AVA DAWN GREENE (NPI# 1992283097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1992283097 |
Entity Type | Individual |
Full Name | AVA DAWN GREENE |
Credential | FNP-C |
Practice Address |
3003 Veterans Pkwy S Moultrie GA 31788-6705 |
Mailing Address |
4705 Two Knotch Cir Lake Park GA 31636-4981 |
Practice Telephone | 2299853422 |
Mailing Telephone | 2298346453 |
Enumeration Date | 2018-07-31 |
Last Update Date | 2018-07-31 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN118430 | GA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
3003 VETERANS PKWY S |
City | MOULTRIE |
State | GA |
Zip Code | 31788-6705 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295283620 | Convenient Rx LLC | Pharmacy | 640 Veterans Pkwy N, Moultrie, GA 31788 | 2016-09-14 |
1861745994 | Sherry Marie Mccoy | Clinical Nurse Specialist | 3015 Veterans Parkaway, Moultrie, GA 31788 | 2012-10-26 |
1083874895 | Opal Jean M Norman | Speech-Language Pathologist | 4969 Old Adel Rd, Moultrie, GA 31788-1276 | 2008-06-16 |
1558440800 | Colquitt County Board of Education | Local Education Agency (LEA) | 348 Industrial Dr, Moultrie, GA 31788-1842 | 2006-11-06 |
1295378982 | Jamshaid Mukhtar Cheema | Physician Assistant | Turning Point Care Center, 3015 Veterans Pkway S, Moultrie, GA 31788-2397 | 2019-10-24 |
1508313164 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 378 Veterans Pkwy N, Moultrie, GA 31788-4171 | 2016-09-01 |
1518347418 | Careconnect Health, Inc. | Clinic/Center | 358 Veterans Pkwy N, Moultrie, GA 31788-4171 | 2015-06-05 |
1528674439 | Lindsay Mobley | Pharmacist | 378 Veterans Pkwy N, Moultrie, GA 31788-4171 | 2020-09-17 |
1346727955 | Courtney Foy Edwards | Pharmacist | 378 Veterans Pkwy N, Moultrie, GA 31788-4171 | 2018-07-26 |
1538689757 | Lauren Milligan | Social Worker | 358 Veterans Pkwy N, Moultrie, GA 31788-4171 | 2017-06-20 |
Find all providers in zip 31788 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700416385 | Katrina Freeman Sasine | Nurse Practitioner | 16 Old Tram Rd, Moultrie, GA 31768-6510 | 2020-01-22 |
1083258776 | Sabrina Griffin | Nurse Practitioner | 143 Us Highway 319 S Ste 1, Moultrie, GA 31768-7991 | 2019-11-05 |
1194208751 | Regina Mercer Ward | Nurse Practitioner | 1724 Villa Dr Sw, Moultrie, GA 31768 | 2018-09-10 |
1356892459 | Zsuzsanna M. Bartha | Nurse Practitioner | 3011 Veterans Pkwy S, Moultrie, GA 31788-6705 | 2016-10-24 |
1740253756 | Judith Ferguson Donnan | Nurse Practitioner | 8 Laurel Ct, Moultrie, GA 31768-6889 | 2006-02-09 |
1811545833 | Morgan Jane Orr | Nurse Practitioner | 1 Sweet Bay Ct Ste A, Moultrie, GA 31768-6713 | 2019-09-03 |
1639739998 | Christina Arrington Lee | Nurse Practitioner | 8 Laurel Ct, Moultrie, GA 31768-6889 | 2019-06-19 |
1396216123 | Kerri Holloway | Nurse Practitioner | 2509 S Main St, Moultrie, GA 31768-6530 | 2018-12-05 |
1689158446 | Kaylan Lancaster | Nurse Practitioner | 2509 S Main St, Moultrie, GA 31768 | 2018-09-18 |
1285117630 | Amanda D Strickland | Nurse Practitioner | 4 Live Oak Ct, Moultrie, GA 31768-6783 | 2018-09-12 |
Find all providers in MOULTRIE |
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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.