KAYLA MARIE ROSE (NPI# 1689021651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689021651 |
| Entity Type | Individual |
| Full Name | KAYLA MARIE ROSE |
| Credential | PA-C |
| Practice Address |
3207 Country Club Drive Bldg. B Valdosta GA 31605-1029 |
| Mailing Address |
Po Box 0070 Valdosta GA 31603-0070 |
| Practice Telephone | 2294338160 |
| Practice Fax Number | 2292442707 |
| Mailing Telephone | 2294338160 |
| Mailing Fax Number | 2292442707 |
| Enumeration Date | 2016-05-19 |
| Last Update Date | 2018-03-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 008652 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 0010-06635 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992364020 | Kayla M Rose | Optometrist | 621 Pound Hill Rd Ste 104, North Smithfield, RI 02896-9358 | 2019-06-12 |
| 1568980084 | Kayla Rose | Community Health Worker | 44 Diauto Dr, Randolph, MA 02368-4536 | 2017-09-05 |
| 1770029670 | Kayla Rose | Registered Nurse | 170 Governors Ave, Medford, MA 02155-1643 | 2017-01-16 |
| 1972956035 | Kayla Rose | Specialist | 2630 W Rumble Rd, Modesto, CA 95350-0155 | 2016-07-13 |
| Street Address |
3207 COUNTRY CLUB DRIVE BLDG. B |
| City | VALDOSTA |
| State | GA |
| Zip Code | 31605-1029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215574926 | Southwell Ambulatory Inc | Clinic/Center | 3207 Country Club Drive, Valdosta, GA 31605-1029 | 2019-12-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508484718 | Mckenna Kristine Bachmann | Specialist/Technologist | Moody Air Force Base, Valdosta, GA 31605 | 2020-07-14 |
| 1376056366 | Michael Brent Robinson Sr. | Contractor | 3863 Camellia Dr., Valdosta, GA 31605 | 2017-11-13 |
| 1679013452 | Baptist Specialty Physicians Inc | Pediatrics | 3301 N Oak St Ext, Valdosta, GA 31605 | 2017-02-28 |
| 1649683541 | Dustin Ross Kilby | Dentist | 2704 Oak Center Dr, Valdosta, GA 31605 | 2014-06-09 |
| 1659643286 | Brittnaey Nicole Freeman | Behavioral Analyst | 3982 Karaline Cir, Valdosta, GA 31605 | 2012-01-27 |
| 1780970335 | Laura Christen Cribbs | Counselor | 3312-d N Oak Street Ext, Valdosta, GA 31605 | 2011-06-22 |
| 1992090633 | Mary Katelyn Harper | Pharmacist | 3200 North Oak Street, Valdosta, GA 31605 | 2011-06-10 |
| 1053532937 | Robert Mark Pearson | Dentist | 3227 N. Oak St. Ext., Valdosta, GA 31605 | 2007-05-01 |
| 1083838650 | Am Sleep Diagnostics and Research Center | Clinic/Center | 3334 Greyatone Way, Valdosta, GA 31605 | 2007-04-12 |
| 1831236181 | William Ashley Moorman | Dentist | Advanced Dental Care, 3211 Wildwood Plantation Drive, Valdosta, GA 31605 | 2007-01-30 |
| Find all providers in zip 31605 | ||||
| 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 |
|---|---|---|---|---|
| 1073633509 | Lonas Edward Lewis II | Physician Assistant | 3251 Inner Perimeter Rd Ste B, Valdosta, GA 31602-1026 | 2007-03-29 |
| 1902981996 | Bradley Gene Ridge | Physician Assistant | 3294 North Oak St. Ext., Valdosta, GA 31605 | 2006-10-26 |
| 1093816662 | Shonta K Winbush | Physician Assistant | 704 Gil Harbin Ind Blvd, Valdosta, GA 31602 | 2006-09-26 |
| 1851329155 | Stephanie P Young | Physician Assistant | 117 West Northside Drive, Valdosta, GA 31602 | 2006-06-28 |
| 1093759011 | Matthew Allan Thomas | Physician Assistant | 2412 N Oak St, Valdosta, GA 31602-2567 | 2006-06-16 |
| 1457329641 | Landis Coffee Gordon | Physician Assistant | 3527 N Valdosta Road, Valdosta, GA 31602 | 2006-03-14 |
| 1679541098 | Shawn E Tywon | Physician Assistant | 420 Northside Dr, Valdosta, GA 31602 | 2006-03-10 |
| 1629538822 | Trevor Lawton Davis | Physician Assistant | 3301 N Oak Street Ext, Valdosta, GA 31605 | 2019-03-22 |
| 1033675467 | Ashly Mcdaniel | Physician Assistant | 3527 N Valdosta Rd, Valdosta, GA 31602-6418 | 2019-02-11 |
| 1487164497 | Katharine Victoria Lee | Physician Assistant | 2501 N Patterson St, Valdosta, GA 31602-1735 | 2017-10-04 |
| Find all providers in VALDOSTA | ||||
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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.