SOUTHERN CROSS HEALTH GROUP, LLC (NPI# 1790228773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790228773 |
| Entity Type | Organization |
| Organization Name | SOUTHERN CROSS HEALTH GROUP, LLC |
| Practice Address |
980 Birmingham Rd Ste 501-330 Milton GA 30004-4417 |
| Practice Telephone | 7703178244 |
| Practice Fax Number | 8556713535 |
| Mailing Telephone | 7703178244 |
| Mailing Fax Number | 8556713535 |
| Enumeration Date | 2016-11-23 |
| Last Update Date | 2016-11-23 |
| Authorized Official Name | MRS. KIMBERLY L. BUNKER (OWNER - FOUNDER) |
| Authorized Official Telephone | 7703178244 |
| Authorized Official Credential | APRN, FNP-BC, NP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | RN/FNP173575 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
980 BIRMINGHAM RD STE 501-330 |
| City | MILTON |
| State | GA |
| Zip Code | 30004-4417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376659847 | Jeremy Thomas Dimartino | Chiropractor | 980 Birmingham Rd, Suite 811, Milton, GA 30004-4417 | 2006-08-21 |
| 1891238606 | Southern Cross At Home LLC | Nurse Practitioner | 980 Birmingham Rd, Ste 501-330, Milton, GA 30004-4417 | 2016-11-28 |
| 1659628196 | Dimartino Chiropractic LLC | Chiropractor | 980 Birmingham Rd, Suite 811, Milton, GA 30004-4417 | 2012-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366065823 | Rena Wilson | Neuromusculoskeletal Medicine, Sports Medicine | 3442 Francis Road Suite 130, Alpharetta, UNITED STATES 30004 | 2020-05-19 |
| 1538665963 | Pinnacle Endodontics of Crabapple, LLC | Dentist | 12250 Crabapple Road, Alpharetta, GA 30004 | 2018-04-04 |
| 1508369372 | Michael William Freeman | Chiropractor | 12389 Crabapple Road, Alpharetta, GA 30004 | 2018-03-17 |
| 1457851040 | Dzeneta Krndzija | Nurse Practitioner | 2980 Serenade Ct., Milton, GA 30004 | 2018-02-20 |
| 1881109684 | B.spectacled | Optometrist | 50 Canton Street, Ste 112, Alpharetta, GA 30004 | 2017-12-04 |
| 1477094498 | Caroline Sassetti-hryczyk | Nurse Practitioner | 162 Taylor Ridge Way, Milton, GA 30004 | 2017-03-09 |
| 1043696735 | Caregiver Health Solutions, LLC | Home Health | 3505 Peacock Rd, Alpharetta, GA 30004 | 2015-08-04 |
| 1124418371 | Francella Bonilla | Physical Therapy Assistant | 4805 Waterbrooke Xing, Alpharetta, GA 30004 | 2015-01-27 |
| 1548672082 | Crabapple Smiles Dental Group PC | Dentist | 12460 Crabapple Road, Suite 801, Alpharetta, GA 30004 | 2014-06-02 |
| 1578988697 | Heartland Dental Care of Georgia, P.C. | Dentist | 12988 Georgia Highway 9, Milton, GA 30004 | 2014-02-26 |
| Find all providers in zip 30004 | ||||
| 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 |
|---|---|---|---|---|
| 1487299350 | Tennille Coakley | Nurse Practitioner | 1018 Shiloh Rd, Milton, WV 25541-9556 | 2019-11-14 |
| 1568424992 | Joyce Ward Nichols | Nurse Practitioner | 5527 Stewart Street, Milton, FL 32570 | 2006-04-03 |
| 1518935998 | Freeman Medical Group, Inc | Nurse Practitioner | 9015 Abb Pitman Rd, Milton, FL 32570-9305 | 2006-03-10 |
| 1447244694 | Maureen F Oshea | Nurse Practitioner | 92 Highland St, Milton, MA 02186 | 2005-09-02 |
| 1538778162 | Christopher Ryan Tomblin | Nurse Practitioner | 1347 Hillview Dr, Milton, WV 25541-1513 | 2020-07-29 |
| 1275151110 | Taylor Renee Fritz | Nurse Practitioner | 12220 Birmingham Hwy Ste A, Milton, GA 30004-4184 | 2020-07-07 |
| 1891238606 | Southern Cross At Home LLC | Nurse Practitioner | 980 Birmingham Rd, Ste 501-330, Milton, GA 30004-4417 | 2016-11-28 |
| 1982154654 | Autumn Caughey | Nurse Practitioner | 5992 Berryhill Rd Ste 302, Milton, FL 32570 | 2016-10-06 |
| 1053787101 | Talitha Briese | Nurse Practitioner | 5500 Stewart St, Milton, FL 32570-4304 | 2015-08-12 |
| 1407076417 | Donna M. Cullinan | Nurse Practitioner | 100 Highland Street, Suite 209, Milton, MA 02186 | 2007-05-01 |
| Find all providers in MILTON | ||||
Please comment or provide details below to improve the information on SOUTHERN CROSS HEALTH GROUP, LLC.
| 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.