KENNETH JEREMY MICHEFF (NPI# 1649677709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649677709 |
| Entity Type | Individual |
| Full Name | KENNETH JEREMY MICHEFF |
| Other Name | JEREMY MICHEFF |
| Credential | PA |
| Practice Address |
1107 Memorial Dr Suite 201 Dalton GA 30720-8668 |
| Practice Telephone | 7062777311 |
| Practice Fax Number | 7062723512 |
| Mailing Telephone | 7062777311 |
| Mailing Fax Number | 7062723512 |
| Enumeration Date | 2014-12-04 |
| Last Update Date | 2020-04-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 007281 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1107 MEMORIAL DR SUITE 201 |
| City | DALTON |
| State | GA |
| Zip Code | 30720-8668 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689671323 | Wallace R Weeks | Family Medicine | 1107 Memorial Dr, Suite 300, Dalton, GA 30720-8662 | 2005-07-07 |
| 1568865947 | Shirin Noorani | Nurse Practitioner | 1107 Memorial Dr, Suite 201, Dalton, GA 30720-8668 | 2014-09-30 |
| 1053720441 | Susan Marina Yates | Nurse Practitioner | 1107 Memorial Dr, Suite 100, Dalton, GA 30720-8668 | 2014-08-11 |
| 1679992341 | Jennifer Wright | Physician Assistant | 1107 Memorial Dr, Suite 201, Dalton, GA 30720-8668 | 2014-04-10 |
| 1699199497 | Natasha Micheff | Nurse Practitioner | 1107 Memorial Dr, Suite 201, Dalton, GA 30720-8668 | 2014-02-13 |
| 1215366844 | Ashley Miller | Physician Assistant | 1107 Memorial Dr, Suite 201, Dalton, GA 30720-8668 | 2013-11-04 |
| 1639418874 | Shanna E. Avila | Physician Assistant | 1107 Memorial Dr, Suite 201, Dalton, GA 30720-8668 | 2013-02-07 |
| 1235482001 | Lyndsey Renee Randolph | Nurse Practitioner | 1107 Memorial Dr, Suite 201, Dalton, GA 30720-8668 | 2012-10-18 |
| 1356699169 | Amanda L Smidt | Nurse Practitioner | 1107 Memorial Dr, Suite 201, Dalton, GA 30720-8668 | 2012-08-28 |
| 1508121575 | Carol Beth Marrs | Nurse Practitioner | 1107 Memorial Dr, Suite 201, Dalton, GA 30720-8668 | 2012-07-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528688421 | Nighat Purnima Kabir | Student in an Organized Health Care Education/Training Program | Hamilton Medical Center, Attn: Residency Program, 1200 Memorial Drive, Dalton, GA 30720 | 2020-04-21 |
| 1720620727 | Elizabeth Nicole Gregory | Behavioral Analyst | 1201 Burleyson Rd., Dalton, GA 30720 | 2019-10-10 |
| 1972161768 | Andrea Nicole Henry | Speech-Language Pathologist | 1201 Burleyson Road, Dalton, Ga. 30720, Dalton, GA 30720 | 2019-06-05 |
| 1275056905 | Cynthia L Wood | Speech-Language Pathologist | 1011 Professional Blvd., Dalton, GA 30720 | 2017-07-25 |
| 1073069225 | Alyssa Sellers Garner | Nurse Practitioner | 1436 Chattanooga Avenue, Dalton, GA 30720 | 2016-08-28 |
| 1588039077 | Katie Walker | Social Worker | 900 Shugart Road, Dalton, GA 30720 | 2015-12-09 |
| 1215310800 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 98 West Walnut Ave, Dalton, GA 30720 | 2015-07-01 |
| 1275969081 | Stacy Kay Whitehead | Nurse Practitioner | 1411 Chattanooga Avenue, Suite 101, Dalton, GA 30720 | 2013-09-25 |
| 1821439985 | Chantal Aneka Raheeda Lewis | Internal Medicine | 1109 Burleyson Rd Ste 103, Dalton, GA 30720 | 2013-07-17 |
| 1174960678 | Homestead Hospice of Northwest Georgia, LLC | Hospice Care, Community Based | 1601 Hickory Street, Dalton, GA 30720 | 2013-05-24 |
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| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033429709 | Denise Rene White | Physician Assistant | 1600 Broadrick Drive, Dalton, GA 30720-3012 | 2010-10-15 |
| 1134177801 | Cara H Bramlett | Physician Assistant | 508 E Morris St, Dalton, GA 30721-3403 | 2006-05-05 |
| 1669087615 | Taylor Nicole Efaw | Physician Assistant | 1114 Professional Blvd, Dalton, GA 30720-2588 | 2020-09-15 |
| 1306405865 | Chelsea Taylor Mckenzie | Physician Assistant | 1200 Memorial Dr, Dalton, GA 30720-2529 | 2019-06-10 |
| 1629530365 | Allison Bond Wilson | Physician Assistant | 1506 Professional Ct, Dalton, GA 30720-2500 | 2019-04-02 |
| 1164931622 | Haley Mertz | Physician Assistant | 1107 Memorial Dr Ste 102, Dalton, GA 30720-8662 | 2017-09-27 |
| 1710347976 | Anna Lee Mulligan | Physician Assistant | 1200 Memorial Dr, Dalton, GA 30720-2529 | 2016-03-02 |
| 1174925655 | Mary Elizabeth Howard | Physician Assistant | 1200 Memorial Dr, Dalton, GA 30720-2529 | 2014-09-16 |
| 1679992341 | Jennifer Wright | Physician Assistant | 1107 Memorial Dr, Suite 201, Dalton, GA 30720-8668 | 2014-04-10 |
| 1215366844 | Ashley Miller | Physician Assistant | 1107 Memorial Dr, Suite 201, Dalton, GA 30720-8668 | 2013-11-04 |
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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.