Kristen Michelle Waddell (NPI# 1508391889, PAC ID# 2264709484) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1508391889 |
| PAC ID by PECOS | 2264709484 |
| Professional Enrollment ID | I20170518001444 |
| Full Name | Kristen Michelle Waddell |
| Organization Legal Name | TLC OF GEORGIA LLC |
| Address |
3600 Dallas Hwy Sw Marietta GA 30064-1675 |
| Phone Number | 7704209170 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5496924490 |
| Number of Group Practice Members | 58 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3600 Dallas Hwy Sw, Marietta, GA 30064-1675 | 7704209170 | TLC OF GEORGIA LLC |
| 1751 Newnan Crossing Blvd E, Newnan, GA 30265-1517 | 6784235854 | TLC OF GEORGIA LLC |
| Organization Legal Name | TLC OF GEORGIA LLC |
| Physicians | 84 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy Willis Pitts | Nurse Practitioner | Tlc of Georgia LLC | 1931 Jesse Jewell Pkwy Se, Gainesville, GA 30501-2519 |
| Corshonta Shaleik Wooden | Nurse Practitioner | Tlc of Georgia LLC | 1355 S Park St, Carrollton, GA 30117-4433 |
| Sharde' Elixia Parkman | Nurse Practitioner | Tlc of Georgia LLC | 1751 Newnan Crossing Blvd E, Newnan, GA 30265-1517 |
| Mollie Renee Brusca | Nurse Practitioner | Tlc of Georgia LLC | 10945 State Bridge Rd, Alpharetta, GA 30022-8164 |
| Amanda Raenelle Watt | Nurse Practitioner | Tlc of Georgia LLC | 744 Ga Hwy 96, Bonaire, GA 31005-3300 |
| Woinshet K Tesfaye | Nurse Practitioner | Tlc of Georgia LLC | 455 Nathan Dean Blvd, Dallas, GA 30132-4921 |
| Michelle Demaro | Nurse Practitioner | Tlc of Georgia LLC | 3094 Watson Blvd, Warner Robins, GA 31093-8500 |
| Casey Jones Elliott | Nurse Practitioner | Tlc of Georgia LLC | 400 Peachtree Industrial Blvd, Suwanee, GA 30024-6989 |
| Petra Nozile | Nurse Practitioner | Tlc of Georgia LLC | 564 Crosstown Dr, Peachtree City, GA 30269-2916 |
| Pamela L Allen | Nurse Practitioner | Tlc of Georgia LLC | 125 W Main St, Cartersville, GA 30120-3507 |
| Street Address |
3600 DALLAS HWY SW |
| City | MARIETTA |
| State | GA |
| Zip | 30064-1675 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Virginia L Gifford | Nurse Practitioner | Tlc of Georgia LLC | 3600 Dallas Hwy Sw, Marietta, GA 30064-1675 |
| Robert Jason Mann | Nurse Practitioner | Tlc of Georgia LLC | 3600 Dallas Hwy Sw, Marietta, GA 30064-1675 |
| Ashley Underwood | Nurse Practitioner | Tlc of Georgia LLC | 3600 Dallas Hwy Sw, Marietta, GA 30064-1675 |
| Kimberlyn Johnson-ruise | Nurse Practitioner | Tlc of Georgia LLC | 3600 Dallas Hwy Sw, Marietta, GA 30064-1675 |
| Jason D Murphy | Nurse Practitioner | Tlc of Georgia LLC | 3600 Dallas Hwy Sw, Marietta, GA 30064-1675 |
| Tara Carter | Nurse Practitioner | Tlc of Georgia LLC | 3600 Dallas Hwy Sw, Marietta, GA 30064-1675 |
| Amanda Pyatt Knowles | Nurse Practitioner | Tlc of Georgia LLC | 3600 Dallas Hwy Sw, Marietta, GA 30064-1675 |
| Freda Jeannine Denson | Nurse Practitioner | Tlc of Georgia LLC | 3600 Dallas Hwy Sw, Marietta, GA 30064-1675 |
| Kelly Bush | Nurse Practitioner | Tlc of Georgia LLC | 3600 Dallas Hwy Sw, Marietta, GA 30064-1675 |
| Anjanean T Jackson | Nurse Practitioner | Tlc of Georgia LLC | 3600 Dallas Hwy Sw, Marietta, GA 30064-1675 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul J Schaner Ii | Maxillofacial Surgery | Atlanta Oral and Facial Surgery LLC | 3405 Dallas Hwy, Bldg 900, Marietta, GA 30064 |
| Jamie Murray-green | Chiropractic | 3901 Mary Eliza Trace, Suite 201, Marietta, GA 30064 | |
| Mitchell S Arnold | Chiropractic | 3894 Due W Rd Nw, Suite 210, Marietta, GA 30064-1072 | |
| Ranan Boyett Stimpson | Optometry | 3700 Largent Nw Way, Suite 200, Marietta, GA 30064-1670 | |
| Gina R Homa | Nurse Practitioner | Tlc of Georgia LLC | 3600 Dallas Hwy Sw, Marietta, GA 30064-1675 |
| Michelle Allen | Nurse Practitioner | Tlc of Georgia LLC | 3600 Dallas Hwy Sw, Marietta, GA 30064-1675 |
| Kelsey M Johnson | Nurse Practitioner | Tlc of Georgia LLC | 3600 Dallas Hwy Sw, Marietta, GA 30064-1675 |
| Genner A Hunter | Nurse Practitioner | Tlc of Georgia LLC | 3600 Dallas Hwy Sw, Marietta, GA 30064-1675 |
| Shante N Young | Nurse Practitioner | Tlc of Georgia LLC | 3600 Dallas Hwy Sw, Marietta, GA 30064-1675 |
| Latrese A Ellis | Nurse Practitioner | Tlc of Georgia LLC | 3600 Dallas Hwy Sw, Marietta, GA 30064-1675 |
| Find all physicians in zip 30064 | |||
| City | MARIETTA |
| Zip Code | 30064 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MARIETTA + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kristen Michelle Waddell.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.