MS. JUDY B. BAIN (NPI# 1811133622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811133622 |
| Entity Type | Individual |
| Full Name | MS. JUDY B. BAIN |
| Credential | N.P. |
| Practice Address |
104 Harwell Ave Ste 236 Lagrange GA 30240-3132 |
| Practice Telephone | 7313630673 |
| Practice Fax Number | 7068850607 |
| Mailing Telephone | 7313630673 |
| Mailing Fax Number | 7068850607 |
| Enumeration Date | 2008-12-29 |
| Last Update Date | 2019-07-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | RN133680 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BLUE CROSS BLUE SHIELD TN | 4258972 | 01 |
| TN | TGBA, LLC | CL6903 | 01 |
| TN | 1513747 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1200 Lower Fayetteville Rd Ste B, Newnan, GA 302651133 | 6786314610 | 6786314611 |
| 1260 Highway 54 W Ste 103, Fayetteville, GA 302144525 | 7704867000 | 7704867010 |
| 1657 North Expressway, Griffin, GA 302231276 | 7702282641 | 7704679764 |
| Street Address |
104 HARWELL AVE STE 236 |
| City | LAGRANGE |
| State | GA |
| Zip Code | 30240-3132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679132922 | Judy B Bain | Clinic/Center | 104 Harwell Ave Ste 236, Lagrange, GA 30240-3132 | 2019-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598223844 | Urgencare, LLC | Clinic/Center | 2169 West Point Road, Suite 105, Lagrange, GA 30240 | 2019-03-06 |
| 1679075527 | Georgia Pain and Spine Care, Inc | Pain Medicine | 303 Smith St Fl 2, Lagrange, GA 30240 | 2018-03-07 |
| 1629463500 | Quoc Vinh Ngo | Emergency Medicine | Wellstar West Georgia Medical Center, 1504 Vernon Road, Lagrange, GA 30240 | 2015-03-30 |
| 1770913964 | Dell H Lawson | Counselor | 300 Medical Dr. Ste 705., Lagrange, GA 30240 | 2013-11-25 |
| 1629418793 | Mortar & Pestle, LLC | Pharmacy | 205 Vernon Street, Lagrange, GA 30240 | 2013-07-03 |
| 1336582329 | Weredeselam Menna Olango | Psychiatry & Neurology | 303 Medical Dr Ste 401, Lagrange, GA 30240 | 2013-04-10 |
| 1720333743 | Mortar and Pestle, LLC | Pharmacy | 300 Mooty Bridge Road, Lagrange, GA 30240 | 2012-07-16 |
| 1366768459 | Karin Taylor | Physical Medicine & Rehabilitation | 1600 Vernon Rd Ste A, Lagrange, GA 30240 | 2010-04-14 |
| 1871819458 | Kathryn J Hill | Counselor | 100 Smith St Ste 1, Lagrange, GA 30240 | 2010-04-08 |
| 1285802751 | Air Evac Ems, Inc. | Ambulance | 455 Aerotron Pkwy, Lagrange, GA 30240 | 2008-02-18 |
| Find all providers in zip 30240 | ||||
| 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 |
|---|---|---|---|---|
| 1255789996 | Jennifer Lovell | Nurse Practitioner | 1955 Roanoke Rd, Lagrange, GA 30240-3823 | 2016-06-02 |
| 1245410711 | Jennifer Lee Thomas | Nurse Practitioner | 1015 New Moody Lane, Lagrange, KY 40031 | 2007-11-13 |
| 1518942135 | Marjorie R Rachide | Nurse Practitioner | 101 South Carey Street, Lagrange, NC 28551 | 2005-12-07 |
| 1306401260 | Brandon Blakely Bisso | Nurse Practitioner | 1514 Vernon Rd, Lagrange, GA 30240-4131 | 2019-05-07 |
| 1114449329 | Lauren Fiandt | Nurse Practitioner | 2500 N Detroit St, Lagrange, IN 46761-1158 | 2017-07-10 |
| 1073034500 | Amber N Handshoe | Nurse Practitioner | 2500 N Detroit St, Lagrange, IN 46761-1158 | 2017-07-06 |
| 1285162156 | Whitley Ann Harris | Nurse Practitioner | 303 Smith St, Lagrange, GA 30240-2745 | 2017-05-23 |
| 1730614934 | Leanna K Andrews | Nurse Practitioner | 303 Smith St, Lagrange, GA 30240-2745 | 2017-04-25 |
| 1558712646 | Elizabeth R. Burkhart | Nurse Practitioner | 2500 N Detroit St, Lagrange, IN 46761 | 2016-06-29 |
| 1679924427 | Christina Noles Thornton | Nurse Practitioner | 303 Smith Street, Emory Clark- Holder Clinic, Lagrange, GA 30240 | 2016-06-23 |
| Find all providers in LAGRANGE | ||||
Please comment or provide details below to improve the information on MS. JUDY B. BAIN.
| 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.