COURTNEY O RAGAN (NPI# 1811402829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811402829 |
| Entity Type | Individual |
| Full Name | COURTNEY O RAGAN |
| Credential | FNP |
| Practice Address |
125 Church St Vidalia GA 30474-4770 |
| Mailing Address |
Po Box 407 Vidalia GA 30475-0407 |
| Practice Telephone | 9125388484 |
| Practice Fax Number | 9125388484 |
| Mailing Telephone | 9125388484 |
| Enumeration Date | 2017-12-13 |
| Last Update Date | 2019-10-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN245285 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1811 Manning Dr, Vidalia, GA 304748921 | 9125350802 | 9125388665 |
| Street Address |
125 CHURCH ST |
| City | VIDALIA |
| State | GA |
| Zip Code | 30474-4770 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598767857 | Caryn J. Masterman-smith | Pediatrics | 125 Church St, Vidalia, GA 30474-4770 | 2005-06-01 |
| 1811510357 | Sarah Hammock Toler | Nurse Practitioner | 125 Church St, Vidalia, GA 30474-4770 | 2020-05-19 |
| 1790288413 | Southeast Regional Primary Care Corporation | Pediatrics | 125 Church St, Vidalia, GA 30474-4770 | 2018-03-09 |
| 1285090779 | Amara Mcgee | Nurse Practitioner | 125 Church St, Vidalia, GA 30474-4770 | 2016-01-13 |
| 1427436393 | Archie Thomas Kirkley | Physician Assistant | 125 Church St, Vidalia, GA 30474-4770 | 2015-05-12 |
| 1326334384 | Lauren Courtney Miller | Pediatrics | 125 Church St, Vidalia, GA 30474-4770 | 2011-06-28 |
| 1447565635 | Marjorie Pringle Turner | Pediatrics | 125 Church St, Vidalia, GA 30474-4770 | 2010-08-11 |
| 1154554392 | Chelsea Boston Tehan | Pediatrics | 125 Church St, Vidalia, GA 30474-4770 | 2009-09-03 |
| 1417184771 | Katrina Mcclane Leshanski | Pediatrics | 125 Church St, Vidalia, GA 30474-4770 | 2009-06-14 |
| 1407018872 | Renee N Bailey | Nurse Practitioner | 125 Church St, Vidalia, GA 30474-4770 | 2008-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730655374 | Abby Virginia Adams | Speech-Language Pathologist | 101 Harris Insustrial Blvd, Vidalia, GA 30474 | 2018-10-22 |
| 1467930156 | Laurel Shiver Sapp | Nurse Practitioner | 1608 Meadows Ln, Vidalia, GA 30474 | 2018-08-03 |
| 1235658931 | Mary Frances Andrews | Nurse Practitioner | 1608 Meadows Lane Suite 1, Vidalia, GA 30474 | 2017-09-13 |
| 1154714574 | Georgia Eye Institute of The Southeast, LLC | Optometrist | 104 Andrews Street, Suite 112, Vidalia, GA 30474 | 2015-03-10 |
| 1790112571 | Tattnall Hospital Company, LLC | Surgery | 1702-a Meadows Lane, Vidalia, GA 30474 | 2013-10-10 |
| 1801235312 | Paul Anderson Youth Home, Inc. | Substance Abuse Rehabilitation Facility | 1603 Mcintosh Street, Vidalia, GA 30474 | 2013-06-18 |
| 1043591076 | Kimberly Thigpen Evans | Nurse Practitioner | 621 East First Street, Unit B, Vidalia, GA 30474 | 2011-09-03 |
| 1154614360 | Tattnall Hospital Company, LLC | Family Medicine | 1811 Edwina Drive, Vidalia, GA 30474 | 2011-05-20 |
| 1255586053 | Vidalia Medical Partners Inc. | Home Health | 801 Mcnatt Street, Vidalia, GA 30474 | 2008-11-20 |
| 1154596419 | Jill Nicole Lawrence | Speech-Language Pathologist | 1400 Ne Main St, Bethany Alf, Vidalia, GA 30474 | 2008-04-28 |
| Find all providers in zip 30474 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619591120 | Elisabeth Ann Proenza | Nurse Practitioner | 1804 Seminole Dr, Vidalia, GA 30474-7216 | 2020-05-31 |
| 1750914925 | Susan J Montford | Nurse Practitioner | Accordia Urgent Care & Family Practice, 3193 E 1st St, Vidalia, GA 30474-3047 | 2020-02-17 |
| 1821552068 | Shonte' Patrice Daniels | Nurse Practitioner | 107 Front St Ste 2134, Vidalia, LA 71373-2834 | 2019-01-22 |
| 1467930156 | Laurel Shiver Sapp | Nurse Practitioner | 1608 Meadows Ln, Vidalia, GA 30474 | 2018-08-03 |
| 1750880373 | Amanda Shai Hobbs | Nurse Practitioner | 907 Adams St, Vidalia, GA 30474-4903 | 2018-02-09 |
| 1235658931 | Mary Frances Andrews | Nurse Practitioner | 1608 Meadows Lane Suite 1, Vidalia, GA 30474 | 2017-09-13 |
| 1235544339 | Raven M. Campbell | Nurse Practitioner | 329 Leo Ivy Rd, Vidalia, LA 71373-4301 | 2014-06-26 |
| 1043591076 | Kimberly Thigpen Evans | Nurse Practitioner | 621 East First Street, Unit B, Vidalia, GA 30474 | 2011-09-03 |
| 1912238460 | Bradley H Young | Nurse Practitioner | 303 Harris Industrial Blvd Ste 5, Vidalia, GA 30474-8854 | 2010-01-22 |
| 1023062577 | Dana M Avist | Nurse Practitioner | 1700 Adams St, Vidalia, GA 30474-5557 | 2006-05-20 |
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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.