MS. GUSSIE BACCUS


Address: 115 Wellington Trl, Covington, GA 30016-8629
Phone: 4046459283

MS. GUSSIE BACCUS (NPI# 1770050080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770050080
Entity Type Individual
Full Name MS. GUSSIE BACCUS
Credential RN
Practice Address 115 Wellington Trl
Covington
GA 30016-8629
Practice Telephone 4046459283
Mailing Telephone 4046459283
Enumeration Date 2018-10-25
Last Update Date 2018-10-25
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WG0000X Registered Nurse
Specialization: General Practice
RN111211 GA Nursing Service Providers

Office Location

Street Address 115 WELLINGTON TRL
City COVINGTON
State GA
Zip Code 30016-8629

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NPI Name Taxonomy Address Enumeration
1013565605 Katrina Williams Case Manager/Care Coordinator 220 Meadowidge Dr, Covington, GA 30016 2019-08-28
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1881116721 Springhill Manor Inc. Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 600 Spring Hill Drive, Covington, GA 30016 2017-07-12
1922538529 Tisha Owes Home Health 110 Trinity Dr, Covington, GA 30016 2017-06-15
1053868695 Delhia Assanah IIi Counselor 101 Kirkland Road, Covington, GA 30016 2016-09-01
1760834295 Resurgens East Surgery Center, LLC Clinic/Center 3241 Iris Dr, Suite 100, Covington, GA 30016 2016-07-08
1528443371 Latoya N Wright Counselor 100 Winnstead Place, Covington, GA 30016 2015-07-22
1598157307 Sierra Private Homecare, Inc. Adult Companion 75 Cinnamon Oak Circle, Covington, GA 30016 2015-03-03
1326391079 Lana Abiola Fraser Nurse's Aide 840 Oakhill Road, Covington, GA 30016 2012-10-18
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Taxonomy Information

Taxonomy Code 163WG0000X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization General Practice

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1104171446 Yentl Butler Registered Nurse 170 Colser Dr, Covington, GA 30016-0984 2012-07-23

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1285240069 Wenqiu Jennings Registered Nurse 2090 Breconridge Dr Sw, Marietta, GA 30064-4179 2020-09-17
1982226502 Lakesha Armstrong Registered Nurse 386 Bakers Ferry Trl, Martinez, GA 30907-4955 2020-05-18
1881227924 Margaret Ree Chapman Registered Nurse 3931 Highway 78 W Ste B200, Snellville, GA 30039-3907 2020-02-18
1639712151 Kristin Pitts Registered Nurse 219 Boggs St, Lexington, GA 30648 2019-10-28
1134762255 Charmante Cyrius Registered Nurse 2668 Westchester Pkwy Se, Conyers, GA 30013-2400 2019-10-21
1417509191 Ayodeji Moses Oluloro Registered Nurse 3111 Blue Heron Pass, Powder Springs, GA 30127-2399 2019-07-12
1538725197 Sherry Bynum Smith Registered Nurse 608 Pine Ln, Lawrenceville, GA 30043-4034 2019-05-19
1750855599 Tanya D Miller Registered Nurse 1724a Old Reynolds St, Waycross, GA 31501-1036 2019-01-15
1780167452 Adenike Alaga Registered Nurse 3196 Dolostone Way, Dacula, GA 30019 2018-09-10
1780181834 Jerakhine N Mills Registered Nurse 1810 Mulkey Rd Ste 105, Austell, GA 30106-1132 2018-04-06
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Competitor

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City COVINGTON
Zip Code 30016

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Dataset Information

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.

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