THOMAS STUCKEY (NPI# 1083189328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083189328 |
Entity Type | Individual |
Full Name | THOMAS STUCKEY |
Credential | CRNP |
Practice Address |
20 Herrell Rd Villa Rica GA 30180-5527 |
Practice Telephone | 7708123294 |
Mailing Telephone | 7708123294 |
Enumeration Date | 2018-10-12 |
Last Update Date | 2019-12-09 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
RN280533 | GA | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376593731 | Thomas David Stuckey | Internal Medicine | 1126 N Church St, Suite 300, Greensboro, NC 27401-1000 | 2006-05-10 |
Street Address |
20 HERRELL RD |
City | VILLA RICA |
State | GA |
Zip Code | 30180-5527 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679530430 | Golden Barnett IIi | Psychiatry & Neurology | 20 Herrell Rd, Villa Rica, GA 30180 | 2006-04-27 |
1174151138 | John Brian Gibson | Counselor | 20 Herrell Rd, Villa Rica, GA 30180-5527 | 2020-03-27 |
1386276483 | Chelsesa Arissa Pounds | Counselor | 20 Herrell Rd, Villa Rica, GA 30180-5527 | 2020-02-06 |
1013554534 | Allyson Moffatt | Counselor | 20 Herrell Rd, Villa Rica, GA 30180-5527 | 2019-12-03 |
1295399988 | Kayla Michelle Arnold | Counselor | 20 Herrell Rd, Villa Rica, GA 30180-5527 | 2019-04-28 |
1922491695 | Arun K Kantamneni Md, Inc. | Psychiatry & Neurology | 20 Herrell Rd, Villa Rica, GA 30180-5527 | 2015-03-05 |
1306257126 | Camilo Leal | Psychiatry & Neurology | 20 Herrell Rd, Villa Rica, GA 30180 | 2014-05-14 |
1922346709 | Vidro Industries, LLC | Family Medicine | 20 Herrell Rd, Villa Rica, GA 30180-5527 | 2013-01-29 |
1073862751 | Amber Nickolina Tidwell | Nurse Practitioner | 20 Herrell Rd, Villa Rica, GA 30180-5527 | 2012-09-10 |
1427355106 | Vidro Industries, LLC | Family Medicine | 20 Herrell Rd, Villa Rica, GA 30180-5527 | 2011-02-16 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174161624 | Crucible Communication Therapy LLC | Speech-Language Pathologist | 9765 Walnut Grove Trail, Villa Rica, GA 30180 | 2019-12-16 |
1366802845 | Medic-pearl, LLC | Ambulance | 1108 Charter Oak Ct, Villa Rica, GA 30180 | 2016-02-26 |
1396138368 | Josette Etienne | Nurse Practitioner | 403 Permian Way Suite A, Villa Rica, GA 30180 | 2015-03-13 |
1447690516 | Judith L.m. Thigpen | Nurse Practitioner | 736 Highway 78 West, Minute Clinic, Villa Rica, GA 30180 | 2013-07-03 |
1477890168 | Wesley Douglas Mckenzie | Pharmacist | 2500 Mirror Lake Blvd, Villa Rica, GA 30180 | 2013-01-15 |
1497005359 | Malika Remie Rajendra | Optometrist | 600 Hwy 61, Villa Rica, GA 30180 | 2012-09-18 |
1972876449 | Catherine Elaine Tyson | Pharmacist | 601 Dallas Road, Villa Rica, GA 30180 | 2012-02-14 |
1619262433 | Villa Rica Rx LLC | Pharmacy | 222 West Wilson Street, Villa Rica, GA 30180 | 2011-06-09 |
1851602874 | Jules Chopin Sybert | Nurse Practitioner | 736 W. Bankhead Hwy, Villa Rica, GA 30180 | 2010-06-24 |
1487984019 | Lisa Wood | Occupational Therapy Assistant | 1207 Woods Walk, Villa Rica, GA 30180 | 2010-01-04 |
Find all providers in zip 30180 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871140798 | John Charles Wood | Nurse Practitioner | 101 Quartz Dr Ste 103, Villa Rica, GA 30180-3255 | 2019-08-26 |
1184180069 | Sarah Joann Matheka | Nurse Practitioner | 101 Quartz Dr Ste 103, Villa Rica, GA 30180-3255 | 2019-02-15 |
1982724811 | Virginia Singer | Nurse Practitioner | 690 Dallas Hwy, Suite 201, Villa Rica, GA 30180-1264 | 2007-04-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336740398 | Audline Maria Hodnett | Nurse Practitioner | 4805 W Village Way Se Apt 2208, Smyrna, GA 30080-9227 | 2020-11-05 |
1073111845 | George Mackel, Pmhnp-bc, LLC | Nurse Practitioner | 12034 Big Canoe, 400 Shetland Trace, Jasper, GA 30143 | 2020-10-14 |
1356958060 | Earl Delk | Nurse Practitioner | 3365 Ridgerock Way, Snellville, GA 30078-4176 | 2020-09-26 |
1609482991 | Tammy Haskins Bailey | Nurse Practitioner | 196 Laying Farm Rd Se, Milledgeville, GA 31061-9714 | 2020-09-22 |
1861007403 | Caring Clinic LLC | Nurse Practitioner | 114 Wrights Dr, Milledgeville, GA 31061 | 2020-09-10 |
1376156364 | Katrina Ransom Clark | Nurse Practitioner | 120 Walker Dr Nw, Milledgeville, GA 31061-9561 | 2020-08-28 |
1457963746 | Evelyn Ahiante Dennis | Nurse Practitioner | 3325 Emden Ct, Snellville, GA 30039-6047 | 2020-08-19 |
1194335620 | Jennifer Logan | Nurse Practitioner | 424 Scotts Way, Augusta, GA 30909-3135 | 2020-08-10 |
1750991592 | Jamie Rae Mccracken | Nurse Practitioner | 2538 Gordon Cir Se, Smyrna, GA 30080-8123 | 2020-08-06 |
1285244608 | Amcare Substance Abuse and Addiction Counseling | Nurse Practitioner | 3615 Hutchinson Rd Ste 203, Cumming, GA 30040-0501 | 2020-08-01 |
Find all providers with the same taxonomy |
City | VILLA RICA |
Zip Code | 30180 |
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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.