CHARISSE HOLMES (NPI# 1073084877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073084877 |
| Entity Type | Individual |
| Full Name | CHARISSE HOLMES |
| Practice Address |
2400 Bellevue Rd Ste 2 Dublin GA 31021-2885 |
| Practice Telephone | 4782728580 |
| Mailing Telephone | 4782728580 |
| Enumeration Date | 2018-12-06 |
| Last Update Date | 2018-12-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN216446 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2400 BELLEVUE RD STE 2 |
| City | DUBLIN |
| State | GA |
| Zip Code | 31021-2885 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497213748 | Ronald E. Johnson | Peer Specialist | Carl Vinson Va Medical Center, 1826 Veterans Blvd., Dublin, GA 31021 | 2019-03-06 |
| 1902384811 | Nieka Jackson | Pharmacist | 75 Woodlawn Dr, Apt. C-1, Dublin, GA 31021 | 2018-08-02 |
| 1407341522 | Empower Psychiatry & Weight Loss, LLC | Nurse Practitioner | 112 Rowe St Ste B, Dublin, GA 31021 | 2018-06-30 |
| 1619462207 | Kara Emily Frost | Speech-Language Pathologist | 1406 Bellevue Rd, Dublin, GA 31021 | 2018-06-26 |
| 1376035410 | Owens Speech Services, LLC | Speech-Language Pathologist | 401 Barfield Court, Dublin, GA 31021 | 2018-06-05 |
| 1558878884 | Tattnall Hospital Company, LLC | Neurological Surgery | 242 Industrial Blvd, Dublin, GA 31021 | 2018-01-09 |
| 1376991000 | Eatonton Facility Development Company, LLC | Hospice, Inpatient | 155 Greensboro Rd, Eatonton, GA 31021 | 2016-06-03 |
| 1801261177 | Jones Community Health Center, LLC | Clinic/Center | 115 Shadow Pond, Dublin, GA 31021 | 2015-12-11 |
| 1508237561 | Cancer Center of Middle Georgia | Specialist | 26 Erin Office Park, Dublin, GA 31021 | 2015-10-15 |
| 1922477249 | Mickey Jackson | Non-emergency Medical Transport (VAN) | 610 John Robinson Tl., Dublin, GA 31021 | 2015-09-16 |
| Find all providers in zip 31021 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952915142 | Patricia Lynn Luneke-mckelvey | Nurse Practitioner | 5361 Aryshire Dr, Dublin, OH 43017-8676 | 2020-09-03 |
| 1144839531 | Meghan Miller | Nurse Practitioner | 4700 Tassajara Rd Apt 3408, Dublin, CA 94568-4536 | 2020-07-30 |
| 1639717028 | Sheneka Williams Odom | Nurse Practitioner | 110 Cedar Creek Dr, Dublin, GA 31021-4200 | 2019-12-16 |
| 1245877315 | Shailendra Acharya | Nurse Practitioner | 5010 Haven Pl Apt 112, Dublin, CA 94568-7920 | 2019-12-07 |
| 1952957631 | Jesse Wade Vandyne | Nurse Practitioner | 6275 Emerald Pkwy, Dublin, OH 43016-3241 | 2019-08-17 |
| 1407400708 | Kimberly Rhae Hyatt | Nurse Practitioner | 6750 Avery Muirfield Dr Ste A1, Dublin, OH 43017-1228 | 2019-07-25 |
| 1407341522 | Empower Psychiatry & Weight Loss, LLC | Nurse Practitioner | 112 Rowe St Ste B, Dublin, GA 31021 | 2018-06-30 |
| 1104328343 | Allen D Frye | Nurse Practitioner | 5324 Sunlight Ct, Dublin, OH 43016-8366 | 2018-03-04 |
| 1558880062 | Yanxia Li | Nurse Practitioner | 3198 Madden Way, Dublin, CA 94568 | 2017-09-15 |
| 1881124071 | Kimberly Megan Van Ness | Nurse Practitioner | 221 Veal Ln, Dublin, GA 31021-1219 | 2017-06-19 |
| Find all providers in DUBLIN | ||||
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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.