MEGAN M WANDURRAGA (NPI# 1548569502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548569502 |
| Entity Type | Individual |
| Full Name | MEGAN M WANDURRAGA |
| Credential | N.P. |
| Practice Address |
2750 Owens Rd Sw Ste A Conyers GA 30094-3991 |
| Mailing Address |
2750 Owens Dr Ste A Conyers GA 30094 |
| Practice Telephone | 6784134644 |
| Practice Fax Number | 6784134624 |
| Mailing Telephone | 6784134644 |
| Mailing Fax Number | 6784134624 |
| Enumeration Date | 2011-03-16 |
| Last Update Date | 2011-03-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | RN203584 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2750 OWENS RD SW STE A |
| City | CONYERS |
| State | GA |
| Zip Code | 30094-3991 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407849722 | Stephanie H Gordon | Obstetrics & Gynecology | 2750 Owens Rd Sw, Suite A, Conyers, GA 30094-3991 | 2005-08-23 |
| 1871654624 | The Womens Center PC | Obstetrics & Gynecology | 2750 Owens Rd Sw, Suite A, Conyers, GA 30094-3991 | 2006-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164029054 | Darlene Fletcher | Counselor | 827 St. Clair Dr., Conyers, GA 30094 | 2020-10-05 |
| 1194363366 | Clara A Matthews | Physician Assistant | 1930 Windsor Creek Drive Sw, Conyers, GA 30094 | 2019-12-18 |
| 1659838571 | Sensitive Home Care Agency Inc. | PACE Provider Organization | 2225 Morning Dew, Conyers, GA 30094 | 2019-02-27 |
| 1679097992 | Sheira Dennis | Case Management | 3828 Martingale Dr Se, Conyers, GA 30094 | 2017-07-28 |
| 1730571399 | Wellness and Trauma Recovery Center | Counselor | 1775 Parker Rd. Building C, Suite 210, Conyers, GA 30094 | 2015-02-19 |
| 1760870612 | Michael Terrell | Technician/Technologist | 806 Cambridge Creek Dr, Conyers, GA 30094 | 2014-12-30 |
| 1538567466 | Jennifer Angela Johnson | Registered Nurse | 2240 Wren Rd Se, Conyers, GA 30094 | 2014-12-09 |
| 1225445208 | Wanda Marcella Rainey-reed | Counselor | 1453 Klondike Rd Sw Ste D, Conyers, GA 30094 | 2014-07-22 |
| 1508155268 | Nicklaus Trent Rice | Obstetrics & Gynecology | 2750 Owens Dr, Conyers, GA 30094 | 2011-04-04 |
| 1720219660 | Candace Alexander | Dentist | 863 Flat Shoals Rd Se, Suite C #220, Conyers, GA 30094 | 2009-07-27 |
| Find all providers in zip 30094 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104438530 | Mwiche Williams | Nurse Practitioner | 2337 Deerfield Chase Se, Conyers, GA 30013-6307 | 2020-08-18 |
| 1144790973 | Marlyn M. Wallace | Nurse Practitioner | 3073 Klondike Rd Sw, Conyers, GA 30094-5660 | 2018-12-05 |
| 1174979587 | Taaliba Al-alim Sahib Jr. | Nurse Practitioner | 511 Greenleaf Rd, Conyers, GA 30013-2274 | 2016-05-05 |
| 1679962534 | Rose Gayle-smith | Nurse Practitioner | 2081 Millstone Dr Sw, Conyers, GA 30094-3981 | 2015-01-15 |
| 1124363577 | Terri Tonisha Van Dorn | Nurse Practitioner | 1901 Honey Creek Commons Se, Conyers, GA 30013-5806 | 2012-12-11 |
| 1700908688 | Angela L. Bright | Nurse Practitioner | 1157 West Ave Sw # B, Conyers, GA 30012-5280 | 2007-04-04 |
| 1104486711 | Tracie Theresa Edwards | Nurse Practitioner | 1412 Milstead Ave Ne, Conyers, GA 30012-3877 | 2019-06-17 |
| 1881259703 | Desiree Riley | Nurse Practitioner | 1388 Wellbrook Cir Ne Ste A, Conyers, GA 30012-3872 | 2019-05-06 |
| 1528550068 | Chinyere Chigbu | Nurse Practitioner | 1501 Milstead Rd Ne Ste 110, Conyers, GA 30012-3849 | 2018-05-31 |
| 1093254658 | Taylor Zahn Yengst | Nurse Practitioner | 1412 Milstead Ave Ne, Conyers, GA 30012-3877 | 2017-02-15 |
| Find all providers in CONYERS | ||||
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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.