MRS. KATHY COOPER GAMBLE (NPI# 1508916669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508916669 |
| Entity Type | Individual |
| Full Name | MRS. KATHY COOPER GAMBLE |
| Credential | NP |
| Practice Address |
11700 Mercy Blvd Ste 5 Savannah GA 31419-1753 |
| Mailing Address |
Po Box 14417 Savannah GA 31416-1417 |
| Practice Telephone | 9129276270 |
| Practice Fax Number | 9129276254 |
| Mailing Telephone | 9126292291 |
| Mailing Fax Number | 9126292291 |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2014-08-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
RN112436 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 221012519B | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619394806 | Kathy Gamble | Physical Therapy Assistant | 6815 Manhattan Blvd, Suite 204, Ft Worth, TX 76120-1204 | 2014-03-25 |
| 1225206337 | Kathy Ann Gamble | Social Worker | 10601 Grant Rd Ste 119, Houston, TX 77070-4449 | 2008-02-12 |
| Street Address |
11700 MERCY BLVD STE 5 |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31419-1753 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215932066 | Cynthia Drown | Nurse Practitioner | 11700 Mercy Blvd, Plaza D Suite A, Savannah, GA 31419-1753 | 2005-06-17 |
| 1093205957 | Clint R. Fenton | Physician Assistant | 11700 Mercy Blvd, Plaza D #6, Savannah, GA 31419 | 2018-05-16 |
| 1568962967 | Ortho Sport & Spine Physicians Savannah | Clinic/Center | 11700 Mercy Blvd, Savannah, GA 31419-1753 | 2018-02-13 |
| 1982134003 | Mackenzie Grace Shelton | Physician Assistant | 11700 Mercy Blvd, Plaza D #6, Savannah, GA 31419 | 2017-06-13 |
| 1205383130 | Beverly J Lippert | Nurse Practitioner | 11700 Mercy Blvd, Plaza D #6, Savannah, GA 31419 | 2016-09-08 |
| 1487000519 | Angel Everidge | Physician Assistant | 11700 Mercy Blvd, Plaza D, #6, Savannah, GA 31419 | 2016-05-07 |
| 1629470273 | Ortho Sport & Spine Physicians Savannah | Orthopaedic Surgery | 11700 Mercy Blvd, Savannah, GA 31419-1753 | 2014-09-25 |
| 1568805505 | Andrew Robert Papoy | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 11700 Mercy Blvd, Plaza D Bldg. 1 Suite A, Savannah, GA 31419 | 2013-04-09 |
| 1750635579 | St. Joseph's Medical Group, LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 11700 Mercy Blvd, Plaza D Suite A, Savannah, GA 31419 | 2012-10-31 |
| 1407119423 | Rebecca M Hart | Nurse Practitioner | 11700 Mercy Blvd, Bldg #5, Savannah, GA 31419-1753 | 2012-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932653 | Loving Hands Adult Care | Home Health Aide | 101 St. Goerge Blvd, 6t, Savannah, GA 31419 | 2020-11-03 |
| 1285241265 | Jennifer Ann Hales | Surgery | 11090 Mcauley, Suite 100 2a, Savannah, GA 31419 | 2020-09-24 |
| 1699318139 | Jessica Kaitlyn Matthewson | Nurse Practitioner | 11700 Mercy Blvd Plaza D, Bldg #5, Savannah, GA 31419 | 2019-10-28 |
| 1679133219 | Rebecca Denise Brown-tuyishimire | Counselor | Savannah Outpatient Clinic, 1170 Shawnee Street, Savannah, GA 31419 | 2019-06-17 |
| 1356900856 | Julio Roberto Castellanos Jr. | Behavior Technician | 785 King George Blvd Ste 103, Savannah, GA 31419 | 2019-06-07 |
| 1669941761 | Paul-david Arthur Cooper | Peer Specialist | 117 Shawnee Street, Va Savannah Clinic, Savannah, GA 31419 | 2018-11-19 |
| 1326538521 | Jay Carter Jr. | Social Worker | 1170 Shawnee St., Savannah, GA 31419 | 2018-05-14 |
| 1245771070 | Emily Robertson | Nurse Practitioner | 11133 Abercorm Street, Suite 10, Savannah, GA 31419 | 2017-03-13 |
| 1760833750 | Cady-jo Steidle | Behavioral Analyst | 143 Sugar Mill Cir, Savannah, GA 31419 | 2016-06-30 |
| 1265881189 | Mallory Williams | Physician Assistant | 11909 D. Mcauley Drive, Savannah, GA 31419 | 2016-06-10 |
| Find all providers in zip 31419 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063021277 | Elsa Duncan Duncan | Nurse Practitioner | 1822 E Gwinnett St, Savannah, GA 31404-1853 | 2020-07-24 |
| 1578115333 | Chantel Evette Plummer | Nurse Practitioner | 1810 E 62nd St, Savannah, GA 31404-5602 | 2019-07-11 |
| 1447685383 | Sunni L. Ogden | Nurse Practitioner | 3219 College St, Savannah, GA 31404-5254 | 2013-09-11 |
| 1447578018 | Tennessee River Pain Management Clinic | Nurse Practitioner | 275a Eureka St, Savannah, TN 38372-3033 | 2010-05-06 |
| 1487880761 | William Opoku Badu Agyemang | Nurse Practitioner | 851 Southbridge Blvd, Savannah, GA 31405-1096 | 2009-06-01 |
| 1437286135 | Rita Marie Greenbush | Nurse Practitioner | 11700 Mercy Blvd Ste 6, Savannah, GA 31419-1753 | 2007-02-28 |
| 1306951983 | Crystal Michelle Height | Nurse Practitioner | 702 W 47th St, Savannah, GA 31405-1772 | 2006-08-21 |
| 1942854625 | Mallory Duncan | Nurse Practitioner | 11705 Mercy Blvd, Savannah, GA 31419-1711 | 2019-07-30 |
| 1982256772 | Zachary Houston Jenkins | Nurse Practitioner | 329 Eisenhower Dr Ste D, Savannah, GA 31406-2695 | 2019-07-11 |
| 1013365550 | Margaret Fitch Mcclellan | Nurse Practitioner | 5353 Reynolds St Ste 107, Savannah, GA 31405-6089 | 2016-05-25 |
| Find all providers in SAVANNAH | ||||
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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.