ABIGAIL SCANLAN (NPI# 1770128266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770128266 |
| Entity Type | Individual |
| Full Name | ABIGAIL SCANLAN |
| Credential | CPNP |
| Practice Address |
3745 Cherokee St Nw Ste 401 Kennesaw GA 30144-6787 |
| Practice Telephone | 7704291005 |
| Mailing Telephone | 7704291005 |
| Enumeration Date | 2019-11-08 |
| Last Update Date | 2019-11-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
RN290165 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
RN290165 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295221216 | Abigail W Scanlan | Dentist | 115 Hilltop Vlg, Oxford, NC 27565-3002 | 2018-07-02 |
| Street Address |
3745 CHEROKEE ST NW STE 401 |
| City | KENNESAW |
| State | GA |
| Zip Code | 30144-6787 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861628141 | Tashawna Thomas Stokes | Pediatrics | 3745 Cherokee St Nw Ste 401, Kennesaw, GA 30144-6787 | 2009-06-01 |
| 1134512635 | Traci M Perry | Nurse Practitioner | 3745 Cherokee St Nw Ste 401, Kennesaw, GA 30144-6787 | 2015-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205440054 | Physician Assistant Surgical Solutions | Surgery | 4290 Bells Ferry Road, Suite 134 - 1032, Kennesaw, GA 30144 | 2020-08-31 |
| 1487149340 | Creative Family Care Inc. | Social Worker | 1275 Shiloh Rd Nw Ste 3030, Kennesaw, GA 30144 | 2018-06-24 |
| 1033632203 | Octavio Andres Tobar | Specialist/Technologist | 1950 Barrett Lakes Blvd Nw Apt 1213, Kennesaw, GA 30144 | 2017-07-19 |
| 1851829220 | Sharon Mcmillan | Counselor | 1301 Shiloh Rd Nw Ste 1840, Kennesaw, GA 30144 | 2017-05-31 |
| 1073054680 | Metropolitan Health Care Plus Inc | Home Health | 445 Laurian Way, Kennesaw, GA 30144 | 2017-03-15 |
| 1649627969 | Caresouth Hha Holdings of Gainesville, LLC | Hospice Care, Community Based | 1000 Cobb Place Blvd Nw Ste 310, Kennesaw, GA 30144 | 2016-05-17 |
| 1851745988 | Joseph Mulligan | Social Worker | 1301 Shiloh Rd., Ste. 849, Kennesaw, GA 30144 | 2016-04-14 |
| 1629438601 | Youfit Health Clubs | Clinic/Center | 3895 Cherokee St Suite 100, Kennesaw, GA 30144 | 2016-03-03 |
| 1598156317 | Jodie Evans | Specialist | 1925 Vaughn Rd, Ste 200, Kennesaw, GA 30144 | 2015-02-16 |
| 1912302134 | Sleepmed Therapies, Inc. | Durable Medical Equipment & Medical Supplies | 1000 Cobb Place Blvd Nw Ste 510, Kennesaw, GA 30144 | 2014-10-30 |
| Find all providers in zip 30144 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215564976 | Stephanie Laurel Toole | Nurse Practitioner | 625 Big Shanty Rd Nw, Kennesaw, GA 30144-3646 | 2020-03-24 |
| 1851706972 | Jennie Barbara Sharp | Nurse Practitioner | 3104 Creekside Village Dr Nw Ste 504, Kennesaw, GA 30144-2393 | 2014-06-26 |
| 1417922071 | Linda Frye | Nurse Practitioner | 5150 Stilesboro Rd Nw, Suite 220, Kennesaw, GA 30152-7744 | 2006-02-17 |
| 1184230864 | Mary Elizabeth Moore | Nurse Practitioner | 3745 Cherokee St Nw, Kennesaw, GA 30144-6733 | 2020-09-18 |
| 1255980926 | Jamie Marie Conwell | Nurse Practitioner | 1770 Dennis Kemp Ln Nw, Kennesaw, GA 30152-3938 | 2019-09-05 |
| 1134512635 | Traci M Perry | Nurse Practitioner | 3745 Cherokee St Nw Ste 401, Kennesaw, GA 30144-6787 | 2015-03-09 |
| 1346680535 | Holly Stiehm Young | Nurse Practitioner | 2985 George Busbee Pkwy Nw, Kennesaw, GA 30144-6812 | 2013-07-02 |
| 1013001973 | Tanya S Wilcox | Nurse Practitioner | 1770 Dennis Kemp Ln Nw, Kennesaw, GA 30152-3938 | 2006-10-03 |
| 1306956214 | Cynthia L Burnham | Nurse Practitioner | 750 Townpark Lane, Pediatrics Health Care Team A, Kennesaw, GA 30144 | 2006-08-30 |
| 1164490504 | Mary Elizabeth Graves | Nurse Practitioner | 1770 Dennis Kemp Ln Nw, Kennesaw, GA 30152-3938 | 2006-03-10 |
| Find all providers in KENNESAW | ||||
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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.