CONSWALIS L. NORTHCUTT (NPI# 1952751497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952751497 |
| Entity Type | Individual |
| Full Name | CONSWALIS L. NORTHCUTT |
| Credential | NP |
| Practice Address |
1719 Russell Pkwy Bldg 700 Warner Robins GA 31088-5763 |
| Practice Telephone | 4783287674 |
| Practice Fax Number | 4783281393 |
| Mailing Telephone | 4783287674 |
| Mailing Fax Number | 4783281393 |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2016-06-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
RN203938 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | CERTIFICATION NUMBER (AMERICAN ACADEMY OF NURSE PRACTITIONERS) | AG0815122 | 01 |
| GA | NURSE PRACTIONER LICENSURE NUMBER | RN203938 | 01 |
| Street Address |
1719 RUSSELL PKWY BLDG 700 |
| City | WARNER ROBINS |
| State | GA |
| Zip Code | 31088-5763 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386690972 | Alain Daniel Toland | Otolaryngology | 1719 Russell Pkwy, Bldg 300, Suite 301, Warner Robins, GA 31088-5763 | 2006-05-25 |
| 1023542511 | Central Georgia Professional Hearing Services, LLC | Audiologist | 1719 Russell Pkwy, Bldg 300, Warner Robins, GA 31088-5763 | 2017-04-12 |
| 1760922355 | Linda Vanosdol | Nurse Practitioner | 1719 Russell Pkwy, Suite 700, Warner Robins, GA 31088-5763 | 2017-03-01 |
| 1124344403 | Srijana Ranjit | Internal Medicine | 1719 Russell Pkwy, Warner Robins, GA 31088-5763 | 2010-04-12 |
| 1285864769 | Rebeka Leann Mathis | Physician Assistant | 1719 Russell Pkwy, Bldg. 300, Warner Robins, GA 31088-5763 | 2009-07-20 |
| 1568611424 | Erin Tapley Burch | Nurse Practitioner | 1719 Russell Pkwy, Bldg 300, Warner Robins, GA 31088-5763 | 2008-09-16 |
| 1104042753 | Natalie P Gibbs | Audiologist | 1719 Russell Pkwy, Bldg 300, Warner Robins, GA 31088-5763 | 2007-04-18 |
| 1972655215 | Ent Surgical Associates of Central Ga, PC | Otolaryngology | 1719 Russell Pkwy, Bldg 300, Ste 301, Warner Robins, GA 31088-5763 | 2007-01-17 |
| 1952490302 | Deborah J Bessinger | Physician Assistant | 1719 Russell Pkwy, Bldg 700, Warner Robins, GA 31088-5763 | 2006-10-12 |
| 1568473767 | Houston Primary Care, Inc. | Internal Medicine | 1719 Russell Pkwy, Bldg. 700, Warner Robins, GA 31088-5763 | 2006-08-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982218921 | Sarah Newman | Pharmacist | 1081 Ga-96, Warner Robins, GA 31088 | 2020-09-08 |
| 1619599115 | Alana Jane Sibley | Registered Nurse | 940 Ga - 96, Warner Robins, GA 31088 | 2020-05-07 |
| 1033779657 | Jodi Lynne Pettygrove | Nurse Practitioner | 115 Havelock Cir, Warner Robins, GA 31088 | 2019-06-17 |
| 1164994901 | Gwendolyn Jordan Taylor | Registered Nurse | 940-c Ga Hwy 96, Same, Warner Robins, GA 31088 | 2018-12-18 |
| 1447721543 | Amy Tanner | Behavioral Analyst | 200 Cresview Church Rd #1806, Warner Robins, GA 31088 | 2018-12-16 |
| 1518435676 | Phoenix Health Center | Case Management | 940 Ga-96, Warner Robins, GA 31088 | 2018-11-07 |
| 1427534320 | Jared Dean Johnson | Social Worker | 146 Lakepointe Drive, Warner Robins, GA 31088 | 2018-07-13 |
| 1285124180 | Cmp Academy & Billing Service | Contractor | 105 S Commercial Circle, Warner Robins, GA 31088 | 2018-05-16 |
| 1730692377 | Benzer Pharmacy | Pharmacy | 150 S Houston Lake Rd Ste 300, Warner Robins, GA 31088 | 2017-11-06 |
| 1821507476 | Timothy Doyle Thomas | Registered Nurse | 940-c Hwy 96, Warner Robins, GA 31088 | 2017-09-27 |
| Find all providers in zip 31088 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093206591 | Stephanie Williams | Nurse Practitioner | 940 Ga Highway 96, Warner Robins, GA 31088-2584 | 2018-05-21 |
| 1679073464 | Carolyn Joy Fletcher | Nurse Practitioner | 2054 Watson Blvd, Warner Robins, GA 31093-3634 | 2018-02-18 |
| 1003196502 | Anita L. Barkin | Nurse Practitioner | 98 Cohen Walker Dr, Warner Robins, GA 31088-2729 | 2011-08-29 |
| 1801101621 | April Gaddy Jones | Nurse Practitioner | 1707 Watson Blvd, Warner Robins, GA 31093-3606 | 2010-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154110 | Christina Danielle Palau Vaccari | Nurse Practitioner | 712 Pasley Ave Se, Atlanta, GA 30316-2158 | 2020-11-07 |
| 1427657113 | Cynthia Diane Prather | Nurse Practitioner | 3264 Lower Boston Rd, Thomasville, GA 31757-1311 | 2020-10-22 |
| 1932706728 | Alecia Ann Czarnecki | Nurse Practitioner | 6240 Crooked Creek Dr, Rex, GA 30273-5006 | 2020-10-05 |
| 1801401112 | Cotenna D. Clark | Nurse Practitioner | 1857 Cameo Ct, Tucker, GA 30084-7002 | 2020-09-14 |
| 1487264370 | Helen Young Yates | Nurse Practitioner | 40 Red Rock Ct Ne, Ludowici, GA 31316-6280 | 2020-08-05 |
| 1982214334 | Jasmine Alecia Henderson | Nurse Practitioner | 52 Roseberry Cir, Port Wentworth, GA 31407-5612 | 2020-07-31 |
| 1275142994 | Theresia Richardson | Nurse Practitioner | 2033 Buford Hwy Ste 109, Buford, GA 30518-8802 | 2020-07-28 |
| 1063021277 | Elsa Duncan Duncan | Nurse Practitioner | 1822 E Gwinnett St, Savannah, GA 31404-1853 | 2020-07-24 |
| 1154941946 | Joy P Wharton | Nurse Practitioner | 182 Silver Arrow Cir, Austell, GA 30168-7490 | 2020-04-21 |
| 1235769985 | Michelle Brack | Nurse Practitioner | 502 Hall Rd, Thomasville, GA 31757-8105 | 2020-01-22 |
| Find all providers with the same taxonomy | ||||
| City | WARNER ROBINS |
| Zip Code | 31088 |
Please comment or provide details below to improve the information on CONSWALIS L. NORTHCUTT.
| 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.