JESSICA WILSON (NPI# 1619475480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619475480 |
| Entity Type | Individual |
| Full Name | JESSICA WILSON |
| Practice Address |
307 5th St Manchester GA 31816-2020 |
| Practice Telephone | 7067417025 |
| Mailing Telephone | 7067417025 |
| Enumeration Date | 2018-01-26 |
| Last Update Date | 2018-01-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467068411 | Jessica Lauren Wilson | Nutritionist | 1925 Brady Ave, Arbutus, MD 21227-4109 | 2020-09-16 |
| 1235754086 | Jessica Vienna Wilson | Massage Therapist | 13 Radnor Ave Fl 2, Croton On Hudson, NY 10520-2621 | 2020-06-08 |
| 1831749654 | Jessica Keely Wilson | Licensed Vocational Nurse | 3356 County Road 313, Dublin, TX 76446-6631 | 2019-09-13 |
| 1629622162 | Jessica Patreece Wilson | Nurse Practitioner | 7303 Brittney Lane, Kenly, NC 27542 | 2019-08-01 |
| 1346808623 | Jessica Wilson | Behavior Technician | 415 N Richard Jackson Blvd Ste 209, Panama City Beach, FL 32407-3694 | 2019-06-03 |
| 1336640820 | Jessica Wilson | Registered Nurse | 25 Connecticut Ave, Midlothian, TX 76065-6747 | 2018-02-21 |
| 1427566934 | Jessica N Wilson | Behavior Technician | 12125 Day St Ste E301, Moreno Valley, CA 92557-6704 | 2018-01-18 |
| 1912447616 | Jessica Wilson | Nurse Practitioner | 740 S Limestone J401, Lexington, KY 40536-0001 | 2017-02-28 |
| 1215387253 | Jessica Evelynne Wilson | Speech-Language Pathologist | 210 Spring Creek Ave Apt A, Bowling Green, KY 42101-5478 | 2016-06-21 |
| 1295101061 | Jessica Elaine Wilson | Marriage & Family Therapist | 983 Norumbega Dr, Monrovia, CA 91016-1826 | 2015-08-17 |
| Street Address |
307 5TH ST |
| City | MANCHESTER |
| State | GA |
| Zip Code | 31816-2020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184987935 | Clyde Copeland | Driver | 5465 Scenic Hts, Manchester, GA 31816 | 2012-06-18 |
| 1417129081 | Fuller Life Chiropractic Center PC | Chiropractor | 23 East Main St, Manchester, GA 31816 | 2008-03-24 |
| 1861694374 | Richard L Ousley Dds PC | Dentist | 404 West Perry Street, Manchester, GA 31816 | 2007-06-05 |
| 1558424093 | Fuller Life Chiropractic Center | Chiropractor | 23 East Main Street, Manchester, GA 31816 | 2006-12-18 |
| 1174980262 | Mortar & Pestle, LLC | Pharmacy | 1194 Warm Springs Hwy, Manchester, GA 31816 | 2016-01-21 |
| 1942616008 | Candice Renee Gaultney | Massage Therapist | 102 W 2nd St, Manchester, GA 31816 | 2014-07-09 |
| 1942586607 | Fuller Life Solutions | Chiropractor | 23 E Main St, Manchester, GA 31816 | 2011-10-26 |
| 1750419446 | Beckhams Hhc Pharmacy Inc | Pharmacist | 1194 Warm Springs Hwy, Manchester, GA 31816-1166 | 2007-03-02 |
| 1326006222 | Clemson Sports Medicine and Rehabilitation, Inc | Clinic/Center | 1140 Warm Springs Hwy, Manchester, GA 31816-1166 | 2006-05-02 |
| 1942296017 | Allan William Moore | Optometrist | 1180 Warm Springs Hwy, Manchester, GA 31816-1166 | 2005-09-23 |
| Find all providers in zip 31816 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205304656 | Megan Feragne | Case Manager/Care Coordinator | 48 Esquire Dr Unit C, Manchester, CT 06042-2437 | 2018-11-04 |
| 1184153975 | Elyse O'rourke | Case Manager/Care Coordinator | 415 Dubuque St Apt 3, Manchester, NH 03102-5442 | 2017-06-06 |
| 1649426677 | Dema Annette Hacker | Case Manager/Care Coordinator | 1323 Hogskin Rd, Manchester, KY 40962-8136 | 2008-08-11 |
| 1790872794 | Nadine Couch | Case Manager/Care Coordinator | 13439 S Highway 421, Manchester, KY 40962-5858 | 2006-10-10 |
| 1326694837 | Molly Caitlin Carpenter | Case Manager/Care Coordinator | 509 Memorial Dr Ste 2, Manchester, KY 40962-6196 | 2019-08-12 |
| 1831741362 | Ashley Lauren Zamalloa | Case Manager/Care Coordinator | 509 Memorial Dr Ste 2, Manchester, KY 40962-6196 | 2019-07-15 |
| 1144750951 | Erica Bright | Case Manager/Care Coordinator | 204 Town Branch Rd, Manchester, KY 40962-1322 | 2017-06-14 |
| 1689126849 | David Michael George | Case Manager/Care Coordinator | 134 Enchanted Pkwy, Suite 203, Manchester, MO 63021-5495 | 2016-11-03 |
| 1922410588 | Rebecca Richards | Case Manager/Care Coordinator | 101 Manchester St, Manchester, NH 03101-2205 | 2014-05-29 |
| 1124430954 | Chanti Rutledge | Case Manager/Care Coordinator | 444 Center St, Manchester, CT 06040-3926 | 2014-05-28 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 31816 |
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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.