SOUTHERN FAMILY PRACTICE,LLC (NPI# 1770734543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770734543 |
Entity Type | Organization |
Organization Name | SOUTHERN FAMILY PRACTICE,LLC |
Practice Address |
100 W Lake Professional Park Ste 1 Geneva AL 36340-1200 |
Practice Telephone | 3346849400 |
Practice Fax Number | 3346846262 |
Mailing Telephone | 3346849400 |
Mailing Fax Number | 3346846262 |
Enumeration Date | 2008-10-09 |
Last Update Date | 2009-03-23 |
Authorized Official Name | MRS. CECILIA RENEE ROBINSON (NURSE PRACTITIONER) |
Authorized Official Telephone | 3346849400 |
Authorized Official Credential | CRNP |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 1-074572 | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AL | BLUECROSS BLUESHIELD OF AL. | 051593913 | 01 |
AL | 108157 | 05 | |
AL | MEDICARE OF ALABAMA | 510G700444 | 01 |
Street Address |
100 W LAKE PROFESSIONAL PARK STE 1 |
City | GENEVA |
State | AL |
Zip Code | 36340-1200 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629338223 | Wiregrass Medical Center | Pharmacy | 1200 W. Maple Ave, Pharmacy Dept., Geneva, AL 36340 | 2012-05-17 |
1659483782 | Thomas W. Parish Jr. Dmd | Dentist | 706 W. Maple Ave, Geneva, AL 36340 | 2006-08-31 |
1053425819 | David H. Arnold,m.d.p.c. | Family Medicine | 3 West Lake Professional Park, Geneva, AL 36340 | 2006-08-18 |
1417983966 | Gilstrap Drugs Inc | Pharmacist | 501 South Commerce Street, Geneva, AL 36340 | 2006-06-25 |
1922045905 | John Franklin Simmons | General Practice | 915 W Hospital Dr, Geneva, AL 36340 | 2006-05-31 |
1891794822 | David H Arnold | Family Medicine | 100 W Lake Prof Park, Geneva, AL 36340 | 2005-07-20 |
1184110850 | Jamie L Johnson | Family Medicine | 3 West Lake Professional Park, Geneva, AL 36340 | 2018-07-06 |
1649635244 | Drew Edwin Whitfield | Physical Therapist | 1200 W Maple Ave, Geneva, AL 36340 | 2015-12-23 |
1033315833 | Geneva County | Local Education Agency (LEA) | 200 Commerce Street, Geneva, AL 36340 | 2007-06-27 |
1003943531 | Geneva County Healthcare Authority | Emergency Medicine | 1200 W Maple Ave, Geneva, AL 36340 | 2007-02-28 |
Find all providers in zip 36340 |
Taxonomy Code | 363L00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669022299 | Katelyn Marie Bittner | Nurse Practitioner | 3578 Austin Rd, Geneva, OH 44041-9787 | 2019-09-16 |
1316156599 | Sheila M Degner | Nurse Practitioner | 351 Delnor Dr Ste 302, Geneva, IL 60134-4233 | 2007-05-22 |
1477597557 | Jacqueline E Karlsen | Nurse Practitioner | 64 Elizabeth Blackwell St, Geneva, NY 14456-3403 | 2006-06-16 |
1316933435 | Pamela S Switzer | Nurse Practitioner | 293 West North St, Geneva, NY 14456-1530 | 2005-09-23 |
1114564317 | Sheri Kristine Steele | Nurse Practitioner | 304 Randall Rd, Geneva, IL 60134-4200 | 2019-12-06 |
1518423300 | Calyn Joy Georgacopoulos | Nurse Practitioner | 351 Delnor Dr Ste 302, Geneva, IL 60134-4222 | 2019-02-16 |
1598230799 | Daniela Henderson | Nurse Practitioner | 200 North St Ste 101, Geneva, NY 14456-1561 | 2018-10-04 |
1326521121 | Giselle M Corsiga | Nurse Practitioner | 351 Delnor Dr Ste 302, Geneva, IL 60134-4222 | 2018-09-08 |
1477957389 | Fox Valley Family Physicians | Nurse Practitioner | 2425 Fargo Blvd, Geneva, IL 60134-3591 | 2014-10-21 |
1437586583 | Holley R Harris | Nurse Practitioner | 351 Delnor Dr, Geneva, IL 60134-4220 | 2013-10-03 |
Find all providers in GENEVA |
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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.