CLAYTON COUNTY BOARD OF COMMISSIONERS (NPI# 1952858821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952858821 |
| Entity Type | Organization |
| Organization Name | CLAYTON COUNTY BOARD OF COMMISSIONERS |
| Practice Address |
7810 Highway 85 Riverdale GA 30274-3920 |
| Mailing Address |
112 Smith St Jonesboro GA 30236-3539 |
| Practice Telephone | 7704733831 |
| Practice Fax Number | 7704733837 |
| Mailing Telephone | 7704733831 |
| Mailing Fax Number | 7704733837 |
| Enumeration Date | 2016-09-08 |
| Last Update Date | 2017-03-01 |
| Authorized Official Name | MR. LANDRY DOYLE MERKISON (FIRE CHIEF / EMS DIRECTOR) |
| Authorized Official Telephone | 7704733831 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073683603 | Clayton County Board of Commissioners | Ambulance | 112 Smith St, Jonesboro, GA 30236-3539 | 2006-11-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CLAYTON COUNTY BOARD OF COMMISSIONERS | 112 Smith St, Jonesboro, GA 30236-5906 |
| Street Address |
7810 HIGHWAY 85 |
| City | RIVERDALE |
| State | GA |
| Zip Code | 30274-3920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639714215 | Troy Lee Freeman | Nurse Practitioner | 7810 Highway 85, Riverdale, GA 30274-3920 | 2019-11-07 |
| 1366927766 | Jessica Leigh Haney | Nurse Practitioner | 7810 Highway 85, Riverdale, GA 30274-3920 | 2018-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245862507 | Todd L. Reed | Chiropractor | 83 Upper Riverdale Rd, Riverdale, GA 30274 | 2020-02-05 |
| 1487135992 | Freddie L Sallette IIi | Technician, Pathology | 385 Brookview Dr, Riverdale, GA 30274 | 2018-08-22 |
| 1366933210 | Dawn A. Paul | Nurse Practitioner | 238 Professional Ct Ste A, Riverdale, GA 30274 | 2018-05-27 |
| 1851894588 | Absolute Health Family & Urgent Care Clinic | Clinic/Center | 7574 Ga 85, Riverdale, GA 30274 | 2018-03-08 |
| 1366972127 | Jamillah Ingram | Physical Therapy Assistant | 315 Upper Riverdale Rd., Riverdale, GA 30274 | 2017-06-14 |
| 1114456514 | Grace L Kelson | Licensed Practical Nurse | 9142 Clubhouse Dr, Riverdale, GA 30274 | 2017-06-08 |
| 1790167799 | Cristian Carbuccia | Internal Medicine | 33 Upper Riverdale Rd Sw Ste 10, Riverdale, GA 30274 | 2015-06-25 |
| 1265857692 | Right Choice Enterprises LLC | Technician | 638 Sterling Ct, Riverdale, GA 30274 | 2014-02-21 |
| 1942571625 | Lowes Guardian Angel LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7056 Eunice Dr., Riverdale, GA 30274 | 2012-01-26 |
| 1508134156 | Education System Management, Inc | Social Worker | 125 Highway 138, Riverdale, GA 30274 | 2011-12-12 |
| Find all providers in zip 30274 | ||||
| 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 |
|---|---|---|---|---|
| 1306360060 | Kameelah L. Ellis | Nurse Practitioner | 33 Upper Riverdale Rd Sw Ste 21, Riverdale, GA 30274-2617 | 2017-08-02 |
| 1043629363 | Qiana A Johnson | Nurse Practitioner | 1240 Highway 138 Sw, Riverdale, GA 30296-1402 | 2014-08-12 |
| 1700394269 | Terri Lynn Ledoux | Nurse Practitioner | 6572 River Park Dr Ste 101, Riverdale, GA 30274-2214 | 2018-01-18 |
| 1154781714 | Kellie Michelle Noble | Nurse Practitioner | 6507 Professional Pl, Riverdale, GA 30274-4941 | 2016-02-24 |
| 1861736803 | Dipti Khanna | Nurse Practitioner | 6507 Professional Pl, Riverdale, GA 30274-4941 | 2012-11-15 |
| 1003022310 | Karen Krechmery | Nurse Practitioner | 11 Upper Riverdale Rd Sw, Riverdale, GA 30274-2615 | 2007-05-15 |
| 1346308525 | Nancy G. Rowell-crane | Nurse Practitioner | 11 Upper Riverdale Rd Sw, Riverdale, GA 30274-2615 | 2006-12-04 |
| 1346326493 | Cynthia C Decamp | Nurse Practitioner | 81 Upper Riverdale Rd Sw, Suite 200, Riverdale, GA 30274-2634 | 2006-10-31 |
| 1699790741 | Jennifer W Stemberger | Nurse Practitioner | 6555 Professional Pl, Suite C, Riverdale, GA 30274-4903 | 2006-07-12 |
| 1811947112 | Ida Marie Dunn | Nurse Practitioner | 11 Upper Riverdale Rd Sw, Riverdale, GA 30274-2615 | 2006-05-10 |
| Find all providers in RIVERDALE | ||||
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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.