DARTISS M CHEVALIER (NPI# 1801434691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801434691 |
Entity Type | Individual |
Full Name | DARTISS M CHEVALIER |
Practice Address |
1810 Mulkey Rd Austell GA 30106-1151 |
Mailing Address |
2230 Weatherstone Cir Se Conyers GA 30094-2075 |
Practice Telephone | 9125858095 |
Mailing Telephone | 6789393660 |
Enumeration Date | 2019-12-12 |
Last Update Date | 2019-12-12 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
212407 | GA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1810 MULKEY RD |
City | AUSTELL |
State | GA |
Zip Code | 30106-1151 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114928207 | Cascade Radiology Consultants, PC | Radiology | 1810 Mulkey Rd, Ste 103, Austell, GA 30106-1151 | 2005-08-10 |
1831692110 | Anastacia P Modo | Nurse Practitioner | 1810 Mulkey Rd, Austell, GA 30106-1151 | 2018-03-13 |
1942740758 | Amanda Manuel | Nurse Practitioner | 1810 Mulkey Rd, Austell, GA 30106-1151 | 2017-02-27 |
1669927455 | Kwneshia Lawane Dorsey | Nurse Practitioner | 1810 Mulkey Rd, Austell, GA 30106-1151 | 2016-08-22 |
1013309327 | Amber Borders | Nurse Practitioner | 1810 Mulkey Rd, Suite 201, Austell, GA 30106-1151 | 2015-02-23 |
1083010201 | Nissi Family Medicine LLC | Family Medicine | 1810 Mulkey Rd, Suite 105, Austell, GA 30106-1151 | 2014-11-16 |
1336569524 | Delano St.aubyn Maxam Jr. | Physical Therapist | 1810 Mulkey Rd, Suite 101, Austell, GA 30106-1151 | 2014-04-26 |
1871910174 | Allison Leigh Cargal | Nurse Practitioner | 1810 Mulkey Rd, Suite 201, Austell, GA 30106-1151 | 2014-03-25 |
1225321235 | Wellstar Medical Group, LLC | Surgery | 1810 Mulkey Rd, Suite 105, Austell, GA 30106-1151 | 2011-05-24 |
1467759837 | M. Ramzy Hajmurad, M. D., P.C. | Urology | 1810 Mulkey Rd, Suite 205, Austell, GA 30106-1151 | 2011-02-22 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073126231 | Courtney Lashune Dorsett | Nurse Practitioner | 1005 Cureton Drive, Austell, Austell, GA 30106 | 2020-08-27 |
1184240491 | Brian H Eves | Dietitian, Registered | 3972 Brantley Drive, Austell, GA 30106 | 2020-06-23 |
1669014486 | Jesse Mccoy | Registered Nurse | 3950 Austell Rd., Austell, GA 30106 | 2019-10-14 |
1427522820 | Envision Optics LLC | Optometrist | 1680 E West Connector, Austell, GA 30106 | 2019-01-18 |
1972042380 | Thomas Dental Group | Clinic/Center | 1133 East West Connector, Suite 120, Austell, GA 30106 | 2017-02-17 |
1245779792 | Colton Dental Group | Clinic/Center | 2495 East-west Connector, Ste 60, Austell, GA 30106 | 2017-02-16 |
1144691684 | Georgia Dental Professionals, PC | Dentist | 780 East West Connector Sw, Suite 108, Austell, GA 30106 | 2015-10-09 |
1285013714 | Ikeade Bello Alamu | Nurse Practitioner | 2870 Betula Drive, Austell, GA 30106 | 2015-05-29 |
1376922211 | Jessica Williams | Obstetrics & Gynecology | 1700 Hospital South Dr Ste 500, Austell, GA 30106 | 2015-05-26 |
1558799593 | Tonya Renee Baldwin | Speech-Language Pathologist | 4229 Brass Trl., Austell, GA 30106 | 2013-10-30 |
Find all providers in zip 30106 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477168292 | Jabari Jela Dobson | Nurse Practitioner | 1810 Mulkey Rd Ste 202, Austell, GA 30106-1150 | 2020-09-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336740398 | Audline Maria Hodnett | Nurse Practitioner | 4805 W Village Way Se Apt 2208, Smyrna, GA 30080-9227 | 2020-11-05 |
1073111845 | George Mackel, Pmhnp-bc, LLC | Nurse Practitioner | 12034 Big Canoe, 400 Shetland Trace, Jasper, GA 30143 | 2020-10-14 |
1356958060 | Earl Delk | Nurse Practitioner | 3365 Ridgerock Way, Snellville, GA 30078-4176 | 2020-09-26 |
1609482991 | Tammy Haskins Bailey | Nurse Practitioner | 196 Laying Farm Rd Se, Milledgeville, GA 31061-9714 | 2020-09-22 |
1861007403 | Caring Clinic LLC | Nurse Practitioner | 114 Wrights Dr, Milledgeville, GA 31061 | 2020-09-10 |
1376156364 | Katrina Ransom Clark | Nurse Practitioner | 120 Walker Dr Nw, Milledgeville, GA 31061-9561 | 2020-08-28 |
1457963746 | Evelyn Ahiante Dennis | Nurse Practitioner | 3325 Emden Ct, Snellville, GA 30039-6047 | 2020-08-19 |
1194335620 | Jennifer Logan | Nurse Practitioner | 424 Scotts Way, Augusta, GA 30909-3135 | 2020-08-10 |
1750991592 | Jamie Rae Mccracken | Nurse Practitioner | 2538 Gordon Cir Se, Smyrna, GA 30080-8123 | 2020-08-06 |
1285244608 | Amcare Substance Abuse and Addiction Counseling | Nurse Practitioner | 3615 Hutchinson Rd Ste 203, Cumming, GA 30040-0501 | 2020-08-01 |
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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.