DOUGLAS H LOLLEY (NPI# 1760735716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760735716 |
| Entity Type | Individual |
| Full Name | DOUGLAS H LOLLEY |
| Credential | CRNP |
| Practice Address |
208 Pierson Ave Centreville AL 35042-2918 |
| Practice Telephone | 2059263283 |
| Practice Fax Number | 2059264275 |
| Mailing Telephone | 2059263283 |
| Mailing Fax Number | 2059264275 |
| Enumeration Date | 2012-10-15 |
| Last Update Date | 2015-02-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
1-117341 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
208 PIERSON AVE |
| City | CENTREVILLE |
| State | AL |
| Zip Code | 35042-2918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255376828 | The Bibb County Healthcare Authority | General Acute Care Hospital | 208 Pierson Ave, Centreville, AL 35042-2918 | 2006-06-18 |
| 1588131643 | Bibb Medical Center | Clinic/Center | 208 Pierson Ave, Centreville, AL 35042-2918 | 2018-10-26 |
| 1912446402 | Jessica Kelly Godwin | Nurse Practitioner | 208 Pierson Ave, Centreville, AL 35042-2918 | 2017-02-16 |
| 1356884951 | Karlee Johnson | Nurse Practitioner | 208 Pierson Ave, Centreville, AL 35042-2918 | 2016-11-30 |
| 1437377793 | Bibb County Hospital Board | General Acute Care Hospital | 208 Pierson Ave, Centreville, AL 35042-2918 | 2007-04-23 |
| 1306062229 | The Bibb County Healthcare Authority | General Acute Care Hospital | 208 Pierson Ave, Centreville, AL 35042-2918 | 2007-04-18 |
| 1568558146 | The Bibb County Health Care Authority | Durable Medical Equipment & Medical Supplies | 208 Pierson Ave, Centreville, AL 35042-2918 | 2006-10-04 |
| 1093815722 | Connie Walker Richardson | Family Medicine | 208 Pierson Ave, Centreville, AL 35042-2918 | 2006-09-23 |
| 1780796813 | Tresa Ray House | Pharmacist | 208 Pierson Ave, Centreville, AL 35042-2918 | 2006-08-31 |
| 1407885734 | The Bibb County Healthcare Authority | Skilled Nursing Facility | 208 Pierson Ave, Centreville, AL 35042-2918 | 2006-06-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093058133 | Cahaba Medical Care Foundation | Clinic/Center | 294 Pierson Avenue, Centreville, AL 35042 | 2013-03-27 |
| 1548305139 | Melody Dawn Randolph | Pharmacist | 1130 Walnut Street, Centreville, AL 35042 | 2007-02-21 |
| 1023127867 | Phil Adams | Dentist | 260 Walnut St., Centreville, AL 35042 | 2006-08-29 |
| 1558855387 | Sajel Nuwamanya | Student in an Organized Health Care Education/Training Program | 405 Belcher St, Centreville, AL 35042 | 2018-06-15 |
| 1912491838 | Paul Abraham | Student in an Organized Health Care Education/Training Program | 405 Belcher St, Centreville, AL 35042 | 2018-06-15 |
| 1386138105 | Alexander Lea | Student in an Organized Health Care Education/Training Program | 405 Belcher St, Centreville, AL 35042 | 2018-06-15 |
| 1831683747 | Whitney Hudman | Student in an Organized Health Care Education/Training Program | 405 Belcher St, Centreville, AL 35042 | 2018-06-15 |
| 1639663453 | Julia Todd | Student in an Organized Health Care Education/Training Program | 405 Belcher St, Centreville, AL 35042 | 2018-06-15 |
| 1891289716 | Mya Stayton | Student in an Organized Health Care Education/Training Program | 405 Belcher St, Centreville, AL 35042 | 2018-06-15 |
| 1548754419 | Malia Swanson | Student in an Organized Health Care Education/Training Program | 405 Belcher St, Centreville, AL 35042 | 2018-06-14 |
| Find all providers in zip 35042 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
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| 1811542764 | Global Family Medicine LLC | Nurse Practitioner | 14073 Lotus Ln Apt 915, Centreville, VA 20120-7402 | 2019-08-07 |
| 1346809985 | Rajwinder Kaur Sohi | Nurse Practitioner | 14562 Old Mill Rd, Centreville, VA 20121-6217 | 2019-06-07 |
| 1114493723 | Monica Marie Magowan | Nurse Practitioner | Touchette Regional Hospital, 5900 Bond Ave, Centreville, IL 62207 | 2018-10-22 |
| 1699274753 | Sarah Caitlin Brown | Nurse Practitioner | 5895 Trinity Pkwy Ste 100, Centreville, VA 20120 | 2018-02-05 |
| 1538554076 | Patricia Lee | Nurse Practitioner | 1281 Abercrombie Rd, Centreville, AL 35042-5104 | 2015-04-01 |
| 1275946162 | James Hawley | Nurse Practitioner | 260 W Main Street, Centreville, MS 39631 | 2014-06-09 |
| 1982761078 | Candace S Cane | Nurse Practitioner | 13880 Braddock Rd Ste 209, Lavonna Shade, Office Manager, Centreville, VA 20121-2463 | 2007-01-02 |
| 1093316663 | Samantha Jo Moody | Nurse Practitioner | 658 E Main St, Centreville, MI 49032-9627 | 2020-11-02 |
| 1811507114 | Amber Smith Flowers | Nurse Practitioner | 178 Highway 24 E, Centreville, MS 39631-4171 | 2020-08-03 |
| 1558970210 | Jasmine Bush | Nurse Practitioner | 405 Belcher St, Centreville, AL 35042-2946 | 2020-07-29 |
| Find all providers in CENTREVILLE | ||||
| City | CENTREVILLE |
| Zip Code | 35042 |
Please comment or provide details below to improve the information on DOUGLAS H LOLLEY.
| 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.