MR. WILLIAM CHEATAM (NPI# 1598144065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598144065 |
| Entity Type | Individual |
| Full Name | MR. WILLIAM CHEATAM |
| Credential | PA |
| Practice Address |
3001 Gordon Hwy Grovetown GA 30813-3808 |
| Mailing Address |
645 Simonton Crest Dr Lawrenceville GA 30045-3512 |
| Practice Telephone | 7068554748 |
| Practice Fax Number | 7068554991 |
| Mailing Telephone | 7703776580 |
| Mailing Fax Number | 7068554991 |
| Enumeration Date | 2015-05-29 |
| Last Update Date | 2015-05-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
2678 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3001 GORDON HWY |
| City | GROVETOWN |
| State | GA |
| Zip Code | 30813-3808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477674497 | Judieth Evonne Baker-brown | Internal Medicine | 3001 Gordon Hwy, Grovetown, GA 30813-3808 | 2007-04-03 |
| 1982211520 | Elijah Lee Carter | Rehabilitation Counselor | 3001 Gordon Hwy, Grovetown, GA 30813-3808 | 2020-09-28 |
| 1902397151 | Augusta State Medical Prison | Pharmacy | 3001 Gordon Hwy, Grovetown, GA 30813-3808 | 2018-05-23 |
| 1578942769 | Georgia Dept. of Corrections | General Acute Care Hospital | 3001 Gordon Hwy, Grovetown, GA 30813-3808 | 2015-05-21 |
| 1558740704 | Colette Vincent | Nurse Practitioner | 3001 Gordon Hwy, Grovetown, GA 30813-3808 | 2015-05-20 |
| 1336383751 | Tiffany Nicole Parks | Internal Medicine | 3001 Gordon Hwy, Grovetown, GA 30813-3808 | 2009-04-29 |
| 1235340852 | Cynthia S Ditslear | Dentist | 3001 Gordon Hwy, Grovetown, GA 30813-3808 | 2007-05-25 |
| 1366653313 | Millie Reeves | Physician Assistant | 3001 Gordon Hwy, Grovetown, GA 30813-3808 | 2007-05-24 |
| 1073724894 | Smitha Suraj | Internal Medicine | 3001 Gordon Hwy, Grovetown, GA 30813-3808 | 2007-05-24 |
| 1427261130 | Timothy Young | General Practice | 3001 Gordon Hwy, Grovetown, GA 30813-3808 | 2007-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598276412 | Georgia Dental Professionals, PC | Dentist | 9596 Bentley Dr., Grovetown, GA 30813 | 2017-10-18 |
| 1558891895 | Jennifer M Humm | Dentist | 250 Merridian Drive, Grovetown, GA 30813 | 2017-06-19 |
| 1710335443 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 435 Lewiston Rd, Grovetown, GA 30813 | 2016-06-03 |
| 1558727214 | Lynda R Green | Counselor | 426 Northrop Place, Grovetown, GA 30813 | 2016-01-11 |
| 1689002610 | Patriots Park Dental, LLC | Dentist | 701 Devika Drive, Ste 10, Grovetown, GA 30813 | 2013-10-30 |
| 1255680096 | David Schulte Jr. | Internal Medicine | 925 Branch Ct Ste 2101, Grovetown, GA 30813 | 2012-09-07 |
| 1548519481 | Ashley Roberts Saunders | Pharmacist | 869 Horizon South Parkway, Grovetown, GA 30813 | 2012-09-06 |
| 1447569694 | Wallace Allen Partridge Jr. | Pharmacist | 5104 Wrightsboro Rd., Fred's Pharmacy 1699, Grovetown, GA 30813 | 2010-10-05 |
| 1497908149 | Sharon M Blair | Registered Nurse | 7640 Pleasantville Way, Grovetown, GA 30813 | 2008-10-28 |
| 1710160791 | Rebecca Meek | Nurse Practitioner | 469 Lewiston Rd, Grovetown, GA 30813 | 2007-12-12 |
| Find all providers in zip 30813 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245838374 | Erica Elizabeth West | Physician Assistant | 1155 Mount Vernon Hwy Ste 101, Atlanta, GA 30338-5439 | 2020-10-12 |
| 1801402888 | Meredith Gaines | Physician Assistant | 603 W 1st St Unit 1, Rome, GA 30161-3067 | 2020-09-16 |
| 1770108805 | Kelsey Lynne Greeff | Physician Assistant | 3400 Old Milton Pkwy Ste C, Alpharetta, GA 30005-3707 | 2020-06-15 |
| 1518596733 | Rebecca Faye Tsyrlin | Physician Assistant | 2655 Dallas Hwy Sw Ste 340, Marietta, GA 30064-7518 | 2020-04-08 |
| 1487291878 | Ashley Cohen | Physician Assistant | 250 E Ponce De Leon Ave Ste 800, Decatur, GA 30030-3438 | 2019-12-04 |
| 1932757606 | Andrea J Holley | Physician Assistant | 1629 Austin Meadows Dr, Decatur, GA 30032-3888 | 2019-08-27 |
| 1265089759 | Alexis Chester Jones | Physician Assistant | 3000 Old Alabama Rd # 128, Johns Creek, GA 30022-5860 | 2019-08-20 |
| 1841851680 | Lauren Price Fogarty | Physician Assistant | 5445 Meridian Marks Rd Ste 430, Atlanta, GA 30342-4755 | 2019-06-24 |
| 1386208262 | Jessica A Drews | Physician Assistant | 2342 Cortez Way Ne, Brookhaven, GA 30319-3914 | 2019-04-26 |
| 1174187421 | Krisna Patel | Physician Assistant | 1805 Honey Creek Cmns Se Ste B, Conyers, GA 30013-5829 | 2019-04-23 |
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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.