MR. ANTHONY WALL (NPI# 1740327139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740327139 |
| Entity Type | Individual |
| Full Name | MR. ANTHONY WALL |
| Credential | N.P. |
| Practice Address |
740 Prince Ave Athens GA 30606-5908 |
| Mailing Address |
340 N Milledge Ave Ste B Athens GA 30601-3806 |
| Practice Telephone | 7065480008 |
| Practice Fax Number | 7063699673 |
| Mailing Telephone | 7065480008 |
| Mailing Fax Number | 7063699673 |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2018-02-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | R045285 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 988504591A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598013062 | Anthony S. Wall | Pharmacist | 7311 E 29th Dr, Denver, CO 80238-2964 | 2012-08-15 |
| Street Address |
740 PRINCE AVE |
| City | ATHENS |
| State | GA |
| Zip Code | 30606-5908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861494734 | Sergio T Mejias | Surgery | 740 Prince Ave, Bld 2, Athens, GA 30606-5903 | 2005-08-11 |
| 1336556653 | Carly Wham Sayers | Nurse Practitioner | 740 Prince Ave, Building 15, Athens, GA 30606-5908 | 2014-07-18 |
| 1588923254 | Meredith Jennifer Bolton | Obstetrics & Gynecology | 740 Prince Ave, Building 3, Athens, GA 30606-5908 | 2012-05-15 |
| 1730495680 | Athens Obgyn II LLC | Specialist | 740 Prince Ave, Bldg 3, Athens, GA 30606-5908 | 2010-08-28 |
| 1841502754 | Eva Katherine Moore | Surgery | 740 Prince Ave, Bldg 1b, Athens, GA 30606-5908 | 2010-07-08 |
| 1043536469 | Ashlee R Kimbrell | Surgery | 740 Prince Ave, Bldg 8a, Athens, GA 30606-5908 | 2010-04-09 |
| 1689801532 | Rebecca L Fletcher | Obstetrics & Gynecology | 740 Prince Ave, Building #3, Athens, GA 30606-5908 | 2009-06-18 |
| 1780810226 | Heather Wheatley | Nurse Practitioner | 740 Prince Ave, Bldg 1b, Athens, GA 30606-5908 | 2009-06-10 |
| 1174768063 | Ryan Matthew Katz | Surgery | 740 Prince Ave, Bldg. 2, Athens, GA 30606-5908 | 2008-12-08 |
| 1972640852 | Northeast Ga Surgical Healthcare | Specialist | 740 Prince Ave, Blgd 8b, Athens, GA 30606-5908 | 2007-01-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942816962 | Kofi Darkwa Seffah | Student in an Organized Health Care Education/Training Program | 1199 Prince Ave #70, 1270 Prince Ave Suite 201, Athens, GA 30606 | 2020-09-16 |
| 1831712363 | Rebecca John | Licensed Practical Nurse | 240 Mitchel Bridge Road, Athens, GA 30606 | 2020-05-19 |
| 1497375612 | Alfred Ka-shing Wong | Student in an Organized Health Care Education/Training Program | 1270 Prince Ave Suite 201, Athens, GA 30606 | 2020-04-17 |
| 1881223956 | Lauren Fesperman | Nurse Practitioner | 242 King Ave Ste 130, Athens, GA 30606 | 2020-04-02 |
| 1255966081 | Westminster Presbyterian Homes, Inc. | Skilled Nursing Facility | 1400 Live Oak Ln, Building 100, Athens, GA 30606 | 2020-03-12 |
| 1255981700 | Carol Cameron Cready-pyle | Social Worker | 1551 Jennings Mill Pkwy Ste 1700, Athens, GA 30606 | 2019-09-17 |
| 1013576016 | Lauren Gruendling | Nurse Practitioner | 242 King Avenue, Suite 210, Athens, GA 30606 | 2019-06-12 |
| 1760045223 | Dominic Ofosu Amakye | Student in an Organized Health Care Education/Training Program | 1270 Prince Avenue Suite 201, Athens, GA 30606 | 2019-04-19 |
| 1740740422 | Juan G Salazar Castillo | Student in an Organized Health Care Education/Training Program | Community Internal Medicine of Athens, 1500 Oglethorpe Ave Suite 200d, Athens, GA 30606 | 2019-03-20 |
| 1750869020 | Jennifer Emily Chapman | Physical Therapist | 1021 Parkway Blvd Ste 101, Athens, GA 30606 | 2018-07-30 |
| Find all providers in zip 30606 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881223956 | Lauren Fesperman | Nurse Practitioner | 242 King Ave Ste 130, Athens, GA 30606 | 2020-04-02 |
| 1013576016 | Lauren Gruendling | Nurse Practitioner | 242 King Avenue, Suite 210, Athens, GA 30606 | 2019-06-12 |
| 1861982993 | Sarah Standard Lockwood | Nurse Practitioner | 210 Lexington Cir, Athens, GA 30605-4991 | 2018-05-15 |
| 1447798616 | Kristy Leanne Williams | Nurse Practitioner | 101 Fitness Way Ste 1200, Athens, AL 35611-2492 | 2017-02-07 |
| 1790959708 | Bertha Stauff | Nurse Practitioner | 700 Sunset Drive Suite 504, Athens, GA 30606 | 2008-04-22 |
| 1295906634 | Wendy Lynn Prince | Nurse Practitioner | 725 W Market St Ste B, Athens, AL 35611-2456 | 2008-03-13 |
| 1386868768 | Holly Collier | Nurse Practitioner | 1088 Baxter St Ste A, Athens, GA 30606-6316 | 2007-04-13 |
| 1467552315 | Margaret A. Tonkovich | Nurse Practitioner | 542 W Union St Ste B, Athens, OH 45701-8300 | 2006-09-22 |
| 1073526547 | Benna Ellis Cunningham | Nurse Practitioner | 370 River Road, Athens, GA 30602-1755 | 2006-08-14 |
| 1871502732 | Cynthia Nixon | Nurse Practitioner | 704 S Palestine St, Athens, TX 75751-3325 | 2006-08-07 |
| Find all providers in ATHENS | ||||
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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.