MARA DAWNE CARSON (NPI# 1861038044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861038044 |
Entity Type | Individual |
Full Name | MARA DAWNE CARSON |
Practice Address |
1515 Benton Blvd Apt 1328 Savannah GA 31407-0440 |
Practice Telephone | 7243160570 |
Mailing Telephone | 7243160570 |
Enumeration Date | 2019-11-21 |
Last Update Date | 2019-11-21 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
RN259811 | ID | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
RN259811 | GA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1515 BENTON BLVD APT 1328 |
City | SAVANNAH |
State | GA |
Zip Code | 31407-0440 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295969228 | Kurt Singh Kang | Internal Medicine | 101 W Mulberry Blvd Ste 100, Savannah, GA 31407 | 2009-05-05 |
1144829102 | Estefania Salinas | Counselor | 1565 Benton Blvd Apt 412, Savannah, GA 31407-0408 | 2020-10-21 |
1831620087 | Pharmdixon Consulting LLC | Pharmacy | 2155 Benton Blvd, 13203, Savannah, GA 31407-0491 | 2017-03-21 |
1033610415 | Derrick Jackson Thomas | Specialist/Technologist | 1 Bonnybridge Rd, Savannah, GA 31407-1312 | 2018-02-22 |
1043209240 | Westview Nursing and Rehabilitation Center, LLC | Skilled Nursing Facility | 1000 Dorset Rd, Port Wentworth, GA 31407-1517 | 2005-10-19 |
1922575679 | Pruitthealth - Seaside, LLC | Skilled Nursing Facility | 1000 Dorset Rd, Port Wentworth, GA 31407-1517 | 2018-10-31 |
1477060705 | Benjamin Lane Richey | Behavior Technician | 204 Turnberry St, Port Wentworth, GA 31407-1925 | 2018-01-09 |
1538772363 | Marian Marshall | Social Worker | 117 Whitehavven Rd, Savannah, GA 31407-3140 | 2020-08-31 |
1699120410 | Dr Kenneith Durden Outreach | Counselor | 41 Moonlight Trl, Port Wentworth, GA 31407-3321 | 2016-04-29 |
1508405952 | Shannon Williams | Technician/Technologist | 34 Birch Cir, Port Wentworth, GA 31407-3376 | 2020-01-02 |
Find all providers in zip 31407 |
Taxonomy Code | 363LA2100X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Acute Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942811682 | Ashlee Renee Mack | Nurse Practitioner | 116 Slate Cir, Savannah, GA 31419-9681 | 2020-08-16 |
1710534474 | Aaron Montover | Nurse Practitioner | 225 Candler Dr Ste 301, Savannah, GA 31405-6091 | 2019-08-19 |
1407227994 | James Doyle Herring IIi | Nurse Practitioner | 302 Surrey Rd, Savannah, GA 31410-4407 | 2015-10-09 |
1649646688 | Susan Ahle | Nurse Practitioner | 8 Dockside Dr, Savannah, GA 31410-2536 | 2015-08-13 |
1912554841 | Haley Brooke Mccain | Nurse Practitioner | 1326 Eisenhower Dr Bldg 2, Savannah, GA 31406-3928 | 2019-08-26 |
1356993679 | Lana Marie Stark | Nurse Practitioner | 107 Southern Blvd, Savannah, GA 31405-7437 | 2019-07-16 |
1700308509 | Tiffany Lee Boulanger | Nurse Practitioner | 12345 Mercy Blvd, Savannah, GA 31419-3436 | 2017-07-13 |
1205383130 | Beverly J Lippert | Nurse Practitioner | 11700 Mercy Blvd, Plaza D #6, Savannah, GA 31419 | 2016-09-08 |
1679956056 | Stacy Creel | Nurse Practitioner | 6602 Waters Ave Bldg C, Savannah, GA 31406-2778 | 2015-07-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265032114 | Candace Buckley | Nurse Practitioner | 244 Ashland Dr, Woodstock, GA 30189-7161 | 2020-10-29 |
1679170740 | Jennifer Lassiter | Nurse Practitioner | 4116 Holley Rd., Lizella, GA 31052 | 2020-10-02 |
1891301164 | Tashoy Wallace | Nurse Practitioner | 121 Odyssey Turn, Conyers, GA 30012-3681 | 2020-09-21 |
1912513672 | Katherine Anne Sego | Nurse Practitioner | 4060 Rolling Meadows Ln, Watkinsville, GA 30677-3011 | 2020-09-18 |
1548872468 | Phyllis Kelly Wood | Nurse Practitioner | 217 Banks Rd, Suite 31, Fayetteville, GA 30214 | 2020-08-21 |
1588276505 | Sherron Johnson | Nurse Practitioner | 1980 Wrights Way, Jonesboro, GA 30236-7205 | 2020-08-20 |
1467063610 | Rosa Maria Phillips | Nurse Practitioner | 649 Amicalola Woods Rd, Dawsonville, GA 30534-1205 | 2020-08-12 |
1508476581 | Jarvis Reese | Nurse Practitioner | 413 Tug Ct, Warner Robins, GA 31088-2134 | 2020-08-05 |
1750991790 | Akosua Frema Sarfo | Nurse Practitioner | 116 Ginkgo Ln, Grovetown, GA 30813-5392 | 2020-08-04 |
1851919039 | Robert Brant | Nurse Practitioner | 20 Fairway Oaks, Waverly, GA 31565-2767 | 2020-07-14 |
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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.