DR. NICK M GABBAY (NPI# 1508860032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508860032 |
| Entity Type | Individual |
| Full Name | DR. NICK M GABBAY |
| Credential | DPM |
| Practice Address |
1975 Highway 54 W Suite 205 Fayetteville GA 30214-4794 |
| Practice Telephone | 6785619000 |
| Mailing Telephone | 6785619000 |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2011-03-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
000910 | GA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00956656A | 05 |
| Street Address |
1975 HIGHWAY 54 W SUITE 205 |
| City | FAYETTEVILLE |
| State | GA |
| Zip Code | 30214-4794 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841629516 | Kyle Harris | Nurse Practitioner | 1975 Highway 54 W, Fayetteville, GA 30214-4794 | 2013-11-04 |
| 1396188967 | Lagniappe LLC | Clinic/Center | 1975 Highway 54 W, Suite 100, Fayetteville, GA 30214-4794 | 2013-04-12 |
| 1477830180 | Latasha Nicole Temple | Specialist/Technologist | 1975 Highway 54 W, Suite 210, Fayetteville, GA 30214-4794 | 2011-11-08 |
| 1982882775 | G Clay Taylor | Durable Medical Equipment & Medical Supplies | 1975 Highway 54 W, Ste 205, Fayetteville, GA 30214-4794 | 2008-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548872468 | Phyllis Kelly Wood | Nurse Practitioner | 217 Banks Rd, Suite 31, Fayetteville, GA 30214 | 2020-08-21 |
| 1073139317 | Tyisha Salter Scott | Counselor | 110 Habersham Drive, Suite 142, Fayetteville, GA 30214 | 2020-06-23 |
| 1194341412 | Camille Franncine Bolton | Physical Therapist | 500 Floy Farr Parkway, Suite 303, Fayetteville, GA 30214 | 2020-06-23 |
| 1205465895 | Gillian Vaughan Heard | Physician Assistant | 1275 Ga-54 #201, Fayetteville, GA 30214 | 2020-04-06 |
| 1881234557 | Peach Fits,inc | Mastectomy Fitter | 285 Glynn Street South, Suites 102 and 104, Fayetteville, GA 30214 | 2020-01-10 |
| 1255981072 | Delta Healthcare Providers | Clinic/Center | 1275 W Lanier Ave, #200, Fayetteville, GA 30214 | 2019-09-13 |
| 1861965592 | Hierarchy for Wellness | Specialist | 805 S Glynn St Bldg 127 142, Fayetteville, GA 30214 | 2019-01-04 |
| 1356810634 | Fayette Dental Group PC | Clinic/Center | 720 W Lanier Ave, Fayetteville, GA 30214 | 2018-11-16 |
| 1891263299 | Mattie Mae Farmer Clark | Specialist/Technologist, Other | Piedmont Fayette Hospital, 1255 Highway 54 West, Fayetteville, GA 30214 | 2018-11-05 |
| 1093293607 | Allyson Holland | Pharmacist | 880 Highway 85 South, Fayetteville, GA 30214 | 2018-08-06 |
| Find all providers in zip 30214 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609288984 | Aaron Teufel | Podiatrist | 1794 E Joyce Blvd Ste 2, Fayetteville, AR 72703 | 2014-05-21 |
| 1073852786 | Ankle and Foot Clinic of Georgia, Inc. | Podiatrist | 730 Lanier Ave W, Fayetteville, GA 30214-1509 | 2013-02-01 |
| 1841597499 | American Foot & Leg Specialists, P.C. | Podiatrist | 122 N Park Dr, Fayetteville, GA 30214 | 2011-02-17 |
| 1821132424 | Fayetteville Foot and Ankle Center | Podiatrist | 503 Owen Dr, Fayetteville, NC 28304-3433 | 2007-02-16 |
| 1861496754 | Gregory Alvarez | Podiatrist | 265 N Jeff Davis Dr, Fayetteville, GA 30214-1625 | 2005-06-08 |
| 1619533692 | Arkansas Foot & Ankle Specialists | Podiatrist | 1794 E Joyce Blvd Ste 2, Fayetteville, AR 72703-5257 | 2019-05-15 |
| 1376906735 | Hughey Colton Carter | Podiatrist | 1738 Metromedical Dr, Fayetteville, NC 28304 | 2016-04-03 |
| 1710256003 | Ozark Foot & Ankle Plc | Podiatrist | 2828 E Millennium Pl, Suite 2, Fayetteville, AR 72703-6514 | 2011-12-15 |
| 1508155037 | Easy Walk Foot Clinic LLC | Podiatrist | 101 Beckett Ln, Suite 104, Fayetteville, GA 30214-7155 | 2011-04-05 |
| 1972827988 | Roberto Bermudez | Podiatrist | 1738 Metromedical Dr, Fayetteville, NC 28304-3861 | 2010-03-19 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 30214 |
Please comment or provide details below to improve the information on DR. NICK M GABBAY.
| 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.