ELIZABETH BRIDGEWATER (NPI# 1922508704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922508704 |
| Entity Type | Individual |
| Full Name | ELIZABETH BRIDGEWATER |
| Practice Address |
906 Interstate Ridge Dr Ste C Gainesville GA 30501-7074 |
| Mailing Address |
5020 Merlin Dr Oakwood GA 30566-2623 |
| Practice Telephone | 4049348338 |
| Enumeration Date | 2018-02-18 |
| Last Update Date | 2018-02-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
906 INTERSTATE RIDGE DR STE C |
| City | GAINESVILLE |
| State | GA |
| Zip Code | 30501-7074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437782851 | Madison Raye Huth | Physician Assistant | 743 Spring Street Se, Gainesville, GA 30501 | 2020-02-13 |
| 1205487659 | Grace M Walker Brown | Nurse Practitioner | 592 Medical Park Dr., Suite A, Gainesville, GA 30501 | 2019-09-26 |
| 1174086987 | Nayab Ahmed | Student in an Organized Health Care Education/Training Program | 743 Spring Street, Suite 710, Gainesville, GA 30501 | 2019-04-09 |
| 1154881118 | Ryan D Berry | Student in an Organized Health Care Education/Training Program | 734 Spring St Se Ste 710, Gainesville, GA 30501 | 2019-03-24 |
| 1609336304 | Harper E Niver | Student in an Organized Health Care Education/Training Program | 743 Spring St., Suite 710, Gainesville, GA 30501 | 2019-03-20 |
| 1508336173 | Bradee Burrell Aderholt | Nurse Practitioner | 663 Lanier Park Drive, Gainesville, GA 30501 | 2018-11-27 |
| 1578068359 | Soammy Liz Matias | Chiropractor | 961 Green Street, Gainesville, GA 30501 | 2018-03-26 |
| 1811496896 | Matthew Brown | Speech-Language Pathologist | 500 Spring St. Se Suite 101, Gainesville, GA 30501 | 2018-02-06 |
| 1346769825 | Dr. Skeete & Associates of North Georgia, P.C. | Optometrist | 150 Pearl Nix Parkway, Suite D3a, Gainesville, GA 30501 | 2017-09-15 |
| 1932624723 | M & B Imaging, PC | Radiology | 1640 Jesse Jewell Pkwy Se Ste 2, Gainesville, GA 30501 | 2017-08-14 |
| Find all providers in zip 30501 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588107288 | Leslie Stone | Case Manager/Care Coordinator | 2913 Nw 6th St, Gainesville, FL 32609-2978 | 2016-11-29 |
| 1205379906 | Janae Basford | Case Manager/Care Coordinator | 8824 Nw 35th Pl, Gainesville, FL 32606-3804 | 2016-11-29 |
| 1598211302 | Deborah Osborne | Case Manager/Care Coordinator | 4300 Sw 13rh St, Gainesville, FL 32608-4006 | 2016-08-31 |
| 1346616588 | Angela Shaak Bauer | Case Manager/Care Coordinator | 4415 Nw 143rd St, Gainesville, FL 32606-3408 | 2015-08-11 |
| 1174906077 | Cindy Haynes | Case Manager/Care Coordinator | 949 Bradford St Nw, Gainesville, GA 30501-2949 | 2015-07-09 |
| 1174923551 | Chelsea Simpkins | Case Manager/Care Coordinator | 4415 Sw 34th St Apt 610, Gainesville, FL 32608-1476 | 2014-09-04 |
| 1255695425 | Harriet Lynn Bryant | Case Manager/Care Coordinator | 3525 Nw 22nd Ter, Gainesville, FL 32605-2344 | 2012-07-02 |
| 1972865202 | Ninoska Mercedes Bravo-machado | Case Manager/Care Coordinator | 5424 Carolean St, Gainesville, GA 30506-3193 | 2012-06-12 |
| 1598032856 | Anna L Jones | Case Manager/Care Coordinator | 8490 Anchor On Lanier Ct, Gainesville, GA 30506-6784 | 2011-11-30 |
| 1407123185 | Dru Dixon Thomas | Case Manager/Care Coordinator | 4041 Fieldstone Dr, Gainesville, GA 30506-2236 | 2011-11-22 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 30501 |
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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.