JACOB WAYNE FAULKNER (NPI# 1780048785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780048785 |
| Entity Type | Individual |
| Full Name | JACOB WAYNE FAULKNER |
| Credential | AGACNP-BC |
| Practice Address |
1035 Red Bud Rd Ne Calhoun GA 30701-6010 |
| Mailing Address |
Po Box 1344 Collegedale TN 37315-1344 |
| Practice Telephone | 7066027800 |
| Mailing Telephone | 4053082913 |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2016-04-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
RN217024 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1035 RED BUD RD NE |
| City | CALHOUN |
| State | GA |
| Zip Code | 30701-6010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679557953 | Carl Billian | Psychiatry & Neurology | 1035 Red Bud Rd Ne, Suite 102, Calhoun, GA 30701-2077 | 2005-12-01 |
| 1518596840 | Jesmalis Aylin Rosales | Registered Nurse | 1035 Red Bud Rd Ne, Calhoun, GA 30701-6010 | 2020-04-07 |
| 1669016507 | Mandrea Kaylene Kearney | Registered Nurse | 1035 Red Bud Rd Ne, Calhoun, GA 30701-6010 | 2019-11-04 |
| 1619511052 | Evan Sunshine Crawford Lee | Registered Nurse | 1035 Red Bud Rd Ne, Calhoun, GA 30701-6010 | 2019-10-29 |
| 1366904179 | Karen King | Registered Nurse | 1035 Red Bud Rd Ne, Calhoun, GA 30701-6010 | 2019-04-01 |
| 1922507706 | Kyle Trott Benge | Nurse Anesthetist, Certified Registered | 1035 Red Bud Rd Ne, Calhoun, GA 30701-6010 | 2018-02-07 |
| 1679016034 | Julie Tippens | Nurse Practitioner | 1035 Red Bud Rd Ne, Calhoun, GA 30701-6010 | 2016-12-02 |
| 1295277085 | Jessica Roden | Physician Assistant | 1035 Red Bud Rd Ne, Calhoun, GA 30701-6010 | 2016-11-09 |
| 1013465038 | Laura Cothern | Nurse Anesthetist, Certified Registered | 1035 Red Bud Rd Ne, Calhoun, GA 30701-6010 | 2016-09-19 |
| 1205290467 | Gordon Emergency Physicians, LLC | Emergency Medicine | 1035 Red Bud Rd Ne, Calhoun, GA 30701-6010 | 2016-04-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346856853 | Mahaly H Ashley | Counselor | 367 Richardson Rd, Calhoun, GA 30701 | 2020-09-21 |
| 1639714140 | Alexis Mann | Counselor | 629 Harkins Street, Calhoun, GA 30701 | 2019-11-08 |
| 1649812322 | K -va -t Food Stores Inc | Durable Medical Equipment & Medical Supplies | 225 Lovers Lane, Calhoun, GA 30701 | 2019-10-14 |
| 1225679186 | Alexandra Halleck | Physical Therapy Assistant | 1387 Hwy 41 N, Calhoun, GA 30701 | 2019-10-02 |
| 1508325432 | Angela Munyan Chin | Nurse Practitioner | 1754 Everett Springs Rd Ne, Calhoun, GA 30701 | 2019-03-19 |
| 1548745342 | Gacalhoun Snf LLC | Skilled Nursing Facility | 1387 Highway 41 N., Calhoun, GA 30701 | 2018-09-27 |
| 1568990018 | Katherine Ann Hayes | Physical Therapy Assistant | Blue Ridge Nursing Home Calhoun, 1387 Us 41 N, Calhoun, GA 30701 | 2017-05-30 |
| 1639566508 | Moslem Eskandari | Pharmacist | 1101 Red Bud Rd, Calhoun, GA 30701 | 2015-04-18 |
| 1366882367 | Stella P. Bonner | Dentist | 500 South Wall St., Calhoun, GA 30701 | 2013-07-05 |
| 1417393885 | New Serenity Inc | Clinic/Center | 1321 Hwy 41 N, Calhoun, GA 30701 | 2013-05-13 |
| Find all providers in zip 30701 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295263960 | Kambra Jo Long | Nurse Practitioner | 190 Highway 136 E, Calhoun, KY 42327-9724 | 2017-05-25 |
| 1740672542 | Terrilyn Lamb Blackstock | Nurse Practitioner | 100 Willowbrook Way Se, Calhoun, GA 30701-1404 | 2015-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265032114 | Candace Buckley | Nurse Practitioner | 244 Ashland Dr, Woodstock, GA 30189-7161 | 2020-10-29 |
| 1679170740 | Jennifer Lassiter | Nurse Practitioner | 4116 Holley Rd., Lizella, GA 31052 | 2020-10-02 |
| 1891301164 | Tashoy Wallace | Nurse Practitioner | 121 Odyssey Turn, Conyers, GA 30012-3681 | 2020-09-21 |
| 1912513672 | Katherine Anne Sego | Nurse Practitioner | 4060 Rolling Meadows Ln, Watkinsville, GA 30677-3011 | 2020-09-18 |
| 1548872468 | Phyllis Kelly Wood | Nurse Practitioner | 217 Banks Rd, Suite 31, Fayetteville, GA 30214 | 2020-08-21 |
| 1588276505 | Sherron Johnson | Nurse Practitioner | 1980 Wrights Way, Jonesboro, GA 30236-7205 | 2020-08-20 |
| 1942811682 | Ashlee Renee Mack | Nurse Practitioner | 116 Slate Cir, Savannah, GA 31419-9681 | 2020-08-16 |
| 1467063610 | Rosa Maria Phillips | Nurse Practitioner | 649 Amicalola Woods Rd, Dawsonville, GA 30534-1205 | 2020-08-12 |
| 1508476581 | Jarvis Reese | Nurse Practitioner | 413 Tug Ct, Warner Robins, GA 31088-2134 | 2020-08-05 |
| 1750991790 | Akosua Frema Sarfo | Nurse Practitioner | 116 Ginkgo Ln, Grovetown, GA 30813-5392 | 2020-08-04 |
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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.