MS. BEVERLY LYNN PHILSON (NPI# 1063651982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063651982 |
| Entity Type | Individual |
| Full Name | MS. BEVERLY LYNN PHILSON |
| Credential | PMHCNS-BC |
| Practice Address |
80 Jesse Hill Jr Dr, Se Atlanta GA 30303-3801 |
| Practice Telephone | 4046164444 |
| Practice Fax Number | 4046164737 |
| Mailing Telephone | 4046164444 |
| Mailing Fax Number | 4046164737 |
| Enumeration Date | 2009-02-17 |
| Last Update Date | 2009-02-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0808X |
Clinical Nurse Specialist Specialization: Psych/Mental Health |
RN088054 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
80 JESSE HILL JR DR , SE |
| City | ATLANTA |
| State | GA |
| Zip Code | 30303-3801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811597461 | Nanoresearch, Inc | Point of Service | 58 Edgewood Ave Ne, Suite 122, Collabtech., Gsu, Atlanta, GA 30303 | 2020-10-31 |
| 1952917155 | Alesha Deshay Elbert | Behavior Technician | 206 Peachstreet Ne Suite 2200, Atlanta, GA 30303 | 2020-09-22 |
| 1033759386 | Mark Bush | Case Manager/Care Coordinator | 50 Hurt Plaza Se Suite 1108, Atlanta, GA 30303 | 2020-01-14 |
| 1053965855 | Patrice Munsel Henry | Nurse Practitioner | 80 Jessie Hill Drive Se, Atlanta, GA 30303 | 2019-07-30 |
| 1356826564 | United States Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 260 Peachtree Street Nw, Suite 2200, Office 2228, Atlanta, GA 30303 | 2018-10-03 |
| 1336645290 | Joseph Bahng | Student in an Organized Health Care Education/Training Program | 69 Jesse Hill Jr Drive Se, Glenn Building, 4th Floor - 412b, Atlanta, GA 30303 | 2018-03-31 |
| 1841704707 | Amber Peach LLC | Family Medicine | 260 Peachtree St Nw Suite 2200, Atlanta, GA 30303 | 2017-11-29 |
| 1447778089 | Jasmine Williams | Behavioral Analyst | 260 Peachtree Street Nw, Suite 2200, Atlanta, GA 30303 | 2017-09-05 |
| 1982138236 | Mahek Dossani | Behavior Technician | 260 Peachtree Street Nw, Suite 2200, Atlanta, GA 30303 | 2017-04-13 |
| 1255872420 | Alexis Annick Auger | Behavior Technician | 260 Peachtree St. Nw, Suite 2200, Atlanta, GA 30303 | 2017-03-20 |
| Find all providers in zip 30303 | ||||
| Taxonomy Code | 364SP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235467978 | Venus Denise Millington-upshaw | Clinical Nurse Specialist | 950 Dannon View Sw, Suite 4201, Atlanta, GA 30331-2160 | 2009-11-18 |
| 1972743623 | Kim Sandy Teague | Clinical Nurse Specialist | 985 Ridge Tarn, Atlanta, GA 30350-3426 | 2009-02-20 |
| 1750569729 | Lisa H Pipkin | Clinical Nurse Specialist | 2849b Henderson Mill Rd, Atlanta, GA 30341-5772 | 2008-02-01 |
| 1346441029 | Lana Marie Chase | Clinical Nurse Specialist | 3490 Bowling Green Way, Atlanta, GA 30340 | 2007-05-30 |
| 1487867115 | Anicia Sullivan Biglow | Clinical Nurse Specialist | 390 17th St Nw, Unit 2020, Atlanta, GA 30363-2000 | 2007-05-08 |
| 1386622009 | Suzan Yvette Neal | Clinical Nurse Specialist | 130 26th St Nw, Unit 107, Atlanta, GA 30309-2076 | 2006-01-03 |
| 1942849708 | Wdm Health LLC | Clinical Nurse Specialist | 2150 Peachford Rd Ste A, Atlanta, GA 30338-6521 | 2019-12-27 |
| 1992077234 | Peggy Clemons | Clinical Nurse Specialist | 1050 Crown Pointe Pkwy, Ste 450, Atlanta, GA 30338-7707 | 2012-02-02 |
| 1336399872 | Pamela Buckley Roberson | Clinical Nurse Specialist | 80 Jesse Hill Jr Dr Se, 13 Th Floor Pes, Atlanta, GA 30303-3031 | 2008-09-21 |
| 1124120142 | Ann C Hixson | Clinical Nurse Specialist | 20 Glenlake Parkway, Department of Behavioral Health, Atlanta, GA 30328 | 2006-09-01 |
| Find all providers in ATLANTA | ||||
Please comment or provide details below to improve the information on MS. BEVERLY LYNN PHILSON.
| 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.