FAITH CAUSBEY (NPI# 1699867770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699867770 |
| Entity Type | Individual |
| Full Name | FAITH CAUSBEY |
| Credential | NP |
| Practice Address |
901 E 18th St Tifton GA 31794 |
| Practice Telephone | 2293536208 |
| Practice Fax Number | 2293537722 |
| Mailing Telephone | 2293536208 |
| Mailing Fax Number | 2293537722 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2014-01-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 146N00000X | Emergency Medical Technician, Basic | 112129 | GA | Emergency Medical Service Providers |
| N | 363L00000X | Nurse Practitioner | RN112129 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | LICENSE NUMBER | 112129 | 01 |
| GA | 000936438B | 05 |
| Street Address |
901 E 18TH ST |
| City | TIFTON |
| State | GA |
| Zip Code | 31794 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356433437 | David James Ferner | Emergency Medical Technician, Basic | 901 E 18th St, Tifton, GA 31794 | 2006-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982234043 | Deloris Lunsford | Licensed Practical Nurse | 903 Washington St., Tifton, GA 31794 | 2020-01-17 |
| 1194383075 | William Jordan Kinnett | Registered Nurse | 1205 Tift Ave N, Tifton, GA 31794 | 2019-06-05 |
| 1598321200 | Courtlyn Christanna Fussell | Pharmacist | 2201 Hwy 41 N, Tifton, GA 31794 | 2019-05-17 |
| 1376027722 | Martha Gibbs | Nurse Practitioner | Affinity Clinic/west Campus, 2225 Us Hwy 41 North, Tifton, GA 31794 | 2018-09-21 |
| 1427541044 | Rebekah F Cottle | Speech-Language Pathologist | 2227 Highway 41 North, Tifton, GA 31794 | 2018-06-08 |
| 1790280857 | Tift Regional Health System Inc | Ophthalmology | 1803 Old Ocilla Road, Tifton, GA 31794 | 2018-03-29 |
| 1568975431 | Skyler Clark | Pharmacist | 2201 North 12th Street, Tifton, GA 31794 | 2017-11-14 |
| 1538606306 | Imagine Peace Counseling LLC | Counselor | 223 E 2nd Street, Suite B, Tifton, GA 31794 | 2017-01-31 |
| 1073056347 | Jessica Tumbling | Contractor | 219 Savannah Way, Tifton, GA 31794 | 2016-11-18 |
| 1992159503 | Joseph Thomas Seagraves Jr. | Nurse Practitioner | 901 East 18th Street, Tifton, GA 31794 | 2016-04-20 |
| Find all providers in zip 31794 | ||||
| Taxonomy Code | 146N00000X |
| Grouping | Emergency Medical Service Providers |
| Classification | Emergency Medical Technician, Basic |
| A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards. |
| Notes: Sources: Tabers Medical Dictionary and Florida EMS Clearing House. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356433437 | David James Ferner | Emergency Medical Technician, Basic | 901 E 18th St, Tifton, GA 31794 | 2006-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851910897 | Shontay Jackson | Emergency Medical Technician, Basic | 4600 Rockbridge Rd Ste A, Stone Mountain, GA 30083-7312 | 2020-04-09 |
| 1487208542 | Jacob Longstreth | Emergency Medical Technician, Basic | 225 Crabapple Chase Ct, Alpharetta, GA 30004-6311 | 2019-07-27 |
| 1023591872 | Stephen Shugart | Emergency Medical Technician, Basic | 3230 Hopewell Chase Dr, Alpharetta, GA 30004-2539 | 2018-09-07 |
| 1275039166 | John Hudson Garrett Jr. | Emergency Medical Technician, Basic | 2414 Gatebury Cir, Atlanta, GA 30341-2633 | 2018-04-01 |
| 1629577846 | Kim Mcclenton | Emergency Medical Technician, Basic | 859 Chapman Cir, Stone Mountain, GA 30088-2553 | 2018-02-02 |
| 1962919126 | Jon-michael Troche | Emergency Medical Technician, Basic | 31 Reese Way, Savannah, GA 31419-8440 | 2018-01-09 |
| 1184162422 | Kevin Rice | Emergency Medical Technician, Basic | 1065 Great Oaks Dr, Lawrenceville, GA 30045-7187 | 2017-02-07 |
| 1932644929 | Yussuf Jamaa | Emergency Medical Technician, Basic | 6200 Memorial Dr, Suite I, Stone Mountain, GA 30083-2849 | 2016-12-29 |
| 1023480878 | Teresa Michelle Baker | Emergency Medical Technician, Basic | 3961 Brittan Glade Trl, Snellville, GA 30039-8717 | 2015-10-20 |
| 1972987683 | Etohn Nimene | Emergency Medical Technician, Basic | 3034 Meadow Church Rd, Suwanee, GA 30024-3678 | 2015-07-13 |
| 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.