HEATHER NICOLE PICKELSIMER (NPI# 1619336005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619336005 |
| Entity Type | Individual |
| Full Name | HEATHER NICOLE PICKELSIMER |
| Other Name | HEATHER NICOLE HARVEY |
| Credential | FNP-BC |
| Practice Address |
528 Panther Dr Jefferson GA 30549 |
| Mailing Address |
528 Panther Dr Jefferson GA 30549-5400 |
| Practice Telephone | 7063875655 |
| Practice Fax Number | 7063875554 |
| Mailing Telephone | 7063875655 |
| Mailing Fax Number | 7063875554 |
| Enumeration Date | 2016-02-15 |
| Last Update Date | 2018-09-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
205932 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 528 Panther Dr, Jefferson, GA 30549 | 7063875655 | 7063875554 |
| Street Address |
528 PANTHER DR |
| City | JEFFERSON |
| State | GA |
| Zip Code | 30549 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790877835 | Jyotir Jani | Family Medicine | 528 Panther Dr, Jefferson, GA 30549-5400 | 2006-09-28 |
| 1366963811 | Athens Orthopedic Clinic, Pa | Orthopaedic Surgery | 528 Panther Dr, Jefferson, GA 30549-5400 | 2017-07-05 |
| 1598110165 | Athens Bone and Joint | Orthopaedic Surgery | 528 Panther Dr, Jefferson, GA 30549-5400 | 2016-05-02 |
| 1730359936 | Jigar Mukund Patel | Family Medicine | 528 Panther Dr, Jefferson, GA 30549-5400 | 2008-03-04 |
| 1750597597 | Lynne Beelman | Nurse Practitioner | 528 Panther Dr, Jefferson, GA 30549-5400 | 2007-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356723464 | Lindsey Marie Whitworth | Pharmacist | 918 Old Forge Lane, Jefferson, GA 30549 | 2015-06-25 |
| 1780835876 | Jeanna Ellis | Pharmacist | 1305 Washington St., Jefferson, GA 30549 | 2008-10-07 |
| 1578769246 | William Robert Newell | Dentist | 1689 Old Pendergrass Rd., Suite 350, Jefferson, GA 30549 | 2007-06-21 |
| 1003950825 | Regional Firstcare | Emergency Medicine | 528 Panther Drive, Jefferson, GA 30549 | 2007-02-16 |
| 1629118096 | Susan Marie Bell | Dietitian, Registered | 341 General Jackson Drive, Jefferson, GA 30549 | 2007-02-07 |
| 1538254008 | Douglas E Cleveland | Dentist | 411 Athens Street, Jefferson, GA 30549 | 2006-10-03 |
| 1740382894 | Tammy G Smith | Clinic/Center | 2610 Hwy 129 N, Jefferson, GA 30549 | 2006-09-01 |
| 1881641264 | Peak Rehabilitation, Inc | Clinic/Center | 1660 Washington St, Jefferson, GA 30549 | 2006-05-30 |
| 1801372578 | Stephen Edward Conwell | Nurse Practitioner | 1685 Old Pendergrass Rd, Jefferson, GA 30549 | 2018-07-16 |
| 1255871992 | Life Point Dental | Clinic/Center | 660 Washington St., Jefferson, GA 30549 | 2017-02-28 |
| Find all providers in zip 30549 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861019739 | Thomas R. Dupree Jr. | Nurse Practitioner | 321 Brooks, Jefferson, TX 75657-4443 | 2020-06-26 |
| 1750908620 | Tammy K Dupree | Nurse Practitioner | 321 Brooks # 321, Jefferson, TX 75657-4443 | 2020-06-26 |
| 1699235929 | Emmley L Cole | Nurse Practitioner | 277 E W Broadway Blvd, Jefferson, TN 37760 | 2019-03-22 |
| 1457824393 | Miranda Lyalls Jordan | Nurse Practitioner | 310 Hospital Ave, Jefferson, NC 28640 | 2019-01-03 |
| 1942779772 | Rebekah Hawkins | Nurse Practitioner | 57 Slate Ave, Jefferson, GA 30549-8220 | 2018-11-22 |
| 1013431394 | Susan Eva Harrison Martinez | Nurse Practitioner | 1514 Jefferson Hwy Fl 1, Jefferson, LA 70121-2429 | 2017-07-28 |
| 1154843373 | Stephanie Ann Mason | Nurse Practitioner | 127 Park Dr, Jefferson, GA 30549-1269 | 2017-07-10 |
| 1548706443 | Christopher Touzeau | Nurse Practitioner | 4118 Camden Dr, Jefferson, MD 21755-7302 | 2017-01-16 |
| 1033660584 | Jenia Harris | Nurse Practitioner | 530 Brown St, Jefferson, LA 70121-2602 | 2016-10-19 |
| 1194111658 | Gretchen Geist | Nurse Practitioner | N4810 State Road 89, Jefferson, WI 53549-9629 | 2015-04-11 |
| Find all providers in JEFFERSON | ||||
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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.