AMY G. E. BRANTLEY (NPI# 1508055872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508055872 |
| Entity Type | Individual |
| Full Name | AMY G. E. BRANTLEY |
| Credential | PA |
| Practice Address |
2706 Medical Office Pl Goldsboro NC 27534-9460 |
| Mailing Address |
4117 N Roxboro St Durham NC 27704-2121 |
| Practice Telephone | 9197344736 |
| Mailing Telephone | 9196848111 |
| Enumeration Date | 2007-10-23 |
| Last Update Date | 2015-09-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 0010-01096 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2706 MEDICAL OFFICE PL |
| City | GOLDSBORO |
| State | NC |
| Zip Code | 27534-9460 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295718682 | Mary Eileen Maloy Witt | Nurse Practitioner | 2706 Medical Office Pl, Goldsboro, NC 27534-9460 | 2005-11-21 |
| 1124649769 | Chelsey Erica Smith | Nurse Practitioner | 2706 Medical Office Pl, Goldsboro, NC 27534-9462 | 2020-05-06 |
| 1568823003 | Ashley Worley | Nurse Practitioner | 2706 Medical Office Pl, Goldsboro, NC 27534-9460 | 2016-03-11 |
| 1033456991 | Katie Michelle Anthony | Nurse Practitioner | 2706 Medical Office Pl, Goldsboro, NC 27534-9460 | 2013-01-12 |
| 1598049843 | Lane Natividad | Nurse Practitioner | 2706 Medical Office Pl, Goldsboro, NC 27534-9460 | 2011-10-05 |
| 1063702165 | Bryan Dwayne Stup | Pediatrics | 2706 Medical Office Pl, Goldsboro, NC 27534-9460 | 2011-04-11 |
| 1912076688 | Frances Maureen Ballentine | Nurse Practitioner | 2706 Medical Office Pl, Goldsboro, NC 27534-9460 | 2006-11-07 |
| 1336230663 | Michelle Carter Thrailkill | Social Worker | 2706 Medical Office Pl, Goldsboro, NC 27534-9460 | 2006-09-28 |
| 1760491781 | Jennifer Jarrett Hoover | Pediatrics | 2706 Medical Office Pl, Goldsboro, NC 27534-9460 | 2006-08-07 |
| 1942260294 | Katherine Tayloe Macdonald | Pediatrics | 2706 Medical Office Pl, Goldsboro, NC 27534-9460 | 2006-03-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457875767 | Trent Jonathan Forshey | Physical Therapist | 2126 Wayne Memorial Dr, Goldsboro, NC 27534 | 2017-07-28 |
| 1336685551 | Wayne Al Holdings, LLC | Assisted Living Facility | 901 West New Hope Rd, Goldsboro, NC 27534 | 2017-01-11 |
| 1952845471 | Latoya Faulk | Social Worker | 121 Carolina Forest Drive, Goldsboro, NC 27534 | 2016-12-19 |
| 1528415841 | Kelby Joseph Sage Durnin | Military Health Care Provider | 1020 Jabara Avenue, Seymour Johnson Afb, NC 27534 | 2016-05-17 |
| 1528490604 | Eric Christian Bourgeois | Physical Therapist | 1101a Gracie Pl, Goldsboro, NC 27534 | 2013-07-31 |
| 1831439165 | Erica Nicole Davis | Optometrist | 20/20 Vision Center 625 North Berkeley Blvd, Suite D, Goldsboro, NC 27534 | 2013-02-23 |
| 1891039236 | Betty Webb Zimmerman | Nurse Practitioner | 204 Cox Blvd, Goldsboro, NC 27534 | 2012-11-26 |
| 1144595265 | Life Recovery Psychological Services | Counselor | 1202-c Wayne Memorial Dr, Goldsboro, NC 27534 | 2012-03-22 |
| 1558596536 | Taylor Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 802 Taylor St, Goldsboro, NC 27534 | 2009-05-20 |
| 1780895136 | Sherrie Fennell Edwards | Dietitian, Registered | 1500 Lanely Ave., Seymour Johnson Afb, Golsboro, NC 27534 | 2007-05-25 |
| Find all providers in zip 27534 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346784949 | Brenda A Scronce | Physician Assistant | 211 N Spence Ave, Goldsboro, NC 27534-2753 | 2016-12-15 |
| 1114383528 | Katlyn E Rhodes | Physician Assistant | 1506 Wayne Memorial Dr Ste D, Goldsboro, NC 27534-2202 | 2016-01-14 |
| 1093900466 | Diane Lancaster Mullins | Physician Assistant | 901 Beech St, Goldsboro, NC 27530-2922 | 2007-09-10 |
| 1346321759 | David Mcdonald Hinds | Physician Assistant | 2902 Central Heights Rd, Goldsboro, NC 27534-6513 | 2006-10-18 |
| 1962506246 | Teresa Jean Cochran | Physician Assistant | 1100 Parkway Dr Suite C, Goldsboro, NC 27534 | 2006-09-08 |
| 1104932433 | Sharon G. Crenshaw | Physician Assistant | 301 N Herman Street Box Cc, Goldsboro, NC 27530-1056 | 2006-08-21 |
| 1730709957 | Sarah Heminger | Physician Assistant | 104c Adair Dr, Goldsboro, NC 27530-4516 | 2020-04-17 |
| 1508417809 | Kaitlyn Jessica Shotwell | Physician Assistant | 2700 Wayne Memorial Dr, Goldsboro, NC 27534-9494 | 2019-09-27 |
| 1861040230 | Aaron Stephen Peterson | Physician Assistant | 2600 Us Highway 70 W, Goldsboro, NC 27530-7779 | 2019-08-29 |
| 1104392588 | Kristina Main | Physician Assistant | 1402 Wayne Memorial Dr, Goldsboro, NC 27534-2235 | 2018-10-23 |
| Find all providers in GOLDSBORO | ||||
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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.