PHYLLIS BURR DOVE-EDWIN (NPI# 1548659071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548659071 |
Entity Type | Individual |
Full Name | PHYLLIS BURR DOVE-EDWIN |
Practice Address |
60 Heritage Pointe Dr Covington GA 30016-9148 |
Practice Telephone | 4044237901 |
Mailing Telephone | 4044237901 |
Enumeration Date | 2015-01-21 |
Last Update Date | 2020-03-22 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WC0400X |
Registered Nurse Specialization: Case Management |
RN152509 | GA | Nursing Service Providers |
Street Address |
60 HERITAGE POINTE DR |
City | COVINGTON |
State | GA |
Zip Code | 30016-9148 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013565605 | Katrina Williams | Case Manager/Care Coordinator | 220 Meadowidge Dr, Covington, GA 30016 | 2019-08-28 |
1407322134 | Mali Rice | Registered Nurse | 105 Syracuse Lane, Covington, GA 30016 | 2018-10-20 |
1619452927 | Angelina Jones | Contractor | 290 Piedmont Circle, Covington, GA 30016 | 2018-10-02 |
1881116721 | Springhill Manor Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 600 Spring Hill Drive, Covington, GA 30016 | 2017-07-12 |
1922538529 | Tisha Owes | Home Health | 110 Trinity Dr, Covington, GA 30016 | 2017-06-15 |
1053868695 | Delhia Assanah IIi | Counselor | 101 Kirkland Road, Covington, GA 30016 | 2016-09-01 |
1760834295 | Resurgens East Surgery Center, LLC | Clinic/Center | 3241 Iris Dr, Suite 100, Covington, GA 30016 | 2016-07-08 |
1528443371 | Latoya N Wright | Counselor | 100 Winnstead Place, Covington, GA 30016 | 2015-07-22 |
1598157307 | Sierra Private Homecare, Inc. | Adult Companion | 75 Cinnamon Oak Circle, Covington, GA 30016 | 2015-03-03 |
1326391079 | Lana Abiola Fraser | Nurse's Aide | 840 Oakhill Road, Covington, GA 30016 | 2012-10-18 |
Find all providers in zip 30016 |
Taxonomy Code | 163WC0400X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Case Management |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639417355 | Maxwell Collimore Pierre I | Registered Nurse | 2680 Highway 81 S, Covington, GA 30016-7514 | 2013-01-30 |
1518176726 | Ella M Mitchell | Registered Nurse | 1997 Highway 51 S, Covington, TN 38019-3630 | 2007-05-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760082119 | Jacqueline Roseann Bushell | Registered Nurse | 1245 Riverloch Way, Lawrenceville, GA 30043-4488 | 2020-10-27 |
1326665167 | Terri L Watkins | Registered Nurse | 2102 Cobblestone Blvd, Stockbridge, GA 30281-7328 | 2020-06-27 |
1376172528 | Kelli Tesler | Registered Nurse | 5505 Peachtree Dunwoody Rd Ste 200, Atlanta, GA 30342-1749 | 2020-04-08 |
1902435381 | Shaundra Renee Foree | Registered Nurse | 1730 Silver Way, Lithia Springs, GA 30122-3956 | 2020-04-07 |
1932735149 | Bhanmattie Anupa Motee | Registered Nurse | 1712 Castle Ct, Riverdale, GA 30296-2946 | 2020-03-19 |
1568097723 | Peace At Last Private Home Care LLC. | Registered Nurse | 5596 Mayfair Crossing Dr, Lithonia, GA 30038-1182 | 2020-03-09 |
1649812298 | Princess Mary Ibekwe-onwueme | Registered Nurse | 4875 China Berry Dr, Powder Springs, GA 30127-5661 | 2019-10-15 |
1184288730 | Allyson Blue | Registered Nurse | 7870 Waterlace Dr, Fairburn, GA 30213-4647 | 2019-04-30 |
1093270852 | Ivy R Harper | Registered Nurse | 3017 Katherine Valley Rd, Decatur, GA 30032-5826 | 2019-02-06 |
1699242990 | Ericka Francis | Registered Nurse | 2636 Martin Luther King Jr Dr Sw Ste 12&22, Atlanta, GA 30311-1634 | 2018-10-25 |
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.