SYDNEY FAGAN (NPI# 1962972208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962972208 |
| Entity Type | Individual |
| Full Name | SYDNEY FAGAN |
| Credential | LPN |
| Practice Address |
2900 Chamblee Tucker Rd Bldg 16 Atlanta GA 30341-4148 |
| Practice Telephone | 7709391288 |
| Practice Fax Number | 7702122203 |
| Mailing Telephone | 7709391288 |
| Mailing Fax Number | 7702122203 |
| Enumeration Date | 2018-11-29 |
| Last Update Date | 2018-11-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | PN5211231 | FL | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 544735807A | 05 |
| Street Address |
2900 CHAMBLEE TUCKER RD BLDG 16 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30341-4148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659468668 | Douglas K Laipple | Psychiatry & Neurology | 2900 Chamblee Tucker Rd Bldg 16, Atlanta, GA 30341-4148 | 2006-10-10 |
| 1861032922 | Gaynor L Butler | Social Worker | 2900 Chamblee Tucker Rd Bldg 16, Atlanta, GA 30341-4148 | 2020-01-07 |
| 1699324707 | Casey Salcedo | Nurse Practitioner | 2900 Chamblee Tucker Rd Bldg 16, Atlanta, GA 30341-4148 | 2019-09-11 |
| 1609429844 | Vanessa Innocent | Nurse Practitioner | 2900 Chamblee Tucker Rd Bldg 16, Atlanta, GA 30341-4148 | 2019-07-17 |
| 1902465727 | Monica Gibson Rich | Social Worker | 2900 Chamblee Tucker Rd Bldg 16, Atlanta, GA 30341-4148 | 2019-06-06 |
| 1790271500 | Lori Hobbs Mashburn | Nurse Practitioner | 2900 Chamblee Tucker Rd Bldg 16, Atlanta, GA 30341-4148 | 2018-07-04 |
| 1609383967 | Vandeler Davis | Nurse Practitioner | 2900 Chamblee Tucker Rd Bldg 16, Atlanta, GA 30341-4148 | 2018-01-08 |
| 1598276925 | Amber Renee Mize | Social Worker | 2900 Chamblee Tucker Rd Bldg 16, Atlanta, GA 30341-4148 | 2017-10-12 |
| 1457871089 | Quality Connections Counseling and Consulting | Clinic/Center | 2900 Chamblee Tucker Rd Bldg 16, Atlanta, GA 30341-4148 | 2017-06-25 |
| 1689057218 | Jamie Elizabeth Edmunds | Nurse Practitioner | 2900 Chamblee Tucker Rd Bldg 16, Atlanta, GA 30341-4148 | 2015-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992207344 | Rabun Marie Robertson | Occupational Therapist | 2320 Perimeter Park Drive, Atlanta, GA 30341 | 2018-03-01 |
| 1568986313 | Charles Edge IIi | Nurse Practitioner | 4770 Buford Highway, Atlanta, GA 30341 | 2017-08-02 |
| 1366971277 | Park Ridge Healthcare and Physical Medicine LLC | Nurse Practitioner | 2896 Chamblee Tucker Road, Suite 4, Atlanta, GA 30341 | 2017-06-06 |
| 1437502937 | Chara Mcgill | Counselor | 13207 Jefferson Circle N, Chamblee, GA 30341 | 2016-07-20 |
| 1982063913 | Stepping Stone of Atlanta | Community/Behavioral Health | 3705 Chamblee Dunwoody Rd, Chamblee, GA 30341 | 2016-02-18 |
| 1013317577 | Marne Day | Counselor | 3720 Chamblee Dunwoody Rd, Chamblee, GA 30341 | 2014-09-02 |
| 1013343680 | Keelan Walker | Speech-Language Pathologist | 4961 Buford Highway Suite 201, Suite 201, Chamblee, GA 30341 | 2013-09-16 |
| 1578901955 | Promonitor LLC | Electrodiagnostic Medicine | 3300 Northwest Expy Bldg 7, Atlanta, GA 30341 | 2013-06-07 |
| 1639415359 | Lawanda B Cooke | Health Educator | 5280 Peachtree Ind Blvd, Chamblee, GA 30341 | 2012-12-28 |
| 1457602773 | Arthur Macrae Wendel | Family Medicine | 4770 Buford Hwy Ms F60, Atlanta, GA 30341 | 2012-09-26 |
| Find all providers in zip 30341 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740802826 | Melissa Danielle Carter | Licensed Practical Nurse | 5059 Upper Elm St, Atlanta, GA 30349-1669 | 2020-05-12 |
| 1821628488 | Rashi Swift | Licensed Practical Nurse | 4555 Washington Rd, 20-3g, Atlanta, GA 30349-3034 | 2020-01-23 |
| 1811436934 | La Raven Rambo | Licensed Practical Nurse | 95 Howell Dr Sw, Atlanta, GA 30331-4020 | 2017-02-22 |
| 1558754168 | James Edwin Wagner | Licensed Practical Nurse | 377 Peyton Road S W, Atlanta, GA 30311 | 2015-03-07 |
| 1598166118 | Jaquary Moton | Licensed Practical Nurse | 3648 Utoy Dr Sw, Atlanta, GA 30331-8617 | 2014-09-15 |
| 1013341486 | Lillian L Freeman | Licensed Practical Nurse | 16103 Skyline Ln Ne, Atlanta, GA 30345-7915 | 2013-08-21 |
| 1083055503 | Theresa Richie | Licensed Practical Nurse | 2546 Wrangler Dr Sw, Atlanta, GA 30331-9453 | 2013-07-12 |
| 1891032157 | Carla Bernita Jones | Licensed Practical Nurse | 2064 Ridgedale Rd Ne, Atlanta, GA 30317 | 2013-01-07 |
| 1487904900 | Alecia Lee | Licensed Practical Nurse | 1050 Lenox Park Blvd Ne, 16103, Atlanta, GA 30319-5826 | 2012-09-12 |
| 1669757449 | Katrina Tolliver Jordan | Licensed Practical Nurse | 6600 Peachtree Dunwoody Road, Bulding 400 Suite 125, Atlanta, GA 30328 | 2011-10-12 |
| Find all providers in ATLANTA | ||||
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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.