MARY L HUMPHREY (NPI# 1013941525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013941525 |
| Entity Type | Individual |
| Full Name | MARY L HUMPHREY |
| Credential | NP |
| Practice Address |
1003 Shirley Ave Douglas GA 31533-2123 |
| Practice Telephone | 9123894586 |
| Practice Fax Number | 9123894590 |
| Mailing Telephone | 9123894586 |
| Mailing Fax Number | 9123894590 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2008-01-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN069768 | GA | Nursing Service Providers |
| Y | 363L00000X | Nurse Practitioner | RN069768 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922382621 | Mary Humphrey | Speech-Language Pathologist | 111 Welsh Dr, Camillus, NY 13031-1855 | 2011-09-30 |
| 1740412618 | Mary Dawn Humphrey | Behavioral Analyst | 520 Se 5th Ave Apt 1211, Fort Lauderdale, FL 33301-2953 | 2009-08-11 |
| 1073650982 | Mary Elizabeth Humphrey | Speech-Language Pathologist | 114 Willow Forks Dr, Simpsonville, SC 29681-5971 | 2007-01-31 |
| 1235237728 | Mary Beth Humphrey | Internal Medicine | 941 Stanton L Young Blvd, Bseb 306e, Oklahoma City, OK 73104-5019 | 2006-09-20 |
| 1104887298 | Mary W Humphrey | Psychologist | 258 Main St, Suite 3, Medfield, MA 02052-2041 | 2006-03-29 |
| 1992778625 | Mary C Humphrey | Nurse Anesthetist, Certified Registered | 815 Freeport Rd, Pittsburgh, PA 15215-3301 | 2006-02-13 |
| Street Address |
1003 SHIRLEY AVE |
| City | DOUGLAS |
| State | GA |
| Zip Code | 31533-2123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316976699 | Coffee County Board of Health | Public Health or Welfare | 1003 Shirley Ave, Douglas, GA 31533-2123 | 2006-06-30 |
| 1144849290 | Maria Esmeralda Gomez | Registered Nurse | 1003 Shirley Ave, Douglas, GA 31533-2123 | 2020-04-09 |
| 1154862894 | Regina Ann Stone | Nurse Practitioner | 1003 Shirley Ave, Douglas, GA 31533-2123 | 2017-03-14 |
| 1962433755 | Susan W Bryant | Registered Nurse | 1003 Shirley Ave, Douglas, GA 31533-2123 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508470964 | Swain Drug Company LLC | Pharmacy | 855 Bowens Mill Rd Sw Suite E, Douglas, GA 31533 | 2020-09-03 |
| 1811528649 | Unison Behavioral Health | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 211 North Street, Douglas, GA 31533 | 2020-01-30 |
| 1952940793 | Teresa Smith | Pharmacist | 901 W Ward St, Douglas, GA 31533 | 2019-12-26 |
| 1447641048 | Jennifer Spivey | Nurse Practitioner | 326 Shirley Avenue, Douglas, GA 31533 | 2015-02-18 |
| 1972914497 | Jessica Lynne Courson | Nurse Practitioner | 903 West Ward Street, Suite B, Douglas, GA 31533 | 2014-05-19 |
| 1063840296 | South Central Primary Care Center | Clinic/Center | 303 Shirley Ave, Ste B, Douglas, GA 31533 | 2013-10-25 |
| 1336411008 | Unison Behavioral Health | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 118 Coweta Avenue South, Douglas, GA 31533 | 2012-01-27 |
| 1346482700 | V and V Clinic | Pediatrics | 1020 West Bryan Street, Douglas, GA 31533 | 2009-04-01 |
| 1063650406 | Jayla Snipes Bullock | Speech-Language Pathologist | 618 Bowens Mill Road Sw, Douglas, GA 31533 | 2009-01-22 |
| 1417112707 | Southern Community Services Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 315 S. Gaskin Ave, Douglas, GA 31533 | 2008-07-25 |
| Find all providers in zip 31533 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033732755 | Kera Ashlyn Malphus | Nurse Practitioner | 1001 Ward St W, Douglas, GA 31533-2263 | 2020-05-28 |
| 1457839011 | Alix Christine Curtain | Nurse Practitioner | 615 5th St, Douglas, AK 99824-5512 | 2018-08-04 |
| 1801390836 | Jodi Rogers | Nurse Practitioner | 1101 Ocilla Rd, Douglas, GA 31533-2207 | 2018-03-23 |
| 1245602879 | Erin Askew Hill | Nurse Practitioner | 1101 Ocilla Rd, Douglas, GA 31533-2207 | 2015-10-22 |
| 1457734097 | Douglas Internal Medicine P.C. | Nurse Practitioner | 1100 Ocilla Rd, Douglas, GA 31533-2206 | 2015-07-01 |
| 1275876328 | Wyoming Em-i Medical Services, P.C. | Nurse Practitioner | 111 S 5th St, Douglas, WY 82633-2434 | 2013-03-27 |
| 1891070520 | Arizona Em-i Medical Services | Nurse Practitioner | 2174 W Oak Ave, Douglas, AZ 85607-6003 | 2011-10-13 |
| 1538469705 | Lisa A Batten | Nurse Practitioner | 1208 Ocilla Rd, Douglas, GA 31533-2220 | 2010-10-22 |
| 1841270139 | Benjamin Walker | Nurse Practitioner | 1101 Ocilla Rd, Douglas, GA 31533-2207 | 2006-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841186 | Cynthia Marie Benjamin Bates | Nurse Practitioner | 2746 Willis Foreman Rd, Hephzibah, GA 30815-6935 | 2020-11-06 |
| 1841891199 | Gloria Oduro | Nurse Practitioner | 983 Bentley Estates Dr, Dacula, GA 30019-7795 | 2020-11-03 |
| 1689274094 | Shundria Brown | Nurse Practitioner | 2122 Ellwyn Dr, Chamblee, GA 30341-1520 | 2020-10-27 |
| 1629677455 | Amy Lynn Patterson | Nurse Practitioner | 254 Senna St, Marietta, GA 30064-4417 | 2020-10-22 |
| 1538768965 | Tabitha Ford | Nurse Practitioner | 110 Shorter St Lot 9, Ty Ty, GA 31795-3179 | 2020-10-16 |
| 1902404320 | Shanelle Lynette Raiford | Nurse Practitioner | 2028 Hidden Meadow Ln, Stone Mountain, GA 30088-4448 | 2020-10-16 |
| 1760089072 | Diana Maresi Bulimu | Nurse Practitioner | 6050 Peachtree Pkwy # 240-178, Norcross, GA 30092-3336 | 2020-10-08 |
| 1760089692 | Natalie Xiomara Leak | Nurse Practitioner | 4855 Chesterfield Ct, Suwanee, GA 30024-1350 | 2020-10-05 |
| 1548877723 | Camille Watson-clarke | Nurse Practitioner | 3650 Steve Reynolds Blvd Ste 316, Duluth, GA 30096-4506 | 2020-09-30 |
| 1801403654 | Jacqueline Richart | Nurse Practitioner | 6300 Hospital Pkwy Ste 260, Johns Creek, GA 30097-1829 | 2020-09-25 |
| Find all providers with the same taxonomy | ||||
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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.