, Douglasville, GA 30135 | 2019-01-14 |
1962986224 | Sherry-ann Francis-grant | Nurse Practitioner | 6510 Manor Creek Dr, Douglasville, GA 30135-3681 | 2018-09-21 |
1891278602 | Monique Danielle Jasper | Nurse Practitioner | 3090 Stone Oak Dr, Douglasville, GA 30135-1903 | 2018-09-09 |
1720560006 | Chinelo Emekwue | Nurse Practitioner | 2361 Salah Cir, Douglasville, GA 30135-8159 | 2018-09-03 |
1598269250 | Medicas Medical Clinic, LLC | Nurse Practitioner | 5846 Stewart Pkwy, Douglasville, GA 30135-2374 | 2018-03-19 |
1225564917 | Danielle Doebereiner-brown | Nurse Practitioner | 3872 Ga-5, Douglasville, GA 30135 | 2017-05-02 |
Find all providers in DOUGLASVILLE |
City | DOUGLASVILLE |
Zip Code | 30134 |
Please comment or provide details below to improve the information on ANGELA LONG.
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.