MR. WYATT V NICHOLSON (NPI# 1851919856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851919856 |
| Entity Type | Individual |
| Full Name | MR. WYATT V NICHOLSON |
| Practice Address |
541 Historic Hwy. 441-n Demorest GA 30535 |
| Mailing Address |
Po Box 1741 Clarkesville GA 30523-0030 |
| Practice Telephone | 7067543113 |
| Mailing Telephone | 7064995690 |
| Enumeration Date | 2020-07-07 |
| Last Update Date | 2020-07-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Y00000X | Clinical Exercise Physiologist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
541 HISTORIC HWY. 441-N |
| City | DEMOREST |
| State | GA |
| Zip Code | 30535 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578077434 | Linh My Dao | Registered Nurse | 541 Historic Hwy. 441-n, Demorest, GA 30535 | 2017-11-29 |
| 1285637769 | Charles Henry Mcduffie | Pharmacist | 541 Historic Hwy. 441-n, Demorest, GA 30535 | 2005-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396353355 | Kristen Diana Maxwell X | Nurse Practitioner | 396 Historic Highway 441 North, Demorest, GA 30535 | 2020-07-16 |
| 1659925972 | Jared Davis | Physical Therapist | 541 Historic Hiwy 441, Demorest, GA 30535 | 2019-07-25 |
| 1669939070 | Habersham Medical Center Foundation, Inc. | Pharmacy | 541 Old Historic Hwy 441 N Ste 1, Demorest, GA 30535 | 2019-02-22 |
| 1114417128 | The Hospital Authority of Habersham County | Family Medicine | 638 Hwy 441 N Suite B-2, Demorest, GA 30535 | 2018-05-15 |
| 1447797063 | Cmvo, LLC | Pharmacy | 4654 Highway 115, Unit 1, Demorest, GA 30535 | 2017-01-20 |
| 1851741128 | Katherine Glenn | Physical Therapy Assistant | 541 Us-441 Bus, Demorest, GA 30535 | 2016-06-17 |
| 1558735886 | Waterfall Emergency Physicians, LLC | Physician Assistant | 541 Historic Hwy 441n, Demorest, GA 30535 | 2015-11-24 |
| 1407278237 | Deborah Gale | Pharmacist | 116 Savannah Ter, Demorest, GA 30535 | 2014-01-14 |
| 1538580576 | Garrett Family Medicine, LLC | Family Medicine | 590 Historic Hwy 441 Lower Level, Demorest, GA 30535 | 2013-12-18 |
| 1568806966 | Elizabeth Benson Smith | Physical Therapist | 541 U.S. 441 Business, Demorest, GA 30535 | 2013-04-29 |
| Find all providers in zip 30535 | ||||
| Taxonomy Code | 224Y00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Clinical Exercise Physiologist |
| A Clinical Exercise Physiologist is a health care professional who is trained to work with patients with chronic disease where exercise training has been shown to be of therapeutic benefit, including but not limited to cardiovascular and pulmonary disease, and metabolic disorders. |
| Notes: Source: What is a Clinical Exercise Physiologist? Clinical Exercise Physiology Association (CEPA), CEPA Executive Board, 2008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689175291 | Anthony Bammer | Clinical Exercise Physiologist | 1001 Whitlock Avenue Nw, Marietta, GA 30064 | 2018-02-28 |
| 1043721962 | Arista Grace Hott | Clinical Exercise Physiologist | 1755 Grassland Pkwy Ste B, Alpharetta, GA 30004-8601 | 2017-10-18 |
| 1295076669 | Hodo Kahin | Clinical Exercise Physiologist | 6173 Grove Crest Way, Austell, GA 30168-7769 | 2013-03-11 |
| 1417200577 | Sandra M. Redderoth | Clinical Exercise Physiologist | 800 Live Oak Ct, Roswell, GA 30075-2571 | 2012-10-25 |
| 1285919811 | Janet S Hamilton | Clinical Exercise Physiologist | 191 Crossing Dr, Stockbridge, GA 30281-5892 | 2011-10-14 |
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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.