MR. CLYDE LUIS MCTIER JR. (NPI# 1497831192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497831192 |
| Entity Type | Individual |
| Full Name | MR. CLYDE LUIS MCTIER JR. |
| Other Name | MR. C. LUIS MCTIER JR. |
| Credential | ARNP-FNP |
| Practice Address |
2922 Professional Pkwy Augusta GA 30907-6528 |
| Practice Telephone | 7068552767 |
| Practice Fax Number | 7068557077 |
| Mailing Telephone | 7068552767 |
| Mailing Fax Number | 7068557077 |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2011-06-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
3017 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2922 PROFESSIONAL PKWY |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30907-6528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104884246 | John Martin Downey | Physical Medicine & Rehabilitation | 2922 Professional Pkwy, Ste A, Augusta, GA 30907-6528 | 2006-05-01 |
| 1205327236 | Ebony Myers Coe | Nurse Practitioner | 2922 Professional Pkwy, Augusta, GA 30907-6528 | 2018-05-25 |
| 1063699015 | John M Downey | Physical Medicine & Rehabilitation | 2922 Professional Pkwy, Suite A, Augusta, GA 30907-6528 | 2008-01-22 |
| 1003984915 | Melanie Grace Bowen | Physician Assistant | 2922 Professional Pkwy, Augusta, GA 30907-6528 | 2006-11-30 |
| 1326115411 | John M Downey Sr Do PC | Physical Medicine & Rehabilitation | 2922 Professional Pkwy, Augusta, GA 30907-6528 | 2006-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275158156 | Mary Cameron Elizabeth Robert | Dentist | 3226 Washington Rd, Augusta, GA 30907 | 2020-06-16 |
| 1841760451 | Debra E Gibbs | Dental Hygienist | 523 Crystal Creek West, Martinez, GA 30907 | 2018-11-27 |
| 1083183651 | Leslie Yvonne Watkins | Massage Therapist | 3450 River Watch Parkway, Suite 100, Martinez, GA 30907 | 2018-11-13 |
| 1124594718 | Kimberly A Delaigle | Nurse Practitioner | 3475 Riverwatch Parkway, Suite 310, Martinez, GA 30907 | 2018-10-22 |
| 1366960825 | Catherine Lane Hopkins | Speech-Language Pathologist | 435 Cambridge Circle, Martinez, GA 30907 | 2017-09-05 |
| 1518485143 | Challenging Perspectives | Clinic/Center | 3710 Executive Center Dr Suite B, Martinez, GA 30907 | 2017-09-04 |
| 1386168490 | Carlene Elizabeth Lemcke | Speech-Language Pathologist | 3580 Riverwatch Parkway, Martinez, GA 30907 | 2017-07-31 |
| 1619499357 | Orchid Archer | Registered Nurse | 702 Riverbend Drive, Martinez, GA 30907 | 2017-07-14 |
| 1437679339 | Mediator Senior Care, LLC | In Home Supportive Care | 4143 Columbia Rd., Suite B, Martinez, GA 30907 | 2017-06-21 |
| 1518407907 | Augusta Smilecare PC | Dentist | 4200 Columbia Road, Martinez, GA 30907 | 2017-03-03 |
| Find all providers in zip 30907 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962894 | Anna Marie Kodama | Nurse Practitioner | 462 Furys Ferry Rd # C, Augusta, GA 30907-9506 | 2020-11-03 |
| 1588262372 | Taylor Safford | Nurse Practitioner | 1348 Walton Way Ste 4100, Augusta, GA 30901-5107 | 2020-10-13 |
| 1831719269 | Tanaysa Green | Nurse Practitioner | 1702 Holly Hill Rd, Augusta, GA 30904-5050 | 2020-04-27 |
| 1699395749 | Mary Elizabeth Dalis | Nurse Practitioner | 1025 Redbird Rd, Augusta, GA 30904-3181 | 2020-04-18 |
| 1316585185 | Rebecca Williford | Nurse Practitioner | 1220 George C Wilson Dr, Augusta, GA 30909-4501 | 2019-12-12 |
| 1699322370 | Ashley Staten | Nurse Practitioner | 2739 Huntcliffe Dr, Augusta, GA 30909-0662 | 2019-08-19 |
| 1053978205 | Keneka V Allen | Nurse Practitioner | 6229 Key West Dr, Augusta, GA 30909-6745 | 2019-05-23 |
| 1487210589 | Jason Schunk | Nurse Practitioner | S7645 Morning Crest Dr, Augusta, WI 54722-7579 | 2019-05-14 |
| 1740754308 | Patricia Lynn Blevins | Nurse Practitioner | 300 E Hospital Dr, Augusta, GA 30905 | 2019-01-17 |
| 1174097190 | Yuri Kang | Nurse Practitioner | Augusta University Medical Center 1120 15th Street, Augusta, GA 30912-0359 | 2019-01-12 |
| Find all providers in AUGUSTA | ||||
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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.