TERESA BUCKLES (NPI# 1588104715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588104715 |
| Entity Type | Individual |
| Full Name | TERESA BUCKLES |
| Practice Address |
106 Briarwood Rd Statesboro GA 30458-2459 |
| Mailing Address |
Po Box 2029 Statesboro GA 30459-2029 |
| Practice Telephone | 9128715000 |
| Practice Fax Number | 9126811444 |
| Mailing Telephone | 9128715000 |
| Mailing Fax Number | 9126811444 |
| Enumeration Date | 2017-03-07 |
| Last Update Date | 2017-03-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | RN168266 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871521260 | Teresa L Buckles | Emergency Medicine | 745 W State St, Columbus, OH 43222-1515 | 2006-06-28 |
| Street Address |
106 BRIARWOOD RD |
| City | STATESBORO |
| State | GA |
| Zip Code | 30458-2459 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841218013 | Rani S. Reddy | Internal Medicine | 106 Briarwood Rd, Statesboro, GA 30458-2459 | 2006-07-17 |
| 1477082477 | Sibyl L. Kirkland | Nurse Practitioner | 106 Briarwood Rd, Statesboro, GA 30458-2459 | 2017-06-05 |
| 1366978033 | Raina Cliett | Nurse Practitioner | 106 Briarwood Rd, Statesboro, GA 30458-2459 | 2017-05-02 |
| 1033657333 | Qian Tang | Nurse Practitioner | 106 Briarwood Rd, Statesboro, GA 30458-2459 | 2017-02-07 |
| 1588036792 | Natasha Yocco | Nurse Practitioner | 106 Briarwood Rd, Statesboro, GA 30458-2459 | 2015-10-27 |
| 1689893653 | Candler Internal Medicine | Internal Medicine | 106 Briarwood Rd, Statesboro, GA 30458-2459 | 2007-04-25 |
| 1619076551 | Yvonne C. Donaldson | Nurse Practitioner | 106 Briarwood Rd, Statesboro, GA 30458-2459 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639642218 | Youtherapy | Counselor | 430 Northside Dr East, Suite 160 Mb326, Statesboro, GA 30458 | 2019-01-07 |
| 1053891853 | Alexandria Franklin | Specialist/Technologist | 1332 Southern Dr, Statesboro, GA 30458 | 2018-08-21 |
| 1740780006 | Michael Ryan Clark | Pharmacist | 556 Northside Drive, Statesboro, GA 30458 | 2018-02-13 |
| 1689186405 | Chandler James Herman | Specialist/Technologist | 590 Herty Dr., Statesboro, GA 30458 | 2017-11-02 |
| 1477009181 | Mama Doc Pediatrics, LLC | Pediatrics | 400 East Grady Street, Statesboro, GA 30458 | 2016-09-01 |
| 1053761171 | Rebekah Roessler | Specialist/Technologist | 2687 Akins Blvd, Statesboro, GA 30458 | 2016-06-20 |
| 1427412253 | Refocus Counseling and Consulting Services | Community/Behavioral Health | 4325 Country Club, 4, Statesboro, GA 30458 | 2016-04-07 |
| 1023408523 | Kacy H. Nesmith | Nurse Practitioner | 1098 Bermuda Run, Suite 6, Statesboro, GA 30458 | 2015-02-04 |
| 1760870398 | Jessica Pasternack | Specialist/Technologist | 2687 Akins Boulevard, Statesboro, GA 30458 | 2015-01-06 |
| 1922401629 | Nathan D'amico | Student in an Organized Health Care Education/Training Program | 15 W Grady Street Unit A, Statesboro, GA 30458 | 2014-10-08 |
| Find all providers in zip 30458 | ||||
| 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 |
|---|---|---|---|---|
| 1962020057 | Shantera Clark | Nurse Practitioner | 630 Ogeechee Dr W, Statesboro, GA 30461-6753 | 2020-07-06 |
| 1194028977 | Statesboro Hma Medical Group, LLC | Nurse Practitioner | 16741 Highway 67, Suite A, Statesboro, GA 30458-2528 | 2010-12-16 |
| 1861056376 | Mh 102, PC | Nurse Practitioner | 1203 Brampton Ave, Statesboro, GA 30458-0850 | 2019-04-30 |
| 1033657333 | Qian Tang | Nurse Practitioner | 106 Briarwood Rd, Statesboro, GA 30458-2459 | 2017-02-07 |
| 1659725745 | Megan Elizabeth Marsh | Nurse Practitioner | 1 W Altman St, Statesboro, GA 30458-5212 | 2016-04-15 |
| 1386010478 | Wendy Futch | Nurse Practitioner | 1499 Fair Rd, Statesboro, GA 30458-1683 | 2015-08-12 |
| 1134524036 | Tristia Knight | Nurse Practitioner | 1499 Fair Rd, Statesboro, GA 30458-1683 | 2014-11-04 |
| 1104228402 | Karen Mcneely | Nurse Practitioner | 114 Hill Pond Ln, Statesboro, GA 30458-0872 | 2014-09-18 |
| 1912272675 | Jason Floyd Tucker | Nurse Practitioner | 1058 Bermuda Run, Statesboro, GA 30458-0858 | 2012-03-14 |
| 1265558118 | Georgia Southern University | Nurse Practitioner | 984 Plant Drive, Statesboro, GA 30460-0001 | 2007-03-22 |
| Find all providers in STATESBORO | ||||
| City | STATESBORO |
| Zip Code | 30458 |
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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.