NICOLE A WHITE (NPI# 1740436963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740436963 |
| Entity Type | Individual |
| Full Name | NICOLE A WHITE |
| Credential | EDS |
| Practice Address |
1917 Bridgestone Cir Conyers GA 30012-3782 |
| Practice Telephone | 7704833368 |
| Enumeration Date | 2008-08-08 |
| Last Update Date | 2008-08-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114442589 | Nicole Marie White | Midwife | 3138 Rosa Parks Blvd, Detroit, MI 48216-1218 | 2017-08-07 |
| 1710324082 | Nicole Lee White | Developmental Therapist | 159 Arnett Grove Rd, 159 Arnett Grove Rd., Glasgow, KY 42141-9685 | 2013-05-28 |
| 1407015456 | Nicole Marie White | Dentist | 4320 Osage Beach Parkway, Suite A, Osage Beach, MO 65065 | 2008-06-05 |
| 1124249198 | Nicole White | Registered Nurse | 14701 East Exposition Avenue, Aurora, CO 80012 | 2007-05-01 |
| 1861092918 | Nicole White | Behavior Technician | 7529 Standish Pl Ste 355, Derwood, MD 20855-2733 | 2020-10-28 |
| 1922615087 | Nicole L White | Technician | 23 Senior Center Dr, Sutton, WV 26601-9581 | 2020-09-23 |
| 1417562521 | Nicole White | Counselor | 213 E Chestnut St, Mount Vernon, OH 43050-3404 | 2020-09-15 |
| 1376153262 | Nicole Leigh White | Nurse Practitioner | 895 City Center Blvd Ste 152, Newport News, VA 23606-3080 | 2020-08-05 |
| 1619514791 | Nicole Taylor White | Physical Medicine & Rehabilitation | 601 Elmwood Ave, Rochester, NY 14642-0002 | 2019-12-08 |
| 1417417007 | Nicole C White | Physical Therapist | 8601 Stenton Ave, Wyndmoor, PA 19038-8312 | 2019-03-21 |
| Street Address |
1917 BRIDGESTONE CIR |
| City | CONYERS |
| State | GA |
| Zip Code | 30012-3782 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578188306 | The Eye Md | Ophthalmology | 1359 Milstead Road, Suite #103, Conyers, GA 30012 | 2020-06-08 |
| 1043855836 | Maurvet Minto | Counselor | 1175 Green St, Conyers, Conyers, GA 30012 | 2019-11-15 |
| 1770054561 | Sarah Elizabeth Brooks | Physical Medicine & Rehabilitation | 1290 Milstead Ave Ne, Conyers, GA 30012 | 2018-12-06 |
| 1679091276 | Valorie Antoinette Jones | Counselor | 1175 Green St Se, Conyers, GA 30012 | 2017-09-02 |
| 1558886341 | Synergy Radiology, LLC | Radiology | 1501 Milstead Road, Suite 140, Conyers, GA 30012 | 2017-08-14 |
| 1558813295 | Salon Lyon, LLC | Specialist | 1112 West Ave, Se, B, Conyers, GA 30012 | 2016-10-28 |
| 1992252753 | Traci Hunter Bryan | Pharmacist | 1501 Milstead Ave Ne, Suite 110, Conyers, GA 30012 | 2016-09-08 |
| 1316491830 | Hye Rim Kim | Anesthesiologist Assistant | 1380 Milstead Rd Ne, Suite G, Conyers, GA 30012 | 2016-08-12 |
| 1235591397 | David Jeffrey Wasserman | Optometrist | 1192 Dogwood Dr Sw, Conyers, GA 30012 | 2016-03-28 |
| 1174919187 | Anique Archer | Health Educator | 2170 Lester Rd Nw, Conyers, GA 30012 | 2015-04-07 |
| Find all providers in zip 30012 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730780768 | Covenant Consulting and Practice Management Corp | Case Manager/Care Coordinator | 2900 Weatherstone Cir Se, Conyers, GA 30094-2021 | 2020-11-05 |
| 1295360071 | Jamie E Wilson | Case Manager/Care Coordinator | 1270 Peeks Ford Rd Se, Conyers, GA 30013-2944 | 2020-03-11 |
| 1073027959 | Marsha Yvette Francis | Case Manager/Care Coordinator | 367 Cedar Ln Sw, Conyers, GA 30094-4923 | 2017-11-30 |
| 1780008946 | Leniecia Powdar | Case Manager/Care Coordinator | 2598 Fieldstone Dr Se, Conyers, GA 30013-1923 | 2014-02-08 |
| 1295170835 | Eugene Simpson | Case Manager/Care Coordinator | 2509 Mulberry Ln Se, Conyers, GA 30013-6716 | 2013-05-09 |
| 1033480793 | Meggan A Hemans | Case Manager/Care Coordinator | 1902 Surrey Trl Se, Conyers, GA 30013-2214 | 2012-01-25 |
| 1346499316 | Shelby Diane Daffin | Case Manager/Care Coordinator | 2047 Gees Mill Rd Ne, Suite 213, Conyers, GA 30013-1359 | 2008-09-15 |
| 1932265162 | Melba Robinson | Case Manager/Care Coordinator | 2690 Weatherstone Cir Se, Conyers, GA 30094-2025 | 2006-12-30 |
| 1992234082 | Divine Case Management Services, LLC | Case Manager/Care Coordinator | 1237 Salem Gate Way Se, Conyers, GA 30013-1637 | 2017-06-12 |
| 1891859377 | Grn Csb | Case Manager/Care Coordinator | 977a Taylor St Sw, Conyers, GA 30012-5357 | 2006-12-20 |
| Find all providers in CONYERS | ||||
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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.