MS. JUDY B. BAIN


Address: 104 Harwell Ave Ste 236, Lagrange, GA 30240-3132
Phone: 7313630673

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner RN133680 GA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
TN BLUE CROSS BLUE SHIELD TN 4258972 01
TN TGBA, LLC CL6903 01
TN 1513747 05

Provider Secondary Practice Location

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

Office Location

Street Address 104 HARWELL AVE STE 236
City LAGRANGE
State GA
Zip Code 30240-3132

Providers in the same location

NPI Name Taxonomy Address Enumeration
1679132922 Judy B Bain Clinic/Center 104 Harwell Ave Ste 236, Lagrange, GA 30240-3132 2019-06-11

Providers in the same zip code

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 Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(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.

Providers in the same taxonomy and city

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

Competitor

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City LAGRANGE
Zip Code 30240

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Dataset Information

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.

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