TRENT LORNE PRAULT


Address: 550 Redmond Rd Nw, Rome, GA 30165-1416
Phone: 7062338508

TRENT LORNE PRAULT (NPI# 1992746747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1992746747
Entity Type Individual
Full Name TRENT LORNE PRAULT
Credential MD
Practice Address 550 Redmond Rd Nw
Rome
GA 30165-1416
Mailing Address 221 Technology Pkwy Nw
Rome
GA 30165-1369
Practice Telephone 7062338508
Practice Fax Number 7062338509
Mailing Telephone 7622351000
Enumeration Date 2006-06-10
Last Update Date 2020-04-28
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2086S0129X Surgery
Specialization: Vascular Surgery
058103 GA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
GA 057976876A 05

Office Location

Street Address 550 REDMOND RD NW
City ROME
State GA
Zip Code 30165-1416

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457346496 Poonam Singh Internal Medicine 550 Redmond Rd Nw, Rome, GA 30165-1416 2005-09-15
1174158505 Whitney Tolbert Albright Nurse Practitioner 550 Redmond Rd Nw, Rome, GA 30165-1416 2020-03-05
1457990020 Kimberly Mae Evans Nurse Practitioner 550 Redmond Rd Nw, Rome, GA 30165-1416 2019-12-31
1710522933 William Edward Johnson Physician Assistant 550 Redmond Rd Nw, Rome, GA 30165-1416 2019-11-12
1053876391 Samantha Danielle Pruitt Nurse Practitioner 550 Redmond Rd Nw, Rome, GA 30165-1416 2019-01-31
1205311131 Austin James Malcom Physician Assistant 550 Redmond Rd Nw, Rome, GA 30165-1416 2018-09-26
1972025955 Tricia Lee Nelson Nurse Practitioner 550 Redmond Rd Nw, Rome, GA 30165-1416 2017-07-12
1417400318 Inga Elita Bennett Nurse Practitioner 550 Redmond Rd Nw, Rome, GA 30165-1416 2016-07-27
1306298674 Krishna Sumeer Tah Physician Assistant 550 Redmond Rd Nw, Rome, GA 30165-1416 2016-07-11
1467807750 Robin Ann Hawkland Nurse Practitioner 550 Redmond Rd Nw, Rome, GA 30165-1416 2016-04-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1346868775 Heather Bowman Physical Therapist 600 Eagle, E Lake Dr, Rome, GA 30165 2020-07-13
1205451101 Kristopher Nelson Student in an Organized Health Care Education/Training Program 4256, 304 Shorter Ave Nw #201, Rome, GA 30165 2020-06-16
1962061457 Stuart Paul Shaklee Occupational Therapy Assistant 1356 Redmond Road, Rome, GA 30165 2019-06-10
1386001055 Autumn Streetman Counselor 6 Mathis Drive, Rome, GA 30165 2016-01-26
1144695784 Gabrador Milligan Counselor 6 Mathis Road, Rome, GA 30165 2015-12-08
1386041952 Theresa Suits Registered Nurse 1 Woodbine Avenue, Rome, GA 30165 2014-11-26
1942561147 Nicole C. Christian Clinical Neuropsychologist 305 Redmond Rd, Rome, GA 30165 2012-06-04
1679832711 Niki Pareshkumar Bhavsar Internal Medicine 3041 Turner Mccall Blvd, Rome, GA 30165 2012-05-10
1285927491 Amanda Fischer Reeves Family Medicine 304 Shorter Ave Nw Ste 102, Rome, GA 30165 2011-05-20
1033436647 Northland Hearing Centers, Inc. Hearing Instrument Specialist 4 Coosawattee Ave, Rome, GA 30165 2010-04-23
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Taxonomy Information

Taxonomy Code 2086S0129X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Vascular Surgery

Taxonomy Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1801958772 John Smith Kirkland Jr. Surgery 796 N Division St Nw, Rome, GA 30165-1404 2006-12-15
1205128238 Rome Medical Practice Surgery 1617 N James St, Suite 700, Rome, NY 13440-2852 2011-05-10
1285950055 Frank Durham Stegall Jr. Surgery 550 Redmond Rd Nw, Rome, GA 30165-1416 2010-04-19
1194880351 Delmar Michael Rogers Surgery 796 N Division St Nw, Rome, GA 30165-1404 2006-12-27
1902968647 Jonathon Richard Molnar Surgery 550 Redmond Rd Nw, Rome, GA 30165-1416 2006-12-15
1619947017 David Bailey Wilson Surgery 550 Redmond Rd Nw, Rome, GA 30165-1416 2006-01-26

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1285241265 Jennifer Ann Hales Surgery 11090 Mcauley, Suite 100 2a, Savannah, GA 31419 2020-09-24
1902423387 Center for Vein Restoration Ga Corp Surgery 1100 Johnson Fy Rd Ne Ste 165, Atlanta, GA 30342-1795 2020-07-01
1487133278 Usa Vascular Center of Decatur LLC Surgery 495 Winn Way Ste 230, Decatur, GA 30030-1736 2018-08-13
1841789914 Milner Vein and Vascular LLC Surgery 5700 Hillandale Dr Ste 150, Lithonia, GA 30058 2018-05-04
1023517505 Antioch Vascular Center, LLC Surgery 9104 Middleground Road, Suite 2, Savannah, GA 31406 2018-02-09
1689012205 Daniel Joseph Badia Surgery 601 Professional Dr Ste A220, Lawrenceville, GA 30046-7698 2013-06-05
1740507425 Christopher Ray Ramos Surgery 1365 Clifton Road Ne, Building A, Room A2200, Atlanta, GA 30322 2010-04-21
1184879678 Rockdale Vascular and Thoracic Surgery, LLC Surgery 1368c Wellbrook Cir Ne, Conyers, GA 30012-3872 2008-11-25
1528218393 Vladimir Zahradnik Surgery 380 Hospital Dr Bldg A Ste 320, Macon, GA 31217 2008-09-29
1487819132 Yazan Duwayri Surgery Division of Vascular Surgery Emory Clinic Bldg A, 1365 Clifton Road Ne. 3rd Floor, Atlanta, GA 30322-0001 2008-07-22
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Competitor

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City ROME
Zip Code 30165

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Dataset Information

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.

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