DAVID A THEOBALD


Address: 610 19th St, Columbus, GA 31901-1528
Phone: 7063227884

DAVID A THEOBALD (NPI# 1588003859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588003859
Entity Type Individual
Full Name DAVID A THEOBALD
Credential FNP
Practice Address 610 19th St
Columbus
GA 31901-1528
Mailing Address Po Box 9247
Columbus
GA 31908-9247
Practice Telephone 7063227884
Practice Fax Number 7062434356
Mailing Telephone 7063227884
Mailing Fax Number 7062434356
Enumeration Date 2013-06-20
Last Update Date 2015-05-06
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
151127 GA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
GA 003136829C 05

Other Providers DAVID THEOBALD

NPI Name Taxonomy Address Enumeration
1548454606 David C Theobald Chiropractor 900 Johnnie Dodds Blvd, #102, Mt Pleasant, SC 29469 2007-08-31

Office Location

Street Address 610 19TH ST
City COLUMBUS
State GA
Zip Code 31901-1528

Providers in the same location

NPI Name Taxonomy Address Enumeration
1609863133 Columbus Clinic, P.C. Clinic/Center 610 19th St, Columbus, GA 31901-1528 2005-09-30
1679034110 Holly Jordan Nurse Practitioner 610 19th St, Columbus, GA 31901-1528 2019-03-27
1700378668 Michelle Echevers Buchanan Nurse Practitioner 610 19th St, Columbus, GA 31901-1528 2018-06-05
1407364631 Kimberly A Hill Nurse Practitioner 610 19th St, Columbus, GA 31901-1528 2018-01-23
1457715401 Starr Lucy Whittaker Family Medicine 610 19th St, Columbus, GA 31901-1528 2016-04-06
1912371220 St Francis Affiliated Services LLC Dermatology 610 19th St, Columbus, GA 31901-1528 2015-11-24
1720464225 Deidre Mills Nurse Practitioner 610 19th St, Columbus, GA 31901-1528 2015-08-06
1295159143 St Francis Columbus Clinic LLC Dermatology 610 19th St, Columbus, GA 31901-1528 2014-02-13
1891134672 Kanika R White Nurse Practitioner 610 19th St, Columbus, GA 31901-1528 2013-06-14
1144663170 Lauren W Demarest Registered Nurse 610 19th St, Columbus, GA 31901-1528 2013-04-09
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Providers in the same zip code

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1770040099 Columbus Ga Homecare, LLC In Home Supportive Care 1501 13th Street., Suite G, Columbus, GA 31901 2019-02-22
1750868782 Health Matters, Inc. Clinic/Center 1124 13th St, Columbus, GA 31901 2018-07-23
1447754197 Charles Chacha Maroa Babere Student in an Organized Health Care Education/Training Program Columbus Regional Health, Midtown Medical Center, 1900 10th Avenue, Suit 100, Columbus, GA 31901 2018-03-19
1861912867 Demetria Laprel Mcgruder Community Health Worker 1230 2nd Ave., Columbus, GA 31901 2017-06-21
1679932016 Crystal Gayle Passmore Counselor 233 12th St Ste 334, Columbus, GA 31901 2016-02-13
1700256344 Kendra Ward Community Health Worker 1230 2nd Avenue, Columbus, GA 31901 2015-09-25
1437556701 Wendy Denise Thomas Adult Companion 1501 13th Street Suite F, Columbus, GA 31901 2014-12-02
1134523996 Danielle Elaine Berry General Practice Tree of Life Healthcare, 1968 North Avenue, Columbus, GA 31901 2014-10-22
1710239330 Kati Michelle Turner Pharmacist 1800 10th Avenue, Columbus, GA 31901 2012-10-05
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1962019901 Joshua Peltier Nurse Practitioner 2657 Summit St, Columbus, OH 43202-2434 2020-09-24
1891302949 Lindsay Baughman Nurse Practitioner 5866 Regency Dr, Columbus, IN 47203-4551 2020-09-23
1114530706 Renee Dawn Holloway-vaughan Nurse Practitioner 1317 Antietam Dr, Columbus, GA 31907-6887 2020-08-25
1063024354 Nathaniel Z Raidel Nurse Practitioner 5699 Sandalwood Blvd, Columbus, OH 43229-3420 2020-08-19
1174134332 Hailey Lyn Holman Nurse Practitioner 5141 W Broad St Ste 130, Columbus, OH 43228-1984 2020-08-12
1508475989 Kara Shroff Nurse Practitioner 1127 Dublin Rd, Columbus, OH 43215-1005 2020-07-30
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Competitor

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City COLUMBUS
Zip Code 31901

Improve Information

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Dataset Information

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.

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