AMELIA ST JOHN


Address: 3644 Mason Ridge Dr, Winston, GA 30187-1578
Phone: 4047219290

AMELIA ST JOHN (NPI# 1841651254) 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) 1841651254
Entity Type Individual
Full Name AMELIA ST JOHN
Credential PNP
Practice Address 3644 Mason Ridge Dr
Winston
GA 30187-1578
Practice Telephone 4047219290
Mailing Telephone 4047219290
Enumeration Date 2016-03-11
Last Update Date 2016-03-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse RN 207751 GA Nursing Service Providers
Y 363LP0222X Nurse Practitioner
Specialization: Pediatrics, Critical Care
RN207751 GA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 3644 MASON RIDGE DR
City WINSTON
State GA
Zip Code 30187-1578

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NPI Name Taxonomy Address Enumeration
1982836581 United Medical Response LLC Ambulance 2425 Jason Industrial Pkwy, Winston, GA 30187 2009-08-14
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1477063600 Kelly Gawel Speech-Language Pathologist 7824 Tyree Rd, Winston, GA 30187-1230 2017-10-02
1114430097 Richard Anthony Bell II Registered Nurse 7940 Hannah Rd, Winston, GA 30187-1237 2017-11-14
1356509376 Foroogh Elguindi Counselor 5123 Daniell Mill Road, Winston, GA 30187-1362 2008-05-27
1912147539 Reginald Gary Woodell Dentist 7571 Highway 78, Winston, GA 30187-1449 2009-02-22
1588214100 Patricia Wynn Contractor 6822 Cowan Mill Rd, Winston, GA 30187-1533 2019-09-16
1336534924 Leondria Taty Nurse Practitioner 2929 Post Rd, Winston, GA 30187-1537 2015-04-01
1952879017 Deborah Jones Social Worker 3599 Falls Trl, Winston, GA 30187-1595 2018-11-07
1255737508 Wendy Flory Physical Therapy Assistant 7235 Hummingbird Ln, Winston, GA 30187-1717 2014-11-14
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Taxonomy Information

Taxonomy Code 363LP0222X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics, Critical Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1790250363 Kailea Jane Zelinka Nurse Practitioner 844 Bryan Cir, Grovetown, GA 30813-8202 2018-10-09
1093237604 Lindsey Marie Prozzillo Nurse Practitioner 1405 Clifton Rd Se, Atlanta, GA 30322-0001 2017-07-14
1144693896 Sherri Toney Moody Nurse Practitioner 2774 Superior Dr, Dacula, GA 30019-3429 2015-11-03
1831456441 Preeti Noronha Nurse Practitioner 1095 N Jamestown Rd Apt B, Decatur, GA 30033-3614 2012-04-19
1851683080 Kara Wochele Hogan Nurse Practitioner 101 W Ponce De Leon Ave # 242, Decatur, GA 30030-2528 2011-05-05
1285271429 Anah Bhatia Nurse Practitioner 1446 Harper St, Augusta, GA 30912-0012 2019-12-06
1255832754 Tiffany Scott Nurse Practitioner 1001 Johnson Ferry Rd, Atlanta, GA 30342-1605 2018-02-21
1710404967 Sarah Becher Nurse Practitioner 1405 Clifton Rd Ne, Atlanta, GA 30322-1060 2017-08-28
1194249789 Daniel Danilczyk Nurse Practitioner 1405 Clifton Rd Ne, Atlanta, GA 30322-1060 2017-07-26
1275063174 Kimberly Lynn Kolleda Nurse Practitioner 1405 Clifton Rd Ne, Atlanta, GA 30322-1060 2017-06-14
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Competitor

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City WINSTON
Zip Code 30187

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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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