NATHAN WADE (NPI# 1689057754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689057754 |
| Entity Type | Individual |
| Full Name | NATHAN WADE |
| Credential | FNP |
| Practice Address |
803 S Main St Greensboro GA 30642-1211 |
| Practice Telephone | 7064531201 |
| Practice Fax Number | 7069993221 |
| Mailing Telephone | 7064531201 |
| Mailing Fax Number | 7069993221 |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2016-09-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN220439 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235567116 | Nathan Wade | Physician Assistant | 3851 Virginia Ave, Fort Pierce, FL 34981-5515 | 2013-10-31 |
| Street Address |
803 S MAIN ST |
| City | GREENSBORO |
| State | GA |
| Zip Code | 30642-1211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285635847 | Clarence H Fossier | Specialist | 803 S Main St, Greensboro, GA 30642-1211 | 2005-08-04 |
| 1225637192 | Jennifer Dixon | Nurse Practitioner | 803 S Main St, Greensboro, GA 30642-1211 | 2020-10-22 |
| 1104476936 | Jessica Devero Milner | Nurse Practitioner | 803 S Main St, Greensboro, GA 30642-1211 | 2019-09-13 |
| 1427542265 | Jessica Elizabeth Anne Simpson | Nurse Practitioner | 803 S Main St, Greensboro, GA 30642 | 2018-06-15 |
| 1790235364 | Morgan Hardigree | Nurse Practitioner | 803 S Main St, Greensboro, GA 30642-1211 | 2016-10-07 |
| 1104210459 | Sonia Suda | Internal Medicine | 803 S Main St, Greensboro, GA 30642-1211 | 2015-03-25 |
| 1093121592 | Matthew Carithers | Dentist | 803 S Main St, Greensboro, GA 30642-1211 | 2014-07-03 |
| 1538574348 | Corey Woodard | Dentist | 803 S Main St, Greensboro, GA 30642-1211 | 2014-07-01 |
| 1396183752 | Missy Leigh Jackson | Nurse Practitioner | 803 S Main St, Greensboro, GA 30642-1211 | 2013-06-07 |
| 1508202995 | Itoro Bassey Edet Daniels | Internal Medicine | 803 S Main St, Greensboro, GA 30642 | 2013-05-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821575176 | Donald Matson Keiser IIi | Pharmacist | 6380 Lake Oconee Parkway, Greensboro, GA 30642 | 2018-07-19 |
| 1427575844 | Kathleen Mcgrady | Psychologist | 1121 Careywood St, Greensboro, GA 30642 | 2017-08-25 |
| 1851733281 | April Jackson Powell | Physical Therapist | 1000 Cowles Clinc Way Ste D-100, Greensboro, GA 30642 | 2013-07-26 |
| 1003046673 | Apalachee Medical Supply & Mobility Inc | Durable Medical Equipment & Medical Supplies | 1000 Cowles Clinic Way, Aspen Building A-200, Greensboro, GA 30642 | 2009-07-17 |
| 1487808754 | Wendy C Pearson | Nurse Practitioner | 1000 Cowles Clinc Way Ste 300, Greensboro, GA 30642 | 2008-11-12 |
| 1144481516 | Kingdom Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 1020 Park Drive, Suite B, Greensboro, GA 30642 | 2008-06-18 |
| 1538369343 | Jerry Allen Spivey Jr. | Anesthesiology | 1030 Founders Row, Greensboro, GA 30642 | 2007-07-19 |
| 1578766309 | Richard Norman Lee | Dentist | 1041 Parkside Commons, Suite 104, Greensboro, GA 30642 | 2007-06-08 |
| 1609085950 | Lott Cuffie Southwest Properties | Dentist | 1050 Parkside Commons, Suite 103, Greensboro, GA 30642 | 2007-05-22 |
| 1649320490 | Greene County Nursing Center LLC | Skilled Nursing Facility | 1211 Siloam Road, Greensboro, GA 30642 | 2007-01-12 |
| Find all providers in zip 30642 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912513573 | Deanna Zieglowsky Michaux | Nurse Practitioner | 3803 Cardinal Ct, Greensboro, NC 27410-9139 | 2020-09-18 |
| 1518581412 | Tina Tate | Nurse Practitioner | Behavioral Health Hospital, 700 Walter Reed Drive, Greensboro, NC 27403 | 2020-06-05 |
| 1871145912 | Jasmine Mcentyre | Nurse Practitioner | 605 College Road, Greensboro, NC 27410-4101 | 2019-07-09 |
| 1831673821 | Kathryn Monet Bradshaw | Nurse Practitioner | 1105 Mcdowell Dr, Greensboro, NC 27408-6008 | 2018-09-17 |
| 1093296477 | Adebimpe Abimbola Olofintuyi | Nurse Practitioner | 6000 Black Willow Dr, Greensboro, NC 27405-8202 | 2018-08-23 |
| 1922593094 | Constance Foushee | Nurse Practitioner | 1100 E. Wendover, Greensboro, NC 27405 | 2018-06-29 |
| 1952890824 | Peace Dzigbordi Dormon | Nurse Practitioner | 5695 New Avedon Dr, Greensboro, NC 27455-8399 | 2018-05-07 |
| 1588153316 | Caitlyn Cook Johnston | Nurse Practitioner | 1000 Cowles Clinc Way Ste D-300, Greensboro, GA 30642-5289 | 2018-05-07 |
| 1992214357 | Jennifer Lynn Chatmon | Nurse Practitioner | 307 Pisgah Church Rd Ste J, Greensboro, NC 27455-2758 | 2017-09-28 |
| 1578084034 | Cone Health Connected Care, LLC | Nurse Practitioner | 2800 Lawndale Dr Ste 109, Greensboro, NC 27408 | 2017-07-05 |
| Find all providers in GREENSBORO | ||||
| City | GREENSBORO |
| Zip Code | 30642 |
Please comment or provide details below to improve the information on NATHAN WADE.
| 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.