CAROL JO WILBANKS (NPI# 1952913808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952913808 |
Entity Type | Individual |
Full Name | CAROL JO WILBANKS |
Credential | NP |
Practice Address |
206 Crest Dr Rock Spring GA 30739-2041 |
Practice Telephone | 4237185525 |
Mailing Telephone | 4237185525 |
Enumeration Date | 2020-08-21 |
Last Update Date | 2020-08-21 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
APN0000027836 | TN | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
206 CREST DR |
City | ROCK SPRING |
State | GA |
Zip Code | 30739-2041 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992058960 | Highland Rivers Community Service Board | Community/Behavioral Health | 2510 Kay Conley Rd, Rock Spring, GA 30739-2073 | 2012-10-16 |
1124360185 | Stacey Michelle Foley | Occupational Therapy Assistant | 100 Autumn Crest Trl, Rock Spring, GA 30739-2095 | 2013-03-17 |
1285732115 | North Georgia Vision Center Inc | Technician/Technologist | 8390 N Highway 27, Rock Spring, GA 30739-2103 | 2006-09-21 |
1952300832 | Stephen Brent Clark | Optometrist | 8390 North Hwy 27, Rock Spring, GA 30739-2103 | 2005-07-21 |
1952569279 | North Georgia Vision Center Inc | Optometrist | 8390 N Highway 27, Rock Spring, GA 30739-2103 | 2008-05-23 |
1568455541 | Michael E Wilson | Internal Medicine | 8566c N Highway 27, Rock Spring, GA 30739-2105 | 2005-08-25 |
1811167455 | Primary Medical Consultants, LLC | Internal Medicine | 8566c N Highway 27, Rock Spring, GA 30739-2105 | 2008-03-11 |
1801978929 | Jimmy Simpson Foundation, Inc. | Clinic/Center | 9558 N Highway 27, Rock Spring, GA 30739-2113 | 2006-10-19 |
1922124775 | Jimmy Simpson Foundation, Inc. | Custodial Care Facility | 9558 N Highway 27, Rock Spring, GA 30739-2113 | 2007-03-22 |
1154945863 | Emilie Rice | Dietitian, Registered | 318 Long Hollow Rd, Rock Spring, GA 30739-2146 | 2020-05-29 |
Find all providers in zip 30739 |
Taxonomy Code | 363LP2300X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639784788 | Natasha Allen | Nurse Practitioner | 4177 Pelham Cir, Lithonia, GA 30038-6140 | 2020-09-14 |
1336753920 | Henny P Brown | Nurse Practitioner | 3430 Ridgeland Pl, Alpharetta, GA 30004-8483 | 2020-09-01 |
1487267415 | Alethea Hope Tucker | Nurse Practitioner | 3685 Braselton Hwy Ste 100, Dacula, GA 30019-5920 | 2020-08-28 |
1164032017 | Myiesha Sellers Mcfarlin | Nurse Practitioner | 55 Sellers Ln, Baxley, GA 31513-2208 | 2020-08-05 |
1124645395 | Kisha Smalley | Nurse Practitioner | 117 Gambier Cv, Mcdonough, GA 30252-6273 | 2020-07-02 |
1346861127 | Finan Tedla | Nurse Practitioner | 2626 Peachtree Rd Nw Unit 1802, Atlanta, GA 30305-5633 | 2020-05-03 |
1841819547 | Millicent Charte Duncan | Nurse Practitioner | 138 Parkview Rd, Savannah, GA 31419-9672 | 2020-04-13 |
1891329660 | Tracey Lynn Murray | Nurse Practitioner | 980 Johnson Ferry Rd Ste 880, Sandy Springs, GA 30342-1609 | 2020-03-02 |
1841820917 | Vedic Family Practice and Wellness | Nurse Practitioner | 1240 Upper Hembree Rd Ste E, Roswell, GA 30076-0914 | 2020-01-17 |
1871138685 | Julie Childers | Nurse Practitioner | 654 County Farm Rd, Dublin, GA 31021-1799 | 2019-11-15 |
Find all providers with the same taxonomy |
City | ROCK SPRING |
Zip Code | 30739 |
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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.