CHARLENE PUGH (NPI# 1538330170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538330170 |
| Entity Type | Individual |
| Full Name | CHARLENE PUGH |
| Credential | NP |
| Practice Address |
1574 Williamson Rd Griffin GA 30224-3931 |
| Practice Telephone | 7703585252 |
| Mailing Telephone | 7703585252 |
| Enumeration Date | 2008-03-21 |
| Last Update Date | 2017-01-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WG0000X |
Registered Nurse Specialization: General Practice |
RN115365 | GA | Nursing Service Providers |
| Street Address |
1574 WILLIAMSON RD |
| City | GRIFFIN |
| State | GA |
| Zip Code | 30224-3931 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013137165 | Joyce Christine Darden | Counselor | 1574 Williamson Rd, Griffin, GA 30224-3931 | 2007-04-30 |
| 1710541263 | Melissa Blanton | Licensed Practical Nurse | 1574 Williamson Rd, Griffin, GA 30224-3931 | 2019-04-30 |
| 1306320718 | Shayne Moore | Counselor | 1574 Williamson Rd, Griffin, GA 30223 | 2018-09-20 |
| 1386128320 | Gloria Chine | Nurse Practitioner | 1574 Williamson Rd, Griffin, GA 30224 | 2018-09-15 |
| 1205319241 | Jaclyn Ethridge | Counselor | 1574 Williamson Rd, Griffin, GA 30224-3931 | 2018-09-14 |
| 1932575016 | Andrew Leo Gray | Counselor | 1574 Williamson Rd, Griffin, GA 30224-3931 | 2015-08-12 |
| 1124363874 | Jamie Alice Smith | Nurse Practitioner | 1574 Williamson Rd, Griffin, GA 30224-3931 | 2012-12-06 |
| 1073878591 | Linda Mae Fulop | Counselor | 1574 Williamson Rd, Griffin, GA 30224-3931 | 2012-07-10 |
| 1295903862 | Mcintosh Trail Csb | Community/Behavioral Health | 1574 Williamson Rd, Griffin, GA 30224-3931 | 2008-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346888971 | Latamika Renee Williams | Counselor | 1710 Ga-16 West, #6, Griffin, GA 30224 | 2019-12-13 |
| 1063062651 | Dominique S Paul-thompson | Contractor | 112 Deercreek Parkway, Griffin, GA 30224 | 2019-09-16 |
| 1497303531 | Xiaohui Zhang Brotzge | Physician Assistant | 601 S 8th Street, Griffin, GA 30224 | 2019-09-02 |
| 1548812282 | Andrew Dennis Nesmith | Registered Nurse | 601 South 8th St, Emergency Room, Griffin, GA 30224 | 2019-07-12 |
| 1073009122 | Alicia Skye Ledford | Nurse Practitioner | 619 S 8th St., Suite 200, Griffin, GA 30224 | 2018-07-02 |
| 1649787102 | Judith Fuajong Ngulefac | Nurse Practitioner | 1705 Williamson Rd, Griffin, GA 30224 | 2018-01-05 |
| 1699297077 | Amanda Norman | Speech-Language Pathologist | 106 Garnet Ln, Griffin, GA 30224 | 2017-07-07 |
| 1306214655 | Ruchi P Gandhi | Optometrist | 646 8th Street, Griffin, GA 30224 | 2015-09-03 |
| 1528473881 | Nnenna Ezeilo | Otolaryngology | 619 S 8th St Ste 304, Griffin, GA 30224 | 2014-06-25 |
| 1437436094 | C. B. Reddy Md PC | Preferred Provider Organization | 610 S 8th Street, Suite F, Griffin, GA 30224 | 2011-11-10 |
| Find all providers in zip 30224 | ||||
| Taxonomy Code | 163WG0000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285240069 | Wenqiu Jennings | Registered Nurse | 2090 Breconridge Dr Sw, Marietta, GA 30064-4179 | 2020-09-17 |
| 1982226502 | Lakesha Armstrong | Registered Nurse | 386 Bakers Ferry Trl, Martinez, GA 30907-4955 | 2020-05-18 |
| 1881227924 | Margaret Ree Chapman | Registered Nurse | 3931 Highway 78 W Ste B200, Snellville, GA 30039-3907 | 2020-02-18 |
| 1639712151 | Kristin Pitts | Registered Nurse | 219 Boggs St, Lexington, GA 30648 | 2019-10-28 |
| 1134762255 | Charmante Cyrius | Registered Nurse | 2668 Westchester Pkwy Se, Conyers, GA 30013-2400 | 2019-10-21 |
| 1417509191 | Ayodeji Moses Oluloro | Registered Nurse | 3111 Blue Heron Pass, Powder Springs, GA 30127-2399 | 2019-07-12 |
| 1538725197 | Sherry Bynum Smith | Registered Nurse | 608 Pine Ln, Lawrenceville, GA 30043-4034 | 2019-05-19 |
| 1750855599 | Tanya D Miller | Registered Nurse | 1724a Old Reynolds St, Waycross, GA 31501-1036 | 2019-01-15 |
| 1770050080 | Gussie Baccus | Registered Nurse | 115 Wellington Trl, Covington, GA 30016-8629 | 2018-10-25 |
| 1780167452 | Adenike Alaga | Registered Nurse | 3196 Dolostone Way, Dacula, GA 30019 | 2018-09-10 |
| Find all providers with the same taxonomy | ||||
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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.