SCOTT ANTHONY SIDES


Address: 88 Hardy St, Chatsworth, GA 30705-3231
Phone: 7064631024

SCOTT ANTHONY SIDES (NPI# 1851709844) 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) 1851709844
Entity Type Individual
Full Name SCOTT ANTHONY SIDES
Credential NNP
Practice Address 88 Hardy St
Chatsworth
GA 30705-3231
Mailing Address 1200 Memorial Dr
Dalton
GA 30720-2529
Practice Telephone 7064631024
Mailing Telephone 7062726490
Enumeration Date 2014-07-23
Last Update Date 2014-07-23
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LN0005X Nurse Practitioner
Specialization: Neonatal, Critical Care
RN215026 GA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 88 HARDY ST
City CHATSWORTH
State GA
Zip Code 30705-3231

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1003231416 Jessica Sanders Nurse Practitioner 800 Gi Maddox Pwky, Chatsworth, GA 30705 2014-02-20
1063731560 Travis Mckie-voerste Counselor 96 Terrace Ct, Chatsworth, GA 30705 2010-05-24
1609962521 Charlie Weichen Fang Emergency Medicine 707 Old Ellijay Road, Chatsworth, GA 30705 2006-10-05
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1518953785 Yara Fattouh Family Medicine 1111 Hwy 76, Chatsworth, GA 30705 2005-09-23
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Taxonomy Information

Taxonomy Code 363LN0005X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Neonatal, Critical Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1902357866 Carla Zimmerly Nurse Practitioner 1711 Tullie Circle, Atlanta, GA 30329 2016-10-17
1659641058 Christy Marie Gardner Nurse Practitioner 1120 15th St # 6033, Augusta, GA 30912-0004 2012-01-03
1578527479 Rebecca Lynn Turner Nurse Practitioner Children's Hospital Navicent Health, 777 Hemlock Street, Macon, GA 31201 2006-04-17
1932721461 Ashley Murry Nurse Practitioner 1711 Tullie Cir Ne, Atlanta, GA 30329-2305 2020-05-06
1881227940 Ingried Albisu Nurse Practitioner 1405 Clifton Rd Ne, Atlanta, GA 30322-1060 2020-02-18
1407400427 Rachel Mae Perlman Nurse Practitioner 1584 Tullie Cir Ne, Atlanta, GA 30329-2311 2019-07-29
1730660093 Virginia Tittle Kee Nurse Practitioner 11 Upper Riverdale Rd Sw, Riverdale, GA 30274-2615 2018-08-24
1669968137 Cheri Denise Robison Nurse Practitioner 777 Hemlock St, Macon, GA 31201-2102 2018-07-07
1669962684 Hilary Antley Jones Nurse Practitioner 1711 Tullie Cir Ne, Atlanta, GA 30329-2305 2018-05-15
1295238723 Thuy Thu-thi Nguyen Nurse Practitioner 1120 15th St # 6033, Augusta, GA 30912-1067 2018-03-12
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Competitor

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City CHATSWORTH
Zip Code 30705

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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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