MRS. JULIE GRINER MATTOX (NPI# 1578870457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578870457 |
Entity Type | Individual |
Full Name | MRS. JULIE GRINER MATTOX |
Credential | ARNP |
Practice Address |
900 Mohawk Street Ste E Savannah GA 31419 |
Practice Telephone | 9129250067 |
Practice Fax Number | 9129252381 |
Mailing Telephone | 9129250067 |
Mailing Fax Number | 9129252381 |
Enumeration Date | 2010-09-13 |
Last Update Date | 2012-04-11 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN9234658 | FL | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN211306 | GA | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 003100692A | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396095170 | Julie Kristine Mattox | Registered Nurse | 609 Taylor St Apt 8, Bakersfield, CA 93309-3036 | 2012-09-19 |
1740307727 | Julie A Mattox | Specialist/Technologist | 12901 Ne 28th St Apt 125, Vancouver, WA 98682-1228 | 2007-03-23 |
Street Address |
900 MOHAWK STREET STE E |
City | SAVANNAH |
State | GA |
Zip Code | 31419 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336184258 | Angela M Rowden | Ophthalmology | 900 Mohawk Street, Ste E, Savannah, GA 31419 | 2006-06-17 |
1265931216 | Courtney G Johnson | Nurse Practitioner | 900 Mohawk Street, Ste E., Savannah, GA 31419 | 2018-02-06 |
1255741591 | Anagen Systems, LLC | Durable Medical Equipment & Medical Supplies | 900 Mohawk Street, Savannah, GA 31419 | 2014-05-07 |
1962658963 | Jodi-ann Camille Moore | Dermatology | 900 Mohawk Street, Ste E., Savannah, GA 31419 | 2008-08-11 |
1558538355 | Larry Ivan Canfield | Physician Assistant | 900 Mohawk Street, Ste E., Savannah, GA 31419 | 2008-05-12 |
1023201936 | Angela M Wilkinson | Registered Nurse | 900 Mohawk Street, Suite A, Savannah, GA 31419 | 2007-08-23 |
1831382811 | Richard Lee Parker IIi | Dermatology | 900 Mohawk Street, Ste E., Savannah, GA 31419 | 2007-08-22 |
1184786121 | Michael Rae Huntly | Plastic Surgery | 900 Mohawk Street, Suite A, Savannah, GA 31419-1772 | 2006-12-15 |
1063448009 | William R Marshall IIi | Dermatology | 900 Mohawk Street, Ste E, Savannah, GA 31419 | 2006-06-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255932653 | Loving Hands Adult Care | Home Health Aide | 101 St. Goerge Blvd, 6t, Savannah, GA 31419 | 2020-11-03 |
1285241265 | Jennifer Ann Hales | Surgery | 11090 Mcauley, Suite 100 2a, Savannah, GA 31419 | 2020-09-24 |
1699318139 | Jessica Kaitlyn Matthewson | Nurse Practitioner | 11700 Mercy Blvd Plaza D, Bldg #5, Savannah, GA 31419 | 2019-10-28 |
1679133219 | Rebecca Denise Brown-tuyishimire | Counselor | Savannah Outpatient Clinic, 1170 Shawnee Street, Savannah, GA 31419 | 2019-06-17 |
1356900856 | Julio Roberto Castellanos Jr. | Behavior Technician | 785 King George Blvd Ste 103, Savannah, GA 31419 | 2019-06-07 |
1669941761 | Paul-david Arthur Cooper | Peer Specialist | 117 Shawnee Street, Va Savannah Clinic, Savannah, GA 31419 | 2018-11-19 |
1326538521 | Jay Carter Jr. | Social Worker | 1170 Shawnee St., Savannah, GA 31419 | 2018-05-14 |
1245771070 | Emily Robertson | Nurse Practitioner | 11133 Abercorm Street, Suite 10, Savannah, GA 31419 | 2017-03-13 |
1760833750 | Cady-jo Steidle | Behavioral Analyst | 143 Sugar Mill Cir, Savannah, GA 31419 | 2016-06-30 |
1265881189 | Mallory Williams | Physician Assistant | 11909 D. Mcauley Drive, Savannah, GA 31419 | 2016-06-10 |
Find all providers in zip 31419 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093316820 | Odyne Rose Lacossiere-dorvilus | Nurse Practitioner | 30 Myrtlewood Dr, Savannah, GA 31405-1024 | 2020-11-06 |
1952900383 | Micaiah Mitchell | Nurse Practitioner | 10612 Middleground Rd Apt 513, Savannah, GA 31419-1268 | 2020-10-17 |
1104424712 | Yolanda Michelle Miller | Nurse Practitioner | 1651 Mckinnon Dr, Savannah, GA 31404-2319 | 2020-10-15 |
1730795386 | Shanika Graham | Nurse Practitioner | 2330 Coakley St, Savannah, GA 31404-4947 | 2020-09-18 |
1508479775 | Tonya L Creasy | Nurse Practitioner | 170 Barker Dr, Savannah, TN 38372-8419 | 2020-08-28 |
1356952394 | Elizabeth Woods Hammond | Nurse Practitioner | 107 W Liberty St Apt 6, Savannah, GA 31401-3965 | 2020-08-13 |
1740898915 | Bryan S Christain | Nurse Practitioner | 340 Hodgson Ct Ste 2, Savannah, GA 31406-1523 | 2020-07-14 |
1841814753 | Billie Sweeney | Nurse Practitioner | 134 Horse Creek Rd, Savannah, TN 38372-2984 | 2020-06-05 |
1609401140 | Malika Anderson Batie | Nurse Practitioner | 1632 Cloverdale Dr, Savannah, GA 31415-7814 | 2020-03-05 |
1760017206 | Evelia Johnsen | Nurse Practitioner | 11702 Mercy Blvd Ste 2g, Savannah, GA 31419-1777 | 2020-03-05 |
Find all providers in SAVANNAH |
Please comment or provide details below to improve the information on MRS. JULIE GRINER MATTOX.
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.