VICKIE LORRAINE FULWIDER (NPI# 1871882050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871882050 |
| Entity Type | Individual |
| Full Name | VICKIE LORRAINE FULWIDER |
| Practice Address |
591 Seneca Ct Se Conyers GA 30094-2648 |
| Practice Telephone | 4044477939 |
| Mailing Telephone | 4044477939 |
| Enumeration Date | 2011-03-28 |
| Last Update Date | 2011-03-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 347C00000X | Private Vehicle | 049845500 | GA | Transportation Services |
| Street Address |
591 SENECA CT SE |
| City | CONYERS |
| State | GA |
| Zip Code | 30094-2648 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164029054 | Darlene Fletcher | Counselor | 827 St. Clair Dr., Conyers, GA 30094 | 2020-10-05 |
| 1194363366 | Clara A Matthews | Physician Assistant | 1930 Windsor Creek Drive Sw, Conyers, GA 30094 | 2019-12-18 |
| 1659838571 | Sensitive Home Care Agency Inc. | PACE Provider Organization | 2225 Morning Dew, Conyers, GA 30094 | 2019-02-27 |
| 1679097992 | Sheira Dennis | Case Management | 3828 Martingale Dr Se, Conyers, GA 30094 | 2017-07-28 |
| 1730571399 | Wellness and Trauma Recovery Center | Counselor | 1775 Parker Rd. Building C, Suite 210, Conyers, GA 30094 | 2015-02-19 |
| 1760870612 | Michael Terrell | Technician/Technologist | 806 Cambridge Creek Dr, Conyers, GA 30094 | 2014-12-30 |
| 1538567466 | Jennifer Angela Johnson | Registered Nurse | 2240 Wren Rd Se, Conyers, GA 30094 | 2014-12-09 |
| 1225445208 | Wanda Marcella Rainey-reed | Counselor | 1453 Klondike Rd Sw Ste D, Conyers, GA 30094 | 2014-07-22 |
| 1508155268 | Nicklaus Trent Rice | Obstetrics & Gynecology | 2750 Owens Dr, Conyers, GA 30094 | 2011-04-04 |
| 1720219660 | Candace Alexander | Dentist | 863 Flat Shoals Rd Se, Suite C #220, Conyers, GA 30094 | 2009-07-27 |
| Find all providers in zip 30094 | ||||
| Taxonomy Code | 347C00000X |
| Grouping | Transportation Services |
| Classification | Private Vehicle |
| An individual paid to provide non-emergency transportation using their privately owned/leased vehicle. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942577341 | Roy Oliver Samuels | Private Vehicle | 1385 Travers Creek Trl, Conyers, GA 30012-3581 | 2011-11-30 |
| 1881189793 | Above Average Professional Services | Private Vehicle | 3672 Shale Ln Se, Conyers, GA 30013-5112 | 2018-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003440413 | Clayton Webster | Private Vehicle | 3825 Marham Park Cir, Loganville, GA 30052-5449 | 2020-02-24 |
| 1952962144 | Sharon Williams | Private Vehicle | 5326 Kelleys Creek Dr, Stone Mountain, GA 30088-3827 | 2019-06-27 |
| 1790257186 | Hopes 5 Alive Inc | Private Vehicle | 3500 Venture Pkwy, Duluth, GA 30096-4723 | 2018-12-22 |
| 1265910632 | Renaissance Automotive | Private Vehicle | 110 Walter Way Unit 1498, Stockbridge, GA 30281 | 2018-07-30 |
| 1770070237 | Wisteria D Hendricks Dba S&s | Private Vehicle | 6065 Lakeview Overlook, Lithonia, GA 30038-3462 | 2018-04-19 |
| 1588176192 | All Loving Hands With Caring Hearts Home Care Ltd | Private Vehicle | 1709 Bristol Trl, Johns Creek, GA 30022-8062 | 2017-11-05 |
| 1376052696 | Kendra Oreggio | Private Vehicle | 117 Janney Circle, Mcdonough, GA 30253 | 2017-09-29 |
| 1306355177 | Sure Care Medical Transportation, LLC | Private Vehicle | 211 Woodcrest Circle, A, Warner Robins, GA 31093-0211 | 2017-09-25 |
| 1629509344 | Exclusive Concierge Services | Private Vehicle | 6 Southside Ct Apt B, Columbus, GA 31903-4428 | 2017-03-24 |
| 1669912671 | Eric Turner Family Counseling Services, LLC | Private Vehicle | 525 W 13th St Ne, 405, Rome, GA 30165-2698 | 2017-02-24 |
| Find all providers with the same taxonomy | ||||
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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.