JEFFREY G PROCTOR (NPI# 1902900459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902900459 |
| Entity Type | Individual |
| Full Name | JEFFREY G PROCTOR |
| Credential | M.D. |
| Practice Address |
970 Joe Frank Harris Pkwy Se Suite 260 Cartersville GA 30120-2159 |
| Mailing Address |
1930 Brannan Rd Mcdonough GA 30253-4310 |
| Practice Telephone | 7706071893 |
| Practice Fax Number | 7706072930 |
| Mailing Telephone | 6782844040 |
| Mailing Fax Number | 6782844076 |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2020-08-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 043267 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000770888A | 05 | |
| DEA | BP3201047 | 01 | |
| GA | RAILROAD MEDICARE | 340016381 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801120621 | Jeffrey Proctor | Case Manager/Care Coordinator | 673 San Jose Ave, San Francisco, CA 94110-4914 | 2009-09-25 |
| Street Address |
970 JOE FRANK HARRIS PKWY SE SUITE 260 |
| City | CARTERSVILLE |
| State | GA |
| Zip Code | 30120-2159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821082645 | Etowah Valley Obstetrics & Gynecology, P.C. | Specialist | 970 Joe Frank Harris Pkwy Se, Suite 200, Cartersville, GA 30120-2159 | 2005-09-08 |
| 1790973576 | Norma Ellen Gaddy | Family Medicine | 970 Joe Frank Harris Pkwy Se, Suite 220, Cartersville, GA 30120-2159 | 2007-10-05 |
| 1508088949 | Cartersville Surgical Associates, P.C. | Specialist | 970 Joe Frank Harris Pkwy Se, Suite 240, Cartersville, GA 30120-2159 | 2007-05-03 |
| 1336364520 | Georgia Urology Pa | Urology | 970 Joe Frank Harris Pkwy Se, Suite 260, Cartersville, GA 30120-2159 | 2007-04-15 |
| 1083777999 | Lynn Michele Brandt | Nurse Practitioner | 970 Joe Frank Harris Pkwy Se, Suite 100, Cartersville, GA 30120-2159 | 2006-12-19 |
| 1720169436 | Allan B Dunlap | Specialist | 970 Joe Frank Harris Pkwy Se, Suite 240, Cartersville, GA 30120-2159 | 2006-10-18 |
| 1568550283 | Brandi D Knight | Nurse Practitioner | 970 Joe Frank Harris Pkwy Se, Suite 260, Cartersville, GA 30120-2159 | 2006-10-10 |
| 1922115757 | Barbara Terry | Nurse Practitioner | 970 Joe Frank Harris Pkwy Se, Suite 350, Cartersville, GA 30120-2159 | 2006-08-25 |
| 1841307683 | Steve Thomas | Nurse Practitioner | 970 Joe Frank Harris Pkwy Se, Suite 350, Cartersville, GA 30120-2159 | 2006-08-25 |
| 1558340513 | Ward Loomis Reed IIi | Preventive Medicine | 970 Joe Frank Harris Pkwy Se, Suite 240, Cartersville, GA 30120-2159 | 2006-01-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295357325 | Rhonda Ireland | Pharmacist | 125 Main Street Marketplace, Cartersville, GA 30120 | 2020-05-12 |
| 1538719273 | The Golden Ages Corporoation | Nursing Care | 41 Walden Crossing, Cartrsville, GA 30120 | 2019-09-15 |
| 1932752391 | Jennifer Elaine Mclaurin | Counselor | 911 N. Tennesse Street, Suite 107, Cartersville, GA 30120 | 2019-07-24 |
| 1164989497 | Kayla Elizabeth Hoskins | Occupational Therapist | 7 E Cherokee Ave, Cartersville, GA 30120 | 2019-02-22 |
| 1942785837 | Adriane L Alexander | Social Worker | 24 Meadowbridge Drive, Cartersville, GA 30120 | 2018-09-26 |
| 1306329362 | Ashley Elizabeth Deal | Nurse Practitioner | 958a Joe Frank Harris Parkway, Suite 101, Cartersville, GA 30120 | 2018-09-14 |
| 1376037606 | Samuel Gilreath Tumlin | Dentist | 701 N. Tennessee St., Cartersville, GA 30120 | 2018-06-20 |
| 1437669108 | Deborah Susan Luper | Counselor | 106 Forrest Avenue, A Healing Place, Cartersville, GA 30120 | 2017-10-06 |
| 1750810693 | Debbie Fearon | Registered Nurse | 523 Mountain Chase, Cartersville, GA 30120 | 2017-06-05 |
| 1023486388 | Amanda Stanley | Pharmacist | 1150 West Ave, Cartersville, GA 30120 | 2015-09-03 |
| Find all providers in zip 30120 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336364520 | Georgia Urology Pa | Urology | 970 Joe Frank Harris Pkwy Se, Suite 260, Cartersville, GA 30120-2159 | 2007-04-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942820576 | Advanced Urology Institute of Georgia PC | Urology | 2205 Riverstone Blvd Ste 101, Canton, GA 30114-5250 | 2020-04-23 |
| 1093369795 | Georgia Urology, Pa | Urology | 470 Northside Cherokee Blvd Ste 210, Canton, GA 30115-8029 | 2019-07-31 |
| 1790248953 | Michael Oberle | Urology | 1120 15th St Rm Baa 8415, Augusta, GA 30912-4050 | 2019-04-12 |
| 1598220915 | Effingham Urology, LLC | Urology | 613 Towne Park Dr W Ste 204, Rincon, GA 31326-5183 | 2019-02-11 |
| 1275008351 | Center for Special Surgery LLC | Urology | 11660 Alpharetta Hwy Ste 720, Roswell, GA 30076-4916 | 2018-10-04 |
| 1295200426 | Paul Edward Henson Jr. | Urology | 1837 Wood Valley Dr, Dalton, GA 30720-3846 | 2018-10-03 |
| 1477033124 | Urological Health Center, PC | Urology | 1770 Watson Boulevard, Warner Robins, GA 31093 | 2018-08-21 |
| 1982182655 | Advanced Urology Institute of Georgia | Urology | 1460 S Johnson Ferry Rd, Atlanta, GA 30319-4301 | 2018-08-03 |
| 1922597517 | Wguasc, LLC | Urology | 150 Clinic Ave Ste 203, Carrollton, GA 30117-4402 | 2018-05-09 |
| 1841788395 | Houston Physician Specialists, LLC | Urology | 233 N Houston Rd Ste 100, Warner Robins, GA 31093-8944 | 2018-04-30 |
| Find all providers with the same taxonomy | ||||
| City | CARTERSVILLE |
| Zip Code | 30120 |
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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.