DR. DAVID M. NUSSBAUM (NPI# 1063440774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063440774 |
| Entity Type | Individual |
| Full Name | DR. DAVID M. NUSSBAUM |
| Credential | D. O. |
| Practice Address |
303 Fraser Dr Hinesville GA 31313 |
| Mailing Address |
712 N 7th St Cordele GA 31015-3271 |
| Practice Telephone | 9128772227 |
| Practice Fax Number | 9128772332 |
| Mailing Telephone | 2292760052 |
| Mailing Fax Number | 2292760064 |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2018-08-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 067697 | GA | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | MB39192 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 1042505 | 05 | |
| NJ | HORIZON | 22-2462363 | 01 |
| NJ | PRIVATE HEALTHCARE SYSTEM | 22-2462363POO | 01 |
| NJ | CIGNA | 411384M | 01 |
| GA | MEDICARE | 202I089675 | 01 |
| NJ | MASTER CARE | 33077 | 01 |
| NJ | HEALTH NET | F10654 | 01 |
| GA | 003122740A | 05 | |
| NJ | AMERIHEALTH | 0076492001 | 01 |
| NJ | MULTIPLAN | 1101612 | 01 |
| NJ | ONE HEALTH | 156774 | 01 |
| NJ | UNITED HEALTHCARE | 479643 | 01 |
| NJ | AETNA | 498642 | 01 |
| NJ | OXFORD | P902249 | 01 |
| NJ | MAGNACARE | 29640 | 01 |
| NJ | CLIA | 31D0111105 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144379041 | David A. Nussbaum | Radiology | 411 Spruce St, Philadelphia, PA 19106-3706 | 2007-01-09 |
| 1104079490 | David L Nussbaum | Physical Therapist | 23218 Merrick Blvd, Laurelton, NY 11413-2115 | 2008-10-30 |
| 1366620528 | David Nussbaum | Pharmacist | 777 Pulaski Rd, Greenlawn, NY 11740-1710 | 2008-02-09 |
| 1043248412 | David Kent Nussbaum | Hospitalist | 1325 S Cliff Ave, Sioux Falls, SD 57105-1007 | 2006-06-28 |
| 1821096017 | David N Nussbaum | Podiatrist | 35 Five Mile Woods Rd, Catskill, NY 12414-5913 | 2005-07-12 |
| Street Address |
303 FRASER DR |
| City | HINESVILLE |
| State | GA |
| Zip Code | 31313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972595312 | Susan Patrice Brown | Nurse Practitioner | 303 Fraser Dr, Hinesville, GA 31313-3712 | 2005-08-22 |
| 1508475062 | Mark Douglas | Social Worker | 303 Fraser Dr, Hinesville, GA 31313-3712 | 2020-07-30 |
| 1568019081 | Latonya Blevins Turner | Nurse Practitioner | 303 Fraser Dr, Hinesville, GA 31313-3712 | 2019-08-20 |
| 1205396447 | Keshala Anderson Newton | Nurse Practitioner | 303 Fraser Dr, Hinesville, GA 31313-3712 | 2019-03-22 |
| 1255801890 | Diversity Health Center Inc | Pharmacy | 303 Fraser Dr, Hinesville, GA 31313-3712 | 2018-11-27 |
| 1386112456 | Mark Anderson | Nurse Practitioner | 303 Fraser Dr, Hinesville, GA 31313-3712 | 2018-11-07 |
| 1417276536 | Melanie S. Leech | Counselor | 303 Fraser Dr, Hinesville, GA 31313-3712 | 2010-05-28 |
| 1750571956 | Sharifa M Abou-mediene | Pediatrics | 303 Fraser Dr, Hinesville, GA 31313-3712 | 2007-07-25 |
| 1720108590 | Diversity Health Center Inc | Clinic/Center | 303 Fraser Dr, Hinesville, GA 31313 | 2007-03-29 |
| 1164559571 | Noemi Adelina Carcar | Family Medicine | 303 Fraser Dr, Hinesville, GA 31313-3712 | 2007-02-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447877469 | Brennan Roger Milbury | Naturopath | 4876 Ga 196 W, Hinesville, GA 31313 | 2020-06-26 |
| 1558982660 | Hinesville Day Spa LLC | Massage Therapist | 951 E G Miles Pkwy, Suite B, Hinesville, GA 31313 | 2020-04-29 |
| 1104459932 | Johnny Roger Terry | Counselor | 115 W Oglethorpe Hwy, Hinesville, GA 31313 | 2020-02-20 |
| 1043875594 | Liberty Regional Medical Center | Pharmacy | 462 Elma G. Miles Parkway, Hinesville, GA 31313 | 2019-05-09 |
| 1730646811 | Jennifer Lee Reffeor | Nurse Practitioner | 109 W Oglethorpe Highway, Hinesville, GA 31313 | 2019-02-26 |
| 1760907968 | Kenya Dominic | Specialist | 445 E.g. Miles Parkway Ste 207, Hinesville, GA 31313 | 2017-08-08 |
| 1902358393 | Tricia Amelung | Nurse Practitioner | 512 South Main St., Suite 1a, Hinesville, GA 31313 | 2016-11-01 |
| 1881065449 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 801-a East General Stewart Way, Hinesville, GA 31313 | 2015-10-08 |
| 1245614916 | Tracey Bazemore | Counselor | 318 S. Wellborn Street, Suite C, Hinesville, GA 31313 | 2015-07-13 |
| 1831592021 | Jennifer Grisnik | Behavioral Analyst | 306 N. Main St., Suite 1a1, Hinesville, GA 31313 | 2014-10-01 |
| Find all providers in zip 31313 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356636534 | Hospital Authority of Liberty County | Family Medicine | 455 S.main Street Ste 104, Hinesville, GA 31313 | 2011-06-15 |
| 1083843296 | Vincent Jones | Family Medicine | 103 E General Stewart Way, B, Hinesville, GA 31313-2607 | 2009-07-09 |
| 1578785523 | Grace C. Bautista | Family Medicine | 103 West General Screven Way, Suite E, Hinesville, GA 31313 | 2007-05-02 |
| 1053571117 | Atul M. Devani | Family Medicine | 462 Elma G Miles Pkwy Ste 102a, Hinesville, GA 31313 | 2008-06-12 |
| 1972763043 | Ophelia P Gherman | Family Medicine | 455 S Main St, Suite 104, Hinesville, GA 31313-4353 | 2008-06-12 |
| 1164559571 | Noemi Adelina Carcar | Family Medicine | 303 Fraser Dr, Hinesville, GA 31313-3712 | 2007-02-27 |
| 1710048228 | Carlos A Medina | Family Medicine | 500 E Oglethorpe Hwy, Hinesville, GA 31313-2804 | 2006-12-12 |
| 1447344478 | Contemporary Medicine, LLC | Family Medicine | 455 S Main St, Suite 103, Hinesville, GA 31313-4353 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124629365 | Dima Healthcare, Inc | Family Medicine | 7768 Cumming Hwy Ste 300, Canton, GA 30115-2982 | 2020-11-04 |
| 1871192260 | Ashley Willingham | Family Medicine | 210 Carlisle Way, Savannah, GA 31419-6606 | 2020-10-18 |
| 1831706217 | Veronica Vante | Family Medicine | 200 Business Center Dr Ste 204, Stockbridge, GA 30281-9025 | 2020-09-29 |
| 1912514969 | Oasis Healthcare Service | Family Medicine | 2195 Pace St Ste E, Covington, GA 30014-6657 | 2020-09-24 |
| 1881200772 | My Nurse Now, LLC | Family Medicine | 7070 Hodgson Memorial Dr, Savannah, GA 31406-2529 | 2020-09-16 |
| 1598377319 | Renee Green Lewis | Family Medicine | 9 Bluelake Blvd, Pooler, GA 31322-9617 | 2020-08-21 |
| 1841800836 | Ascend Medical Georgia PC | Family Medicine | One Alliance Center, 3500 Lenox Road Suite 1500, Atlanta, GA 30326 | 2020-08-04 |
| 1407464084 | Railyard Family Medicine LLC | Family Medicine | 416 Grayson Pkwy, Grayson, GA 30017-1220 | 2020-07-20 |
| 1851909535 | Newly Sought After International LLC | Family Medicine | 11815 Northfall Ln Ste 1001, Alpharetta, GA 30009-7973 | 2020-07-17 |
| 1992323398 | Careperks LLC | Family Medicine | 4936 Presidents Way, Tucker, GA 30084-3038 | 2020-07-12 |
| Find all providers with the same taxonomy | ||||
| City | HINESVILLE |
| Zip Code | 31313 |
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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.