MRS. CASEY C PETERSON (NPI# 1609239938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609239938 |
| Entity Type | Individual |
| Full Name | MRS. CASEY C PETERSON |
| Credential | NP-C |
| Practice Address |
817 Griffin Ave Eastman GA 31023-6718 |
| Practice Telephone | 4783741801 |
| Practice Fax Number | 4784484586 |
| Mailing Telephone | 4783741801 |
| Mailing Fax Number | 4784484586 |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2017-04-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN214257 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710548623 | Casey Peterson | Counselor | 3801 W 50th St # 250b, Minneapolis, MN 55410-2047 | 2019-06-23 |
| 1710491311 | Casey Rose Peterson | Speech-Language Pathologist | 37 Oak Hill Ter, Felton, DE 19943-5531 | 2017-11-20 |
| 1154970879 | Casey Elizabeth Peterson | Nurse Practitioner | 6326 Constitution Dr, Fort Wayne, IN 46804-1518 | 2019-09-05 |
| 1831650019 | Casey Peterson | Student in an Organized Health Care Education/Training Program | 7301 E 2nd St Ste 210, Scottsdale, AZ 85251-5620 | 2019-03-28 |
| 1861849309 | Casey Alicia Peterson | Nurse Practitioner | 1925 Pacific Ave Fl 8, Atlantic City, NJ 08401-6713 | 2016-05-14 |
| 1063752806 | Casey Allen Peterson | Nurse Anesthetist, Certified Registered | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2013-02-14 |
| Street Address |
817 GRIFFIN AVE |
| City | EASTMAN |
| State | GA |
| Zip Code | 31023-6718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093793622 | Michele Lee Pennington | Family Medicine | 817 Griffin Ave, Eastman, GA 31023-6718 | 2006-01-04 |
| 1679122501 | Bambi Ivey Allen | Registered Nurse | 817 Griffin Ave, Eastman, GA 31023-6718 | 2019-09-04 |
| 1346747664 | Catherine Michelle Moulton | Nurse Practitioner | 817 Griffin Ave, Eastman, GA 31023-6718 | 2018-04-12 |
| 1043440340 | Careconnect Health, Inc. | Clinic/Center | 817 Griffin Ave, Eastman, GA 31023-6718 | 2009-07-21 |
| 1801902143 | Walter Rios-corujo | Pediatrics | 817 Griffin Ave, Eastman, GA 31023-6718 | 2006-08-21 |
| 1710920426 | Drisde Isabel Cruz-martinez | Pediatrics | 817 Griffin Ave, Eastman, GA 31023-6718 | 2006-06-13 |
| 1962458695 | Ran, Inc. | Orthopaedic Surgery | 817 Griffin Ave, Eastman, GA 31023-6718 | 2006-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821555913 | Community Service Board of Middle Georgia | Day Training, Developmentally Disabled Services | 1444 Morgan Creek Dr, Eastman, GA 31023 | 2019-02-25 |
| 1174832232 | Lynetta Davies | Counselor | 17 Tanner Dr, Eastmon, GA 31023 | 2010-10-06 |
| 1467774380 | Dustin Phillip Smith | Chiropractor | 285 Plaza Avenue, Eastman, GA 31023 | 2010-02-19 |
| 1639311145 | D&b Home Care Inc | Durable Medical Equipment & Medical Supplies | 714 Medical Center Drive, Eastman, GA 31023 | 2009-03-30 |
| 1427273465 | Hospice Care Options Inc | Hospice Care, Community Based | 715 Legion Dr, Eastman, GA 31023 | 2007-04-16 |
| 1740318625 | Dana W Mullis | Dentist | 1003 Plaza Ave, Eastman, GA 31023 | 2007-03-01 |
| 1285787630 | 801 Legion LLC | Skilled Nursing Facility | 815 Legion Dr, Eastman, GA 31023 | 2007-01-19 |
| 1396813317 | Womens Health PC | Obstetrics & Gynecology | 821 Plaza Ave, Suite B, Eastman, GA 31023 | 2006-11-30 |
| 1932294170 | John D Roberts | Ophthalmology | 917 Plaza Avenue, Eastman, GA 31023 | 2006-10-04 |
| 1215030978 | Georgia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 535 Oak St, Eastman, GA 31023 | 2006-09-07 |
| Find all providers in zip 31023 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760021414 | Lisa June Hardy | Nurse Practitioner | 113 Log Cabin Rd, Eastman, GA 31023-2404 | 2019-12-29 |
| 1528423639 | Kristen Nicole Bryant | Nurse Practitioner | 1120 Indian Dr, Eastman, GA 31023-7670 | 2015-12-17 |
| 1306233929 | Vickie Locke | Nurse Practitioner | 1061 Woodvalley Dr, Eastman, GA 31023-7512 | 2015-04-21 |
| 1982740957 | Joy Scarborough | Nurse Practitioner | 1112 Plaza Ave Ste B, Eastman, GA 31023-9012 | 2007-01-29 |
| 1578163648 | Candace H Brown | Nurse Practitioner | 1120 Indian Dr Ste C, Eastman, GA 31023-7671 | 2020-10-28 |
| 1144871260 | Britney Ward Smith | Nurse Practitioner | 1120 Indian Dr, Eastman, GA 31023-7670 | 2019-09-20 |
| 1659923076 | Tammie Dianne Oliver | Nurse Practitioner | 1085 Plaza Ave, Eastman, GA 31023-9102 | 2019-07-16 |
| 1316509771 | Brianna Jessup Crummey | Nurse Practitioner | 911 Plaza Ave Ste C, Eastman, GA 31023-6786 | 2019-07-05 |
| 1700362878 | Amanda Llyn Parkerson | Nurse Practitioner | 1223 Plaza Ave, Eastman, GA 31023-6763 | 2018-07-12 |
| 1346747664 | Catherine Michelle Moulton | Nurse Practitioner | 817 Griffin Ave, Eastman, GA 31023-6718 | 2018-04-12 |
| Find all providers in EASTMAN | ||||
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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.