TRACI CORBIN (NPI# 1881138592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881138592 |
| Entity Type | Individual |
| Full Name | TRACI CORBIN |
| Credential | NP |
| Practice Address |
501 Furys Ferry Rd Augusta GA 30907-9059 |
| Practice Telephone | 7626855501 |
| Practice Fax Number | 7067509229 |
| Mailing Telephone | 7626855501 |
| Mailing Fax Number | 7067509229 |
| Enumeration Date | 2016-12-14 |
| Last Update Date | 2020-10-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | RN261681 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891333274 | Traci Corbin | Registered Nurse | 603 Scenic Hill Circle, Bonifay, FL 32425 | 2019-12-16 |
| Street Address |
501 FURYS FERRY RD |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30907-9059 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053883710 | Spine Center Augusta, LLC | Physical Medicine & Rehabilitation | 501 Furys Ferry Rd, Augusta, GA 30907-9059 | 2018-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275158156 | Mary Cameron Elizabeth Robert | Dentist | 3226 Washington Rd, Augusta, GA 30907 | 2020-06-16 |
| 1841760451 | Debra E Gibbs | Dental Hygienist | 523 Crystal Creek West, Martinez, GA 30907 | 2018-11-27 |
| 1083183651 | Leslie Yvonne Watkins | Massage Therapist | 3450 River Watch Parkway, Suite 100, Martinez, GA 30907 | 2018-11-13 |
| 1124594718 | Kimberly A Delaigle | Nurse Practitioner | 3475 Riverwatch Parkway, Suite 310, Martinez, GA 30907 | 2018-10-22 |
| 1366960825 | Catherine Lane Hopkins | Speech-Language Pathologist | 435 Cambridge Circle, Martinez, GA 30907 | 2017-09-05 |
| 1518485143 | Challenging Perspectives | Clinic/Center | 3710 Executive Center Dr Suite B, Martinez, GA 30907 | 2017-09-04 |
| 1386168490 | Carlene Elizabeth Lemcke | Speech-Language Pathologist | 3580 Riverwatch Parkway, Martinez, GA 30907 | 2017-07-31 |
| 1619499357 | Orchid Archer | Registered Nurse | 702 Riverbend Drive, Martinez, GA 30907 | 2017-07-14 |
| 1437679339 | Mediator Senior Care, LLC | In Home Supportive Care | 4143 Columbia Rd., Suite B, Martinez, GA 30907 | 2017-06-21 |
| 1518407907 | Augusta Smilecare PC | Dentist | 4200 Columbia Road, Martinez, GA 30907 | 2017-03-03 |
| Find all providers in zip 30907 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588145106 | Stephanie Madeline Wright | Nurse Practitioner | 1120 15th St # Ad3401, Augusta, GA 30912-0004 | 2018-08-22 |
| 1841732807 | Robert Dean Whigham | Nurse Practitioner | 1510 C and S Dr, Augusta, GA 30909-2804 | 2016-11-08 |
| 1659731313 | Robin Ann Lockhart | Nurse Practitioner | 1120 15th St Ba-9413, Augusta, GA 30912 | 2016-02-24 |
| 1598137481 | Jason E Stephens | Nurse Practitioner | 1224 Augusta West Parkway, Augusta, GA 30909 | 2015-10-30 |
| 1063892644 | Jasneth James | Nurse Practitioner | 3301 Woodville Rd, Augusta, GA 30909-9228 | 2015-06-09 |
| 1932588837 | Audrey Chrisitne Usry | Nurse Practitioner | 1941 Phinizy Rd, Augusta, GA 30906-5173 | 2015-05-26 |
| 1114138013 | Denise Kim Drake | Nurse Practitioner | 3624 J Dewey Gray Cir Ste 110, Augusta, GA 30909-6585 | 2007-05-24 |
| 1710194840 | Au Nursing Associates, Inc. | Nurse Practitioner | 987 Saint Sebastian Way # Ec-1500, Augusta, GA 30912 | 2007-05-17 |
| 1396899167 | Laura J Logue | Nurse Practitioner | 1411 Laney Walker Blvd # An2206, Mcg Cancer Center, Augusta, GA 30912-0002 | 2007-01-22 |
| 1154481448 | Focused Wound Care Associates LLC | Nurse Practitioner | 263 Clay St, Augusta, MO 63332-1018 | 2006-12-09 |
| Find all providers in AUGUSTA | ||||
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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.