GENA J MARKWALTER (NPI# 1508993924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508993924 |
| Entity Type | Individual |
| Full Name | GENA J MARKWALTER |
| Other Name | GENA LYNN MARKWALTER |
| Credential | NP |
| Practice Address |
3647 J Dewey Gray Cir Ste 200 Augusta GA 30909-2205 |
| Mailing Address |
Po Box 3548 Augusta GA 30914-3548 |
| Practice Telephone | 7065049712 |
| Practice Fax Number | 7065049703 |
| Mailing Telephone | 7068639595 |
| Mailing Fax Number | 7068688375 |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2018-10-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LC0200X |
Nurse Practitioner Specialization: Critical Care Medicine |
RN129040 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN129040 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3647 J DEWEY GRAY CIR STE 200 |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30909-2205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437126075 | Paul L Coffman | Physician Assistant | 3647 J Dewey Gray Cir Ste 200, Augusta, GA 30909-2205 | 2006-03-02 |
| 1346893161 | Jody Christopher Criswell | Nurse Practitioner | 3647 J Dewey Gray Cir Ste 200, Augusta, GA 30909-2205 | 2019-07-21 |
| 1295291862 | Cynthia Anne Marshall | Nurse Practitioner | 3647 J Dewey Gray Cir Ste 200, Augusta, GA 30909-2205 | 2019-02-19 |
| 1568848109 | Jacquelyn Mckinney Kalv | Nurse Practitioner | 3647 J Dewey Gray Cir Ste 200, Augusta, GA 30909-2205 | 2015-08-05 |
| 1689005233 | Joseph M Still Burn Centers, Inc | Specialist | 3647 J Dewey Gray Cir Ste 200, Augusta, GA 30909-2205 | 2013-12-09 |
| 1487081261 | Phyllis Pelfrey Costello | Nurse Practitioner | 3647 J Dewey Gray Cir Ste 200, Augusta, GA 30909-2205 | 2013-10-11 |
| 1013350131 | Mohammed Almzayyen | Surgery | 3647 J Dewey Gray Cir Ste 200, Augusta, GA 30909-2205 | 2013-04-08 |
| 1447512710 | Jeanne Ann Haid | Nurse Practitioner | 3647 J Dewey Gray Cir Ste 200, Augusta, GA 30909-2205 | 2012-06-13 |
| 1558652032 | James Christopher Bardoner | Surgery | 3647 J Dewey Gray Cir Ste 200, Augusta, GA 30909-2205 | 2011-05-02 |
| 1225366776 | Jennifer Key | Nurse Practitioner | 3647 J Dewey Gray Cir Ste 200, Augusta, GA 30909-2205 | 2009-11-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912513888 | Lauran Simpson | Behavior Technician | 1237 Augusta West Parkway, Augusta, GA 30909 | 2020-09-16 |
| 1487273884 | Still Perspectives Counseling LLC | Counselor | 1265 Inerstate Prwy, Suite B, Augusta, GA 30909 | 2020-04-15 |
| 1598397838 | Mjra Medical LLC | Psychologist | 3675 J Dewey Gray Cr Ste 300, Augusta, GA 30909 | 2020-02-05 |
| 1003452319 | Danny Robinson | Counselor | 2609 Commons Boulevard, Augusta, GA 30909 | 2019-11-21 |
| 1407498637 | Candice M Cruse | Social Worker | 2609 Commons Blvd, Augusta, GA 30909 | 2019-10-09 |
| 1902363385 | Mary D Jodon | Pharmacist | 3338 Wrightsboro Rd., Augusta, GA 30909 | 2019-02-21 |
| 1447790514 | Burn Critical Care Associates, LLC | Internal Medicine | 3614 J. Dewey Gray Circle, Bldg B., Augusta, GA 30909 | 2017-03-08 |
| 1124561766 | Sasha Latara Mccraw | Counselor | 7303 Palomino Court, Augusta, GA 30909 | 2016-11-30 |
| 1174974620 | Warren Umansky, Ph.d. | Psychologist | 302 Wheeler Executive Ctr, Augusta, GA 30909 | 2016-06-27 |
| 1811358955 | Theodora Mcleskey | Nurse Practitioner | 1215 George C. Wilson Drive, Augusta, GA 30909 | 2016-03-17 |
| Find all providers in zip 30909 | ||||
| Taxonomy Code | 363LC0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Critical Care Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255870770 | Renee Allen-murray | Nurse Practitioner | 6076 Pattillo Way, Lithonia, GA 30058-6220 | 2017-02-16 |
| 1598136814 | Jodi Holland | Nurse Practitioner | 55 Whitcher Street Suite 160, Marietta, GA 30060 | 2015-10-13 |
| 1336389980 | Kathryn Marie Moore | Nurse Practitioner | 2349 Crestcliff Dr, Tucker, GA 30084-4206 | 2009-02-23 |
| 1649887118 | Christie Sams | Nurse Practitioner | 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3031 | 2020-09-28 |
| 1275164436 | Jordan Tyler Hill | Nurse Practitioner | 550 Peachtree St Ne, Atlanta, GA 30308-2212 | 2020-01-27 |
| 1033750781 | Yhaneek N Douglas-mattis | Nurse Practitioner | 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3031 | 2019-10-03 |
| 1912558065 | Angela Renee Mcmichael | Nurse Practitioner | 677 Church St Ne, Marietta, GA 30060-1101 | 2019-09-20 |
| 1619520293 | Wendy March Greenway | Nurse Practitioner | 1133 Eagles Landing Pkwy, Stockbridge, GA 30281-5085 | 2019-07-22 |
| 1174176382 | Acenith Garvey | Nurse Practitioner | 550 Peachtree St Ne, Atlanta, GA 30308-2212 | 2019-07-17 |
| 1629538509 | Chika Ngozi Ezenekwe | Nurse Practitioner | 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3031 | 2019-03-25 |
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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.