MS. CHARLOTTE LAVONIA INGRAM (NPI# 1740355999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740355999 |
| Entity Type | Individual |
| Full Name | MS. CHARLOTTE LAVONIA INGRAM |
| Credential | APRN-BC |
| Practice Address |
1650 County Services Pkwy Sw Marietta GA 30008-4010 |
| Mailing Address |
Po Box 8413 Columbus GA 31908-8413 |
| Practice Telephone | 7705142422 |
| Practice Fax Number | 7705149852 |
| Mailing Telephone | 7065650971 |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
RN049398 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891877569 | Charlotte G Ingram | Counselor | 2622 Avenue C, Scottsbluff, NE 69361-1680 | 2006-10-20 |
| Street Address |
1650 COUNTY SERVICES PKWY SW |
| City | MARIETTA |
| State | GA |
| Zip Code | 30008-4010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518962414 | Ofelia S Mandock | Pediatrics | 1650 County Services Pkwy Sw, Marietta, GA 30008-4010 | 2005-06-16 |
| 1598391112 | Sean Dougherty | Social Worker | 1650 County Services Pkwy Sw, Marietta, GA 30008-4010 | 2020-03-15 |
| 1023659737 | Sherlyne O Anatole | Nurse Practitioner | 1650 County Services Pkwy Sw, Marietta, GA 30008-4010 | 2019-10-03 |
| 1255847877 | Margaret Riddle | Counselor | 1650 County Services Pkwy Sw, Marietta, GA 30008-4010 | 2017-12-19 |
| 1548708209 | Brenda Westerman | Counselor | 1650 County Services Pkwy Sw, Marietta, GA 30008-4010 | 2017-02-02 |
| 1841737681 | Cassandra Guerrero | Counselor | 1650 County Services Pkwy Sw, Marietta, GA 30008-4010 | 2017-01-31 |
| 1548707789 | Daniel Mulcahy | Counselor | 1650 County Services Pkwy Sw, Marietta, GA 30008-4010 | 2017-01-26 |
| 1003353103 | Frieda Wright | Counselor | 1650 County Services Pkwy Sw, Marietta, GA 30008-4010 | 2017-01-26 |
| 1861939936 | Renee Christian | Counselor | 1650 County Services Pkwy Sw, Marietta, GA 30008-4010 | 2017-01-26 |
| 1679994644 | Allyson Balzuweit | Dietitian, Registered | 1650 County Services Pkwy Sw, Marietta, GA 30008-4010 | 2013-12-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952740276 | Beta Discount Pharmacy & Health Services, LLC | Pharmacy | 776 Sandtown Rd Sw, Marietta, GA 30008 | 2013-06-19 |
| 1982935607 | Family Home Care, LLC | Respite Care | 1791 Silver Leaf Ct, Marietta, GA 30008 | 2010-01-20 |
| 1952546533 | Daniel Park | Plastic Surgery | 2285 Asquith Ave Sw Ste 200, Marietta, GA 30008 | 2008-12-10 |
| 1265657399 | Scott D Warner | Chiropractor | 3201 Austell Rd Sw, Marietta, GA 30008 | 2007-04-16 |
| 1972572642 | Cobb County Board of Health | Public Health or Welfare | 1650 County Services Parkway, Marietta, GA 30008 | 2006-03-15 |
| 1538662622 | Lorna Brown | Nurse Practitioner | 1825 County Services Pkwy Sw, Marietta, GA 30008 | 2018-03-14 |
| 1760825905 | Avantika Varma | Family Medicine | 1650 County Services Pkwy Sw Ste 200, Marietta, GA 30008 | 2013-04-08 |
| 1689887663 | Brenda W Wilson | Psychiatry & Neurology | 1650 County Services Pkwy, Marietta, GA 30008 | 2007-05-07 |
| 1043423023 | Karen J Carter | Psychiatry & Neurology | 1650 County Services Pkwy, Marietta, GA 30008 | 2007-05-07 |
| 1043587330 | Francine Edwards | Speech-Language Pathologist | 3665 Austell Road Sw, Suite 1017, Marietta, GA 30008-0000 | 2011-11-30 |
| Find all providers in zip 30008 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194358754 | Beatrice Odero | Nurse Practitioner | 3727 Mill Lake Dr, Marietta, GA 30060-6273 | 2020-02-21 |
| 1407402910 | Augusta Williams | Nurse Practitioner | Attn: Augusta Williams, 2131 Kingston Court Suite 108, Marietta, GA 30067-8929 | 2019-08-12 |
| 1134727696 | Julie Nicole Polcyn | Nurse Practitioner | 207d Colegate Dr, Marietta, OH 45750-2363 | 2020-10-15 |
| 1710595988 | Chinwe Okafor | Nurse Practitioner | 1277 Kennestone Cir, Marietta, GA 30066-6029 | 2020-07-14 |
| 1497372080 | Trisha Leigh Bail | Nurse Practitioner | 207d Colegate Dr, Marietta, OH 45750-2363 | 2020-06-29 |
| 1912460601 | Jasmine Young | Nurse Practitioner | 1640 Powers Ferry Rd Se Ste 330, Marietta, GA 30067-5491 | 2019-04-09 |
| 1720543432 | Lacy Marie Workman | Nurse Practitioner | 401 Matthew St, Marietta, OH 45750-1635 | 2019-02-06 |
| 1598240822 | Maima Fortune | Nurse Practitioner | 2540 Windy Hill Rd Se, Marietta, GA 30067-8605 | 2018-10-02 |
| 1538662622 | Lorna Brown | Nurse Practitioner | 1825 County Services Pkwy Sw, Marietta, GA 30008 | 2018-03-14 |
| 1295275949 | Tanya Camiela Dunkley | Nurse Practitioner | 2540 Windy Hill Rd Se, Marietta, GA 30067-8605 | 2017-02-28 |
| 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.