DEBRA B LISTER (NPI# 1619041837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619041837 |
| Entity Type | Individual |
| Full Name | DEBRA B LISTER |
| Credential | MD |
| Practice Address |
1101 Ocilla Rd Douglas GA 31533 |
| Practice Telephone | 9123841900 |
| Practice Fax Number | 9123892105 |
| Mailing Telephone | 9123841900 |
| Mailing Fax Number | 9123892105 |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 038849 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00553682C | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851645105 | Debra Brinegar Lister | Occupational Therapist | 14418 W Meeker Blvd Ste 301, Sun City West, AZ 85375-5292 | 2012-11-07 |
| Street Address |
1101 OCILLA RD |
| City | DOUGLAS |
| State | GA |
| Zip Code | 31533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245238211 | Joel W Ferree | Internal Medicine | 1101 Ocilla Rd, Douglas, GA 31533-2207 | 2005-07-13 |
| 1982239141 | Candace Rose Musgrove | Nurse Practitioner | 1101 Ocilla Rd, Douglas, GA 31533-2262 | 2020-03-09 |
| 1750920336 | Alexis Courson | Nurse Practitioner | 1101 Ocilla Rd, Douglas, GA 31533-2207 | 2019-12-31 |
| 1649839994 | Bobby Joe Guess Jr. | Nurse Practitioner | 1101 Ocilla Rd, Douglas, GA 31533-2262 | 2019-06-11 |
| 1801390836 | Jodi Rogers | Nurse Practitioner | 1101 Ocilla Rd, Douglas, GA 31533-2207 | 2018-03-23 |
| 1518460781 | Amy Michelle Whitley | Nurse Practitioner | 1101 Ocilla Rd, Douglas, GA 31533-2207 | 2018-03-14 |
| 1487160362 | Richard Steven Keene | Nurse Practitioner | 1101 Ocilla Rd, Douglas, GA 31533-2207 | 2017-12-14 |
| 1316451735 | Beverly Denise Graham | Nurse Practitioner | 1101 Ocilla Rd, Douglas, GA 31533-2207 | 2017-11-21 |
| 1871010264 | Laura Melissa Steverson | Nurse Practitioner | 1101 Ocilla Rd, Douglas, GA 31533-2207 | 2017-08-25 |
| 1366974263 | Coffee Regional Medical Center, Inc | Medicare Defined Swing Bed Unit | 1101 Ocilla Rd, Douglas, GA 31533-2207 | 2017-03-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508470964 | Swain Drug Company LLC | Pharmacy | 855 Bowens Mill Rd Sw Suite E, Douglas, GA 31533 | 2020-09-03 |
| 1811528649 | Unison Behavioral Health | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 211 North Street, Douglas, GA 31533 | 2020-01-30 |
| 1952940793 | Teresa Smith | Pharmacist | 901 W Ward St, Douglas, GA 31533 | 2019-12-26 |
| 1447641048 | Jennifer Spivey | Nurse Practitioner | 326 Shirley Avenue, Douglas, GA 31533 | 2015-02-18 |
| 1972914497 | Jessica Lynne Courson | Nurse Practitioner | 903 West Ward Street, Suite B, Douglas, GA 31533 | 2014-05-19 |
| 1063840296 | South Central Primary Care Center | Clinic/Center | 303 Shirley Ave, Ste B, Douglas, GA 31533 | 2013-10-25 |
| 1336411008 | Unison Behavioral Health | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 118 Coweta Avenue South, Douglas, GA 31533 | 2012-01-27 |
| 1346482700 | V and V Clinic | Pediatrics | 1020 West Bryan Street, Douglas, GA 31533 | 2009-04-01 |
| 1063650406 | Jayla Snipes Bullock | Speech-Language Pathologist | 618 Bowens Mill Road Sw, Douglas, GA 31533 | 2009-01-22 |
| 1417112707 | Southern Community Services Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 315 S. Gaskin Ave, Douglas, GA 31533 | 2008-07-25 |
| Find all providers in zip 31533 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972608982 | Ross Glenn Moorman IIi | Emergency Medicine | 2104 Redbird Trail, Douglas, GA 31533 | 2006-09-14 |
| 1770516361 | Jeffery Thomas Winge | Emergency Medicine | 205 Shirley Ave, Douglas, GA 31533 | 2006-07-08 |
| 1306187737 | Peak Emergency Physicians LLC | Emergency Medicine | 111 S 5th St, Douglas, WY 82633-2434 | 2013-03-11 |
| 1023342342 | Saddle Gap Emergency Physicians LLC | Emergency Medicine | 2174 W Oak Ave, Douglas, AZ 85607-6003 | 2009-09-21 |
| 1437392859 | Asf Medical Center Inc | Emergency Medicine | 2016 Ocilla Rd, Douglas, GA 31533-2230 | 2009-04-15 |
| 1366503161 | Harley G Schalesky | Emergency Medicine | 2174 W Oak Ave, Douglas, AZ 85607-6003 | 2006-12-13 |
| 1528169190 | Johnathan E Gaskins | Emergency Medicine | 1101 Ocilla Rd, Douglas, GA 31533 | 2006-09-26 |
| 1871694448 | Charles Francis Cowart | Emergency Medicine | 1101 Ocilla Rd, Douglas, GA 31533 | 2006-09-26 |
| 1205931672 | Mark Thomas Brulte | Emergency Medicine | 200 Doctors Dr, Suite 106, Douglas, GA 31533-2201 | 2006-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760081657 | Rtw Health Services LLC | Emergency Medicine | 1951 Lenox Rd Ne, Atlanta, GA 30306-3059 | 2020-10-21 |
| 1790396984 | Chisholm Trail Urgent Care Pllc | Emergency Medicine | 11 Tsys Way, Columbus, GA 31901 | 2020-08-12 |
| 1275141467 | Viral Solutions LLC | Emergency Medicine | 1752 Moonstone Ct, Decatur, GA 30033-1411 | 2020-07-14 |
| 1376102830 | John Edward Cooke | Emergency Medicine | 2411 Tuxedo Ln Nw, Marietta, GA 30064-1898 | 2019-06-10 |
| 1538646526 | Edwige Goby Konwo-tayo | Emergency Medicine | 1183 S Hairston Rd Ste A, Stone Mountain, GA 30088-2796 | 2018-07-23 |
| 1548763899 | South Georgia Er Services, LLC | Emergency Medicine | 313 Carrick Way, Macon, GA 31210-4952 | 2018-03-13 |
| 1922517945 | Infinity Wellness Solutions LLC | Emergency Medicine | 3240 Pointe Parkway, Suite 100, Norcross, GA 30092 | 2017-09-21 |
| 1528594314 | Kendra Chantelle Krieg | Emergency Medicine | 185 Anniversary Ln, Acworth, GA 30102 | 2017-05-11 |
| 1114450806 | Peyton Jones Syed | Emergency Medicine | 13765 Brittle Rd, Alpharetta, GA 30004-3592 | 2017-04-10 |
| 1437690658 | Miles Anthony Medina | Emergency Medicine | 1133 Eagles Landing Pkwy # Er, Stockbridge, GA 30281-5085 | 2017-03-20 |
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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.