BEVERLY SUMMERLIN (NPI# 1861932493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861932493 |
| Entity Type | Individual |
| Full Name | BEVERLY SUMMERLIN |
| Credential | MS |
| Practice Address |
19 Jefferson Dr Sw Rome GA 30165-3713 |
| Practice Telephone | 7066767544 |
| Mailing Telephone | 7066767544 |
| Enumeration Date | 2017-03-01 |
| Last Update Date | 2017-03-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| Street Address |
19 JEFFERSON DR SW |
| City | ROME |
| State | GA |
| Zip Code | 30165-3713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346868775 | Heather Bowman | Physical Therapist | 600 Eagle, E Lake Dr, Rome, GA 30165 | 2020-07-13 |
| 1205451101 | Kristopher Nelson | Student in an Organized Health Care Education/Training Program | 4256, 304 Shorter Ave Nw #201, Rome, GA 30165 | 2020-06-16 |
| 1962061457 | Stuart Paul Shaklee | Occupational Therapy Assistant | 1356 Redmond Road, Rome, GA 30165 | 2019-06-10 |
| 1386001055 | Autumn Streetman | Counselor | 6 Mathis Drive, Rome, GA 30165 | 2016-01-26 |
| 1144695784 | Gabrador Milligan | Counselor | 6 Mathis Road, Rome, GA 30165 | 2015-12-08 |
| 1386041952 | Theresa Suits | Registered Nurse | 1 Woodbine Avenue, Rome, GA 30165 | 2014-11-26 |
| 1942561147 | Nicole C. Christian | Clinical Neuropsychologist | 305 Redmond Rd, Rome, GA 30165 | 2012-06-04 |
| 1679832711 | Niki Pareshkumar Bhavsar | Internal Medicine | 3041 Turner Mccall Blvd, Rome, GA 30165 | 2012-05-10 |
| 1285927491 | Amanda Fischer Reeves | Family Medicine | 304 Shorter Ave Nw Ste 102, Rome, GA 30165 | 2011-05-20 |
| 1033436647 | Northland Hearing Centers, Inc. | Hearing Instrument Specialist | 4 Coosawattee Ave, Rome, GA 30165 | 2010-04-23 |
| Find all providers in zip 30165 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427687367 | Richard Lee Eaker | Counselor | 658 Spout Springs Rd Sw, Rome, GA 30161-4259 | 2020-04-03 |
| 1932690260 | Therapy With Angela Smith LLC | Counselor | 109 John Maddox Dr Nw Ste 200, Rome, GA 30165-1453 | 2018-05-22 |
| 1487152302 | April Britt-linville | Counselor | 13 E 2nd Ave, Rome, GA 30161-3135 | 2018-01-25 |
| 1356863757 | Jennifer Cash | Counselor | 101 E 2nd Ave Ste 320, Rome, GA 30161-3193 | 2017-07-07 |
| 1063956472 | Marie Fraser | Counselor | 14 Wagnon Ct Se, Rome, GA 30161-2199 | 2016-12-05 |
| 1174993950 | Candice Aycock | Counselor | 6 Coker Dr Sw, Rome, GA 30165-3449 | 2015-10-06 |
| 1578952305 | Wendy G Price | Counselor | 701 E 2nd Ave Sw Ste A, Rome, GA 30161-6101 | 2015-01-16 |
| 1649684317 | Taryn Spates | Counselor | 512 Riverside Pkwy Ne, Suite 701, Rome, GA 30161-2911 | 2014-06-20 |
| 1780009514 | Rachel Pyle | Counselor | 3 Bryan Springs Rd Sw, Rome, GA 30165-7225 | 2014-03-04 |
| 1215277553 | Scott Douglas Mcdaniel | Counselor | 2501 Callier Springs Rd Se, Rome, GA 30161-6605 | 2013-02-24 |
| Find all providers in ROME | ||||
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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.