MRS. MARY L DILLARD (NPI# 1629561436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629561436 |
| Entity Type | Individual |
| Full Name | MRS. MARY L DILLARD |
| Credential | FNP-BC |
| Practice Address |
107 John Maddox Dr Nw Rome GA 30165-1419 |
| Practice Telephone | 7062350116 |
| Practice Fax Number | 7062355533 |
| Mailing Telephone | 7062350116 |
| Mailing Fax Number | 7062355533 |
| Enumeration Date | 2018-06-07 |
| Last Update Date | 2018-06-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN164344 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306880034 | Mary Linda Dillard | Nurse Practitioner | 735 North Drive, Hopkinsville, KY 42240-1991 | 2006-06-15 |
| 1023512696 | Mary Catherine Dillard | Registered Nurse | 1258 Holland Rd, Suffolk, VA 23434-6313 | 2018-03-20 |
| Street Address |
107 JOHN MADDOX DR NW |
| City | ROME |
| State | GA |
| Zip Code | 30165-1419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548253859 | Toby S Morgan | Otolaryngology | 107 John Maddox Dr Nw, Rome, GA 30165-1419 | 2005-08-23 |
| 1134588684 | Kerri Whittenburg | Nurse Practitioner | 107 John Maddox Dr Nw, Rome, GA 30165 | 2016-02-12 |
| 1114986163 | Ear,nose,& Throat of Northwest Georgia | Otolaryngology | 107 John Maddox Dr Nw, Rome, GA 30165-1419 | 2006-03-20 |
| 1972597177 | Debbie Allsup Garrett | Audiologist | 107 John Maddox Dr Nw, Rome, GA 30165-1419 | 2005-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346868775 | Heather Bowman | Physical Therapist | 600 Eagle, E Lake Dr, Rome, GA 30165 | 2020-07-13 |
| 1205451101 | Kristopher Nelson | Student in an Organized Health Care Education/Training Program | 4256, 304 Shorter Ave Nw #201, Rome, GA 30165 | 2020-06-16 |
| 1962061457 | Stuart Paul Shaklee | Occupational Therapy Assistant | 1356 Redmond Road, Rome, GA 30165 | 2019-06-10 |
| 1386001055 | Autumn Streetman | Counselor | 6 Mathis Drive, Rome, GA 30165 | 2016-01-26 |
| 1144695784 | Gabrador Milligan | Counselor | 6 Mathis Road, Rome, GA 30165 | 2015-12-08 |
| 1386041952 | Theresa Suits | Registered Nurse | 1 Woodbine Avenue, Rome, GA 30165 | 2014-11-26 |
| 1942561147 | Nicole C. Christian | Clinical Neuropsychologist | 305 Redmond Rd, Rome, GA 30165 | 2012-06-04 |
| 1679832711 | Niki Pareshkumar Bhavsar | Internal Medicine | 3041 Turner Mccall Blvd, Rome, GA 30165 | 2012-05-10 |
| 1285927491 | Amanda Fischer Reeves | Family Medicine | 304 Shorter Ave Nw Ste 102, Rome, GA 30165 | 2011-05-20 |
| 1033436647 | Northland Hearing Centers, Inc. | Hearing Instrument Specialist | 4 Coosawattee Ave, Rome, GA 30165 | 2010-04-23 |
| Find all providers in zip 30165 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801409966 | Jamie Marcinkowski | Nurse Practitioner | 1617 N James Street, Suite 100, Rome, NY 13440 | 2020-08-28 |
| 1174141196 | Amy Wheeler | Nurse Practitioner | 10 Walking Horse Dr Nw, Rome, GA 30165-2586 | 2020-07-07 |
| 1871115345 | Brooke Combs | Nurse Practitioner | 200 Marable Way Nw, Rome, GA 30165-1387 | 2020-05-07 |
| 1942768296 | Tina Annette Witt | Nurse Practitioner | 330 Turner Mccall Blvd Sw Ste 206, Rome, GA 30165-5632 | 2019-03-06 |
| 1821336629 | Wendy Pence | Nurse Practitioner | 3001 Turner Mccall Blvd, Rome, GA 30161 | 2013-01-29 |
| 1124268784 | Linda Josephine Wynn | Nurse Practitioner | 101 Watson St Nw, Rome, GA 30165-2172 | 2009-02-23 |
| 1831379940 | Barbara Lillian Gibson | Nurse Practitioner | 80 Redmond Rd Nw, Rome, GA 30165-1534 | 2007-11-06 |
| 1427123645 | Michael Anthony Carter | Nurse Practitioner | 327 E 11th St Se, Rome, GA 30161-6206 | 2006-11-22 |
| 1902845159 | Jennifer Lynn Maher | Nurse Practitioner | 7901 Ridge Mills Rd, Rome, NY 13440-2203 | 2006-06-05 |
| 1073511283 | Lynne S Rollins | Nurse Practitioner | 3 Broad St, Rome, GA 30161-3017 | 2005-07-12 |
| Find all providers in ROME | ||||
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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.