JACQUELINE ELIZABETH HUNTLY (NPI# 1750529384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750529384 |
| Entity Type | Individual |
| Full Name | JACQUELINE ELIZABETH HUNTLY |
| Credential | MD |
| Practice Address |
1107 E 66th St Savannah GA 31404-5701 |
| Practice Telephone | 9123508404 |
| Practice Fax Number | 9123508067 |
| Mailing Telephone | 9123508404 |
| Mailing Fax Number | 9123508067 |
| Enumeration Date | 2009-02-04 |
| Last Update Date | 2012-07-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
048428 | GA | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 048428 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003116232A | 05 | |
| SC | GA1255 | 05 | |
| GA | RAILROAD MEDICARE | P01027627 | 01 |
| Street Address |
1107 E 66TH ST |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31404-5701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275552143 | Robert M. Pallay | Family Medicine | 1107 E 66th St, Savannah, GA 31404-5701 | 2006-07-19 |
| 1407475478 | Max Needham | Student in an Organized Health Care Education/Training Program | 1107 E 66th St, Savannah, GA 31404-5701 | 2020-04-10 |
| 1629697636 | Megan Sando Dannemiller | Student in an Organized Health Care Education/Training Program | 1107 E 66th St, Savannah, GA 31404-5701 | 2020-04-09 |
| 1215566559 | Alexis Brown | Student in an Organized Health Care Education/Training Program | 1107 E 66th St, Savannah, GA 31404-5701 | 2020-04-08 |
| 1063041358 | Logan Daryl Proffitt | Student in an Organized Health Care Education/Training Program | 1107 E 66th St, Savannah, GA 31404-5701 | 2020-04-07 |
| 1720616949 | Catherine Waldron | Student in an Organized Health Care Education/Training Program | 1107 E 66th St, Savannah, GA 31404-5701 | 2020-04-01 |
| 1821626565 | Victoria Elise Mazzella | Student in an Organized Health Care Education/Training Program | 1107 E 66th St, Savannah, GA 31404-5701 | 2020-03-30 |
| 1699235044 | John Gunnar Magnuson | Student in an Organized Health Care Education/Training Program | 1107 E 66th St, Savannah, GA 31404-5701 | 2019-03-21 |
| 1992264907 | Sophia Elias | Student in an Organized Health Care Education/Training Program | 1107 E 66th St, Savannah, GA 31404-5701 | 2019-03-19 |
| 1669931598 | Khaja Kamal Mohiuddin | Student in an Organized Health Care Education/Training Program | 1107 E 66th St, Savannah, GA 31404-5701 | 2019-03-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043864580 | Carli A Boatright | Registered Nurse | 4750 Waters Ave Suite 206, Savannah, GA 31404 | 2019-08-01 |
| 1619530573 | Morgan Johnson | Student in an Organized Health Care Education/Training Program | Memorial Health University Medical Center, 4700 Waters Ave, Savannah, GA 31404 | 2019-04-17 |
| 1477050243 | Kevin Timperman | Student in an Organized Health Care Education/Training Program | 4700 Waters Avenus, Surgery Residency Program, Mhumc, Savannah, GA 31404 | 2018-04-09 |
| 1376048959 | Nina Jo Paletta | Student in an Organized Health Care Education/Training Program | Memorial University Medical Center, 4700 Waters Ave., Savannah, GA 31404 | 2018-03-27 |
| 1972036200 | Jose Adrian Lara Gonzalez | Student in an Organized Health Care Education/Training Program | 4700 Waters Ave, Memorial University Medical Center, Internal Medicine Residency Program, Savannah, GA 31404 | 2017-04-04 |
| 1407210396 | Lexie Hester Vaughn | Student in an Organized Health Care Education/Training Program | 1250 East 66th St, Savannah, GA 31404 | 2016-04-07 |
| 1336503291 | Miles Love | Student in an Organized Health Care Education/Training Program | 1250 East 66th Street, Savannah, GA 31404 | 2016-04-07 |
| 1134536881 | David Patch | Specialist/Technologist | Pediatric Residency Program, Memorial University, Medical Center 4700 Waters Avenue, Savannah, GA 31404 | 2014-07-15 |
| 1962846683 | Alan Danilo Zevallos | Internal Medicine | 4700 Waters Avenue, University Medical Center, Internal Medicine Residency Program, Memorial Health, Savannah, GA 31404 | 2013-04-24 |
| 1730446394 | Joshua Ryan Fann | Prosthetist | 3840 Waters Ave, Savannah, GA 31404 | 2012-04-19 |
| Find all providers in zip 31404 | ||||
| Taxonomy Code | 2083P0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Public Health & General Preventive Medicine |
| Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023326600 | True Balance Md | Preventive Medicine | 800b East 70 Street, Savannah, GA 31405 | 2010-09-17 |
| 1477659720 | Neil F Gordon | Preventive Medicine | 5356 Reynolds St, Suite 102, Savannah, GA 31405-6016 | 2006-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730715137 | Ernest E Smith | Preventive Medicine | 115 W Dearborn Cir, Decatur, GA 30030-4474 | 2020-03-17 |
| 1033749288 | Atlanta Clinical Research Centers LLC | Preventive Medicine | 5673 Peachtree Dunwoody Rd Ste 440a, Atlanta, GA 30342-1797 | 2020-01-16 |
| 1316433105 | Thomas Boggs Richards | Preventive Medicine | 2067 Amberwood Way Ne, Atlanta, GA 30345-3903 | 2018-07-05 |
| 1871016592 | Sonja Suzzete Hutchins | Preventive Medicine | 435 Joseph E Lowery Blvd Sw, Atlanta, GA 30310-1471 | 2017-07-25 |
| 1922453547 | Passport Health Holdings, LLC | Preventive Medicine | 2470 Windy Hill Rd Se Ste 107, Marietta, GA 30067-8614 | 2016-05-02 |
| 1275988891 | Passport Health Holdings LLC | Preventive Medicine | 315 W Ponce De Leon Ave Ste 585, Decatur, GA 30030-2400 | 2016-05-02 |
| 1619336286 | Antonio Neri | Preventive Medicine | 1600 Clifton Rd Ne # Mse-92, Atlanta, GA 30329-4018 | 2016-02-11 |
| 1134597057 | Zachary Taylor IIi | Preventive Medicine | 1710 Whitehouse Ct, Dalton, GA 30720-8523 | 2015-09-09 |
| 1730557729 | Populations and Interventions Team Company (pitc) | Preventive Medicine | 3182 Berthas Overlook, Douglasville, GA 30135-8458 | 2015-09-08 |
| 1609252626 | Anthony Robbins | Preventive Medicine | 2707 Whispering Pines Ct, Decatur, GA 30033-1453 | 2015-07-31 |
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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.