JAIME LYNN BUCKELEW (NPI# 1700366606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700366606 |
| Entity Type | Individual |
| Full Name | JAIME LYNN BUCKELEW |
| Credential | CSFA |
| Practice Address |
800 Kennesaw Ave Nw Ste 120 Marietta GA 30060-1052 |
| Practice Telephone | 6785565138 |
| Practice Fax Number | 7703366620 |
| Mailing Telephone | 6785565138 |
| Mailing Fax Number | 7703366620 |
| Enumeration Date | 2018-08-20 |
| Last Update Date | 2018-08-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
164724 | GA | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
800 KENNESAW AVE NW STE 120 |
| City | MARIETTA |
| State | GA |
| Zip Code | 30060-1052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154446433 | Rhonda Kay Thompson Herring | Physician Assistant | 800 Kennesaw Ave Nw Ste 120, Marietta, GA 30060 | 2007-03-19 |
| 1003455874 | Torey Charlise Davis-bogan | Physician Assistant | 800 Kennesaw Ave Nw Ste 120, Marietta, GA 30060-1052 | 2019-12-27 |
| 1326527409 | Brittany Nicole Crowder | Specialist/Technologist, Other | 800 Kennesaw Ave Nw Ste 120, Marietta, GA 30060-1052 | 2018-08-09 |
| 1801328794 | Brittany Zoe Burdett | Physician Assistant | 800 Kennesaw Ave Nw Ste 120, Marietta, GA 30060 | 2017-03-30 |
| 1427595339 | Ashleigh Dupree | Physician Assistant | 800 Kennesaw Ave Nw Ste 120, Marietta, GA 30060-1052 | 2017-01-30 |
| 1720522600 | Benjamin Robert Herron | Physician Assistant | 800 Kennesaw Ave Nw Ste 120, Marietta, GA 30060 | 2016-12-12 |
| 1831631464 | Christen Michelle O'brian | Physician Assistant | 800 Kennesaw Ave Nw Ste 120, Marietta, GA 30060 | 2016-11-14 |
| 1528519246 | Bridgette Denise Wokal | Physician Assistant | 800 Kennesaw Ave Nw Ste 120, Marietta, GA 30060 | 2016-10-18 |
| 1376093120 | Sarah Elizabeth White | Physician Assistant | 800 Kennesaw Ave Nw Ste 120, Marietta, GA 30060 | 2016-10-05 |
| 1255767950 | Nathanael Shane Hornsby | Physician Assistant | 800 Kennesaw Ave Nw Ste 120, Marietta, GA 30060 | 2013-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144845116 | Legacy Center for Spinal Surgery, LLC | Neurological Surgery | 1900 The Exchange, Ne, Suite 600, Marietta, GA 30060 | 2020-06-15 |
| 1407477193 | Michael Cynil Daniel | Counselor | 698 N Marietta, Pkwy, Marietta, GA 30060 | 2020-05-04 |
| 1285253401 | Cameron Thomas Kennelly | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne Attn:gme, Marietta, GA 30060 | 2020-04-09 |
| 1922640739 | Jeremiah George Blair | Physician Assistant | 61 Whitcher St Suite 2100, Marietta, GA 30060 | 2019-10-14 |
| 1164064945 | Denise Alicia Mick | Registered Nurse | 677 Church St Wellstar Kennestone Hospital, Marietta, GA 30060 | 2019-10-12 |
| 1184283772 | Iora Health Georgia, P.C. | Internal Medicine | 280 Cobb Pkwy Se, Suite 60, Marietta, GA 30060 | 2019-06-07 |
| 1346703212 | Caitlin Virginia Mueller | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne, Attn: Gme, Marietta, GA 30060 | 2019-04-08 |
| 1184187205 | Adero Francis | Student in an Organized Health Care Education/Training Program | Wellstar Kennestone Gme Internal Medicine Clinic, 833 Campbell Hill St Nw, Suite 250, Marietta, GA 30060 | 2019-04-08 |
| 1659832749 | Matthew Mozzo | Student in an Organized Health Care Education/Training Program | 677 Church Street / Lower Level, Gme Department / I.m., Marietta, GA 30060 | 2019-03-29 |
| 1245797430 | La'myia Spentz | Specialist | 109 Anderson St Ne, Suite 608, Marietta, GA 30060 | 2019-02-25 |
| Find all providers in zip 30060 | ||||
| Taxonomy Code | 246ZC0007X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Surgical Assistant |
| A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training. |
| Notes: Source: Association of Surgical Assistants, 2014. [7/1/2014: title modified, definition modified] http://www.surgicalassistant.org/index.php/surgical-assisting Additional Resources: National Surgical Assistant Association, www.nsaa.net. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942818422 | Lisa M Arey | Specialist/Technologist, Other | 2429 Salem Ct Sw, Marietta, GA 30064-4259 | 2020-07-21 |
| 1003448911 | Kirstin Gabler | Specialist/Technologist, Other | 2119 Wilshire Dr Sw, Marietta, GA 30064-4197 | 2020-02-08 |
| 1235676495 | Kej Surgical Services LLC | Specialist/Technologist, Other | 2770 Holly Ridge Cir, Marietta, GA 30062-4602 | 2017-01-26 |
| 1114374287 | Michael Johnson | Specialist/Technologist, Other | 2886 Sandy Plains Rd, Marietta, GA 30066-0240 | 2016-05-19 |
| 1184007668 | Victoria Cochran | Specialist/Technologist, Other | 833 Campbell Hill St Nw Ste 280, Marietta, GA 30060-1162 | 2015-07-02 |
| 1811508658 | Seba Surgical Assisting, LLC | Specialist/Technologist, Other | 2429 Salem Ct Sw, Marietta, GA 30064-4259 | 2020-08-14 |
| 1750910246 | Morgan Holnaider | Specialist/Technologist, Other | 800 Kennesaw Ave Nw Ste 130, Marietta, GA 30060-1052 | 2020-04-06 |
| 1144863614 | Catherine Collins | Specialist/Technologist, Other | 833 Campbell Hill St Nw Ste 280, Marietta, GA 30060-1162 | 2019-10-28 |
| 1326527409 | Brittany Nicole Crowder | Specialist/Technologist, Other | 800 Kennesaw Ave Nw Ste 120, Marietta, GA 30060-1052 | 2018-08-09 |
| 1225566540 | Joshua Stewart Tatum | Specialist/Technologist, Other | 833 Campbell Hill St Nw Ste 280, Marietta, GA 30060-1162 | 2017-05-31 |
| Find all providers in MARIETTA | ||||
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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.