SHARON MASSENGALE (NPI# 1659787034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659787034 |
| Entity Type | Individual |
| Full Name | SHARON MASSENGALE |
| Credential | NP-C |
| Practice Address |
116 Smith St Tennille GA 31089-1465 |
| Mailing Address |
Po Box 371 Wrightsville GA 31096-0371 |
| Practice Telephone | 4785521620 |
| Practice Fax Number | 4788641288 |
| Mailing Telephone | 4788643448 |
| Mailing Fax Number | 4788641288 |
| Enumeration Date | 2014-07-07 |
| Last Update Date | 2014-07-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN143548 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | GEORGIA SECRETARY OF STATE | RN143548 | 01 |
| GA | AMERICAN ACADEMY OF NURSE PRACTITIONERS | F0414179 | 01 |
| Street Address |
116 SMITH ST |
| City | TENNILLE |
| State | GA |
| Zip Code | 31089-1465 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104876390 | Community Health Care Systems, Inc. | Clinic/Center | 116 Smith St, Tennille, GA 31089-1465 | 2006-05-11 |
| 1023353497 | Alesha Michelle Edwards | Podiatrist | 116 Smith St, Tennille, GA 31089-1465 | 2012-12-11 |
| 1053467308 | Tanya Yvonne Jones | Family Medicine | 116 Smith St, Tennille, GA 31089-1465 | 2007-01-26 |
| 1306908546 | Bridgett C Bailey | Family Medicine | 116 Smith St, Tennille, GA 31089-1465 | 2006-12-14 |
| 1306920954 | Jane Paulk | Nurse Practitioner | 116 Smith St, Tennille, GA 31089-1465 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427369966 | Tennille Retirement Home, LLC | Assisted Living Facility | 525 N Main St, Tennille, GA 31089-1128 | 2010-06-30 |
| 1437719176 | Yontia Kewanda Brookins | Case Manager/Care Coordinator | 105 E 3rd Ave, Tennille, GA 31089-1340 | 2019-06-15 |
| 1689186223 | Majestic Senior Living Tennille LLC | Assisted Living Facility | 401 Martin Luther King Jr Blvd, Tennille, GA 31089-1438 | 2017-11-03 |
| 1942452065 | Lisa G Lamar | Home Health Aide | 517 Martin Luther King Jr Blvd, Tennille, GA 31089-1440 | 2008-10-21 |
| 1134694094 | Debbie Pierce Price | Counselor | 12182 Ga Highway 68 S, Tennille, GA 31089-2971 | 2018-10-08 |
| 1871845040 | Jessica Marie Womble | Driver | 731 Grady Mertz Rd, Tennille, GA 31089-3215 | 2012-10-11 |
| 1487649158 | April Babb Crisp | Counselor | 140 Jerry Brantley Ln, Tennille, GA 31089-3421 | 2005-09-19 |
| 1427696384 | Candis Julie Spivey | Specialist/Technologist, Other | 923 Irwin Rd, Tennille, GA 31089-3861 | 2019-12-11 |
| 1407455462 | Extending A Hand Home Care | Durable Medical Equipment & Medical Supplies | 207 Mill Ln, Tennille, GA 31089-4308 | 2020-10-21 |
| 1457987018 | Wende Sumner | Behavior Technician | 732 Old Watermelon Rd, Tennille, GA 31089-5544 | 2020-03-16 |
| Find all providers in zip 31089 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780285486 | Aprn Mobile Clinic LLC | Nurse Practitioner | 1361 Highwoods Pass, Grovetown, GA 30813-3994 | 2020-11-08 |
| 1093316820 | Odyne Rose Lacossiere-dorvilus | Nurse Practitioner | 30 Myrtlewood Dr, Savannah, GA 31405-1024 | 2020-11-06 |
| 1104427061 | Tya Wright | Nurse Practitioner | 1450 Newnan Crossing Blvd E Apt 13205, Newnan, GA 30265-0027 | 2020-11-05 |
| 1235730409 | Cheryl Lynn Williams | Nurse Practitioner | 282 Somerset Dr, Dallas, GA 30132-9761 | 2020-11-04 |
| 1033710298 | Karen F Frazier | Nurse Practitioner | 6610 Crest Wood Ln, Douglasville, GA 30135-9046 | 2020-11-04 |
| 1619578986 | Marjorie Sewannyana | Nurse Practitioner | 553 Camano Way, Mcdonough, GA 30253-8377 | 2020-11-03 |
| 1639770027 | Markesha Leshea Groomes | Nurse Practitioner | 209 N. Cuthbert, Colquitt, GA 39837-3515 | 2020-11-03 |
| 1265033625 | Ashley Thomas | Nurse Practitioner | 3750 Venture Dr Ste E4, Duluth, GA 30096-1863 | 2020-11-03 |
| 1558962894 | Anna Marie Kodama | Nurse Practitioner | 462 Furys Ferry Rd # C, Augusta, GA 30907-9506 | 2020-11-03 |
| 1093315848 | Tracy Tarvers | Nurse Practitioner | 129 Wolf Creek Dr N, Macon, GA 31210-9002 | 2020-10-30 |
| Find all providers with the same taxonomy | ||||
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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.