MRS. THERESA ELAINE BAIZE (NPI# 1528106408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528106408 |
| Entity Type | Individual |
| Full Name | MRS. THERESA ELAINE BAIZE |
| Credential | FNP, BC |
| Practice Address |
3207 Country Club Dr Valdosta GA 31605-1029 |
| Mailing Address |
3207 Country Club Drive Valdosta GA 31605 |
| Practice Telephone | 2292428480 |
| Practice Fax Number | 2292410252 |
| Mailing Telephone | 2292428480 |
| Mailing Fax Number | 2292510252 |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2008-10-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
156046 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | TRICARE | 261356861 | 01 |
| Street Address |
3207 COUNTRY CLUB DR |
| City | VALDOSTA |
| State | GA |
| Zip Code | 31605-1029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730180191 | William Roy Grow | Internal Medicine | 3207 Country Club Dr, Valdosta, GA 31605-1029 | 2005-08-09 |
| 1396950994 | Hernando Moreno | Internal Medicine | 3207 Country Club Dr, Valdosta, GA 31605-1029 | 2007-05-14 |
| 1538200035 | Valdosta Medical Clinic | Clinic/Center | 3207 Country Club Dr, Valdosta, GA 31605-1029 | 2007-02-09 |
| 1700943958 | Lowndes County Ambulatory Surgical Center | Clinic/Center | 3207 Country Club Dr, Valdosta, GA 31605-1029 | 2007-01-03 |
| 1124016860 | Kesavan Gopa Kumar | Internal Medicine | 3207 Country Club Dr, Valdosta, GA 31605-1029 | 2005-10-06 |
| 1467449272 | Alford Timothy Brady | Internal Medicine | 3207 Country Club Dr, Valdosta, GA 31605-1029 | 2005-10-06 |
| 1316933823 | Edward John Fricker | Internal Medicine | 3207 Country Club Dr, Valdosta, GA 31605-1029 | 2005-09-21 |
| 1497749733 | Thomas Warren Hobby | Internal Medicine | 3207 Country Club Dr, Valdosta, GA 31605-1029 | 2005-09-01 |
| 1669465746 | Arvind Gupta | Internal Medicine | 3207 Country Club Dr, Valdosta, GA 31605-1029 | 2005-08-24 |
| 1447242367 | Jeffery Irwin Johnson | Internal Medicine | 3207 Country Club Dr, Valdosta, GA 31605-1029 | 2005-08-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508484718 | Mckenna Kristine Bachmann | Specialist/Technologist | Moody Air Force Base, Valdosta, GA 31605 | 2020-07-14 |
| 1376056366 | Michael Brent Robinson Sr. | Contractor | 3863 Camellia Dr., Valdosta, GA 31605 | 2017-11-13 |
| 1679013452 | Baptist Specialty Physicians Inc | Pediatrics | 3301 N Oak St Ext, Valdosta, GA 31605 | 2017-02-28 |
| 1649683541 | Dustin Ross Kilby | Dentist | 2704 Oak Center Dr, Valdosta, GA 31605 | 2014-06-09 |
| 1659643286 | Brittnaey Nicole Freeman | Behavioral Analyst | 3982 Karaline Cir, Valdosta, GA 31605 | 2012-01-27 |
| 1780970335 | Laura Christen Cribbs | Counselor | 3312-d N Oak Street Ext, Valdosta, GA 31605 | 2011-06-22 |
| 1992090633 | Mary Katelyn Harper | Pharmacist | 3200 North Oak Street, Valdosta, GA 31605 | 2011-06-10 |
| 1053532937 | Robert Mark Pearson | Dentist | 3227 N. Oak St. Ext., Valdosta, GA 31605 | 2007-05-01 |
| 1083838650 | Am Sleep Diagnostics and Research Center | Clinic/Center | 3334 Greyatone Way, Valdosta, GA 31605 | 2007-04-12 |
| 1831236181 | William Ashley Moorman | Dentist | Advanced Dental Care, 3211 Wildwood Plantation Drive, Valdosta, GA 31605 | 2007-01-30 |
| Find all providers in zip 31605 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962017368 | Katrina Terrell Horne | Nurse Practitioner | 15 Pinetree Cir, Valdosta, GA 31601-6256 | 2020-09-11 |
| 1669009585 | Cindy Renee James | Nurse Practitioner | 2517 Bemiss Rd Ste F, Valdosta, GA 31602-1900 | 2020-03-23 |
| 1629602776 | Jennifer Lynn Cason | Nurse Practitioner | 406 Northside Dr Ste M, Valdosta, GA 31602-1853 | 2020-02-27 |
| 1528611365 | Nishaben T. Patel | Nurse Practitioner | 3120 North Oak Street Extension, Suite B, Valdosta, GA 31602 | 2019-07-22 |
| 1427615871 | Blair Elizabeth Tomlinson | Nurse Practitioner | 2124 Lakeshore Drive, Valdosta, GA 31602 | 2019-05-21 |
| 1447715529 | Amanda Brunetto | Nurse Practitioner | 2418 N Oak St Ste J, Valdosta, GA 31602-2575 | 2019-02-04 |
| 1639640436 | Brad Jay Jones | Nurse Practitioner | 470 Lazy River Dr, Valdosta, GA 31602-8245 | 2018-12-06 |
| 1396215703 | James Robert Garrett | Nurse Practitioner | 3790 Old Us Highway 41 N Ste B, Valdosta, GA 31602-6866 | 2018-11-28 |
| 1508350661 | Iulian Vuc | Nurse Practitioner | 2922 N Oak St Ste A, Valdosta, GA 31602-1885 | 2018-06-21 |
| 1346732617 | Catherine Mashburn Price | Nurse Practitioner | 3116 N Oak Street Ext Ste B, Valdosta, GA 31602-1007 | 2018-06-03 |
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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.