MAGAN S GILLIAM (NPI# 1588274682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588274682 |
| Entity Type | Individual |
| Full Name | MAGAN S GILLIAM |
| Credential | NP |
| Practice Address |
259 Us Highway 19 N Camilla GA 31730-1410 |
| Practice Telephone | 2293361949 |
| Mailing Telephone | 2293361949 |
| Enumeration Date | 2020-08-04 |
| Last Update Date | 2020-09-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN203804 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
259 US HIGHWAY 19 N |
| City | CAMILLA |
| State | GA |
| Zip Code | 31730-1410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003854373 | Christine M Lockhart | Nurse Practitioner | 259 Us Highway 19 N, Camilla, GA 31730-1410 | 2006-06-02 |
| 1508305145 | Deborah Herndon | Nurse Practitioner | 259 Us Highway 19 N, Camilla, GA 31730-1410 | 2017-02-15 |
| 1043658149 | Savitri Ramdial | Family Medicine | 259 Us Highway 19 N, Camilla, GA 31730-1410 | 2013-06-11 |
| 1023452489 | Lauren F Clemmons | Family Medicine | 259 Us Highway 19 N, Camilla, GA 31730-1410 | 2013-04-28 |
| 1053549444 | Mary Carolyn Watson | Family Medicine | 259 Us Highway 19 N, Camilla, GA 31730-1410 | 2009-06-24 |
| 1740312099 | John D. Archbold Memorial Hospital, Inc. | Clinic/Center | 259 Us Highway 19 N, Camilla, GA 31730-1410 | 2007-03-12 |
| 1417997909 | Jason Henry Smith | Family Medicine | 259 Us Highway 19 N, Camilla, GA 31730-1410 | 2006-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700310059 | Phoebe Primary Care of Camilla | Clinic/Center | 725 Us Highway 19 S, Camilla, GA 31730 | 2017-04-13 |
| 1134661028 | Montreal Biggins Sr. | Counselor | 198 South Mcarthur Drive, Camilla, GA 31730 | 2016-11-09 |
| 1447639307 | Ledora Inman | Counselor | 198 S. Mac Arthur Drive, Camila, GA 31730 | 2015-05-26 |
| 1336533652 | Southern Therapeutic Massage Studio LLC | Massage Therapist | 88 W. Broad St, Camilla, GA 31730 | 2015-03-25 |
| 1013306604 | Jamekah Brooks | Counselor | 198 S Macarthur Drive, Camilla, GA 31730 | 2015-01-20 |
| 1063811651 | Develle Miller | Counselor | 198 S. Macarthur, Camilla, GA 31730 | 2014-08-19 |
| 1679980247 | Amanda Bryant | Counselor | 198 S. Macarthur Dr., Camilla, GA 31730 | 2014-07-16 |
| 1578993945 | Ted Hall | Counselor | 218 S. Mcarthur Drive, Camilla, GA 31730 | 2013-11-20 |
| 1700216280 | Michael D Fowler I | Case Management | 198 S. Macarthur Drive, Camilla, GA 31730 | 2013-11-19 |
| 1750644753 | Sally Niazi | Pharmacist | 266 E Broad Street, Camilla, GA 31730 | 2012-06-25 |
| Find all providers in zip 31730 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902005358 | Kitty M Beasley | Nurse Practitioner | 24 S Ellis St, Camilla, GA 31730-1813 | 2007-07-16 |
| 1003854373 | Christine M Lockhart | Nurse Practitioner | 259 Us Highway 19 N, Camilla, GA 31730-1410 | 2006-06-02 |
| 1053810424 | Ashley Abt | Nurse Practitioner | 90 E Stephens St, Camilla, GA 31730-1836 | 2018-02-12 |
| 1508305145 | Deborah Herndon | Nurse Practitioner | 259 Us Highway 19 N, Camilla, GA 31730-1410 | 2017-02-15 |
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|---|---|---|---|---|
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| 1033710298 | Karen F Frazier | Nurse Practitioner | 6610 Crest Wood Ln, Douglasville, GA 30135-9046 | 2020-11-04 |
| 1619578986 | Marjorie Sewannyana | Nurse Practitioner | 553 Camano Way, Mcdonough, GA 30253-8377 | 2020-11-03 |
| 1639770027 | Markesha Leshea Groomes | Nurse Practitioner | 209 N. Cuthbert, Colquitt, GA 39837-3515 | 2020-11-03 |
| 1265033625 | Ashley Thomas | Nurse Practitioner | 3750 Venture Dr Ste E4, Duluth, GA 30096-1863 | 2020-11-03 |
| 1558962894 | Anna Marie Kodama | Nurse Practitioner | 462 Furys Ferry Rd # C, Augusta, GA 30907-9506 | 2020-11-03 |
| 1093315848 | Tracy Tarvers | Nurse Practitioner | 129 Wolf Creek Dr N, Macon, GA 31210-9002 | 2020-10-30 |
| 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.