FARRAH GARDNER (NPI# 1477915569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477915569 |
| Entity Type | Individual |
| Full Name | FARRAH GARDNER |
| Credential | NP |
| Practice Address |
420 E 2nd Ave Suite 103 Rome GA 30161-3209 |
| Practice Telephone | 7065093000 |
| Mailing Telephone | 7065093000 |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2016-03-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN163974 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
420 E 2ND AVE SUITE 103 |
| City | ROME |
| State | GA |
| Zip Code | 30161-3209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699721399 | Floyd Healthcare Management Inc | Hospice Care, Community Based | 420 E 2nd Ave, Suite 105, Rome, GA 30161-3209 | 2006-05-25 |
| 1134588916 | Julie White | Nurse Practitioner | 420 E 2nd Ave, Suite 103, Rome, GA 30161-3209 | 2016-02-22 |
| 1417281999 | Lee Caroline Duvall | Nurse Practitioner | 420 E 2nd Ave, Rome, GA 30161-3209 | 2009-09-30 |
| 1851508964 | Jonathan Garrett Gore | Emergency Medicine | 420 E 2nd Ave, Suite 103, Rome, GA 30161-3209 | 2007-05-17 |
| 1356562185 | Cline Thomas Jackson | Emergency Medicine | 420 E 2nd Ave, Suite 103, Rome, GA 30161-3209 | 2007-05-01 |
| 1316003197 | Kirby Watson Peden | Family Medicine | 420 E 2nd Ave, Suite 103, Rome, GA 30161-3209 | 2006-12-28 |
| 1881755833 | Marcia Y Williams | Internal Medicine | 420 E 2nd Ave, Suite 103, Rome, GA 30161-3209 | 2006-12-13 |
| 1336258268 | Gregory Lee Fisher | Physician Assistant | 420 E 2nd Ave, Suite 103, Rome, GA 30161-3209 | 2006-08-30 |
| 1154345353 | Horace Lee Cline | Emergency Medicine | 420 E 2nd Ave, Suite 103, Rome, GA 30161-3224 | 2006-07-27 |
| 1710901996 | Jeffrey M Blackmon | Emergency Medicine | 420 E 2nd Ave, Suite 103, Rome, GA 30161-3224 | 2006-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265069256 | Three Rivers Housing and Development Corporation | Chore Provider | 326 W. 9th St, Rome, GA 30161 | 2020-03-27 |
| 1144865957 | Eric Alan Fuller | Audiologist-Hearing Aid Fitter | 700 East 2nd Street, Suite C, Rome, GA 30161 | 2019-11-15 |
| 1003394883 | Cindy V Shelton | Health Educator | 204 E 1st Ave, Rome, GA 30161 | 2018-08-02 |
| 1083153597 | Julie Oglesby Allen | Counselor | 1 S Broad St Sw Ste 5, Rome, GA 30161 | 2017-02-16 |
| 1902299530 | Michael Thomas Phillips | Pharmacist | 2005 Maple Street, Rome, GA 30161 | 2015-03-06 |
| 1407259112 | Angela Smith | Community/Behavioral Health | 109 John Maddox Suite 200, Rome, GA 30161 | 2014-10-08 |
| 1215344379 | Nancy Patel | Pharmacist | 1421 North Broad St, Rome, GA 30161 | 2014-07-21 |
| 1821336629 | Wendy Pence | Nurse Practitioner | 3001 Turner Mccall Blvd, Rome, GA 30161 | 2013-01-29 |
| 1558526202 | Marilyn Teresa Ringstaff | Registered Nurse | 1513 Dean St., Rome, GA 30161 | 2008-07-22 |
| 1134310147 | Reneka L Dobbs-jackson | Family Medicine | 420 E 2nd Ave Ste 103, Rome, GA 30161 | 2007-08-05 |
| Find all providers in zip 30161 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801409966 | Jamie Marcinkowski | Nurse Practitioner | 1617 N James Street, Suite 100, Rome, NY 13440 | 2020-08-28 |
| 1174141196 | Amy Wheeler | Nurse Practitioner | 10 Walking Horse Dr Nw, Rome, GA 30165-2586 | 2020-07-07 |
| 1871115345 | Brooke Combs | Nurse Practitioner | 200 Marable Way Nw, Rome, GA 30165-1387 | 2020-05-07 |
| 1942768296 | Tina Annette Witt | Nurse Practitioner | 330 Turner Mccall Blvd Sw Ste 206, Rome, GA 30165-5632 | 2019-03-06 |
| 1821336629 | Wendy Pence | Nurse Practitioner | 3001 Turner Mccall Blvd, Rome, GA 30161 | 2013-01-29 |
| 1124268784 | Linda Josephine Wynn | Nurse Practitioner | 101 Watson St Nw, Rome, GA 30165-2172 | 2009-02-23 |
| 1831379940 | Barbara Lillian Gibson | Nurse Practitioner | 80 Redmond Rd Nw, Rome, GA 30165-1534 | 2007-11-06 |
| 1427123645 | Michael Anthony Carter | Nurse Practitioner | 327 E 11th St Se, Rome, GA 30161-6206 | 2006-11-22 |
| 1902845159 | Jennifer Lynn Maher | Nurse Practitioner | 7901 Ridge Mills Rd, Rome, NY 13440-2203 | 2006-06-05 |
| 1073511283 | Lynne S Rollins | Nurse Practitioner | 3 Broad St, Rome, GA 30161-3017 | 2005-07-12 |
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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.