TAMEKA L GORDOM


Address: 803 Shadrack St, Waynesboro, GA 30830-1244
Phone: 7065359113

TAMEKA L GORDOM (NPI# 1093271041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093271041
Entity Type Individual
Full Name TAMEKA L GORDOM
Practice Address 803 Shadrack St
Waynesboro
GA 30830-1244
Practice Telephone 7065359113
Mailing Telephone 7065359113
Enumeration Date 2019-02-14
Last Update Date 2019-02-14
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174H00000X Health Educator 653626 GA Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
GA 83-3582448 05

Office Location

Street Address 803 SHADRACK ST
City WAYNESBORO
State GA
Zip Code 30830-1244

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053935841 Benjamin Wade Alverson Dentist 264 Hopkins Corner Dr. Suite D-8, Waynesboro, GA 30830 2020-06-08
1619524865 Clark Drug Company, LLC. Pharmacy 206 W 6th Street, Waynesboro, GA 30830 2019-08-22
1508181405 Walter R. Voyles Surgery 506 Burkeland Rd, Waynesboro, GA 30830 2010-04-02
1124264015 Southern Health Solutions, LLC Early Intervention Provider Agency 6293c Highway 23 South, Waynesboro, GA 30830 2008-12-23
1184814519 Bonnie P Jenkins Md PC Family Medicine 201 Dogwood Drive, Waynesboro, GA 30830 2007-08-01
1528113388 Margaret Ann Mcgraw Licensed Practical Nurse 305 Park Dr, Waynesboro, GA 30830 2007-01-24
1780739599 Ogeechee Behavioral Health Services Community/Behavioral Health 305 Park Drive, Waynesboro, GA 30830 2007-01-24
1356496194 Ogeechee Behavioral Health Services Community/Behavioral Health 556 Hwy 25 South, Waynesboro, GA 30830 2007-01-24
1396890091 Frances Gilbreth Brown Counselor 629 Shadrack Street, Waynesboro, GA 30830 2007-01-24
1316092000 Connie Golding Counselor 727 W. Sixth Street, Waynesboro, GA 30830 2007-01-24
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Taxonomy Information

Taxonomy Code 174H00000X
Grouping Other Service Providers
Classification Health Educator

Taxonomy Definition

Health educators work in a variety of settings providing education to individuals or groups of individuals on healthy behaviors, wellness, and health-related topics with the goal of preventing diseases and health problems. Health educators generally require a bachelor’s degree and may receive additional training, such as through mentoring, internships, or volunteer work.
Notes: Source: National Uniform Claim Committee, 2009 [7/1/2009: definition added]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1881201085 Patricia Yates-rand Health Educator 2101 Albany St, Brunswick, GA 31520-5850 2020-09-30
1225642523 Melissa Hounshell Health Educator 423 Georgia Ave Se Apt 201, Atlanta, GA 30312-3163 2020-09-03
1346851458 Melanie N Prasad-dehaney Health Educator 2150 Indian Ivey Ln, Dacula, GA 30019-3303 2020-08-12
1154949014 Tonya Obryan Health Educator 123 Glynn Addy Dr, Stockbridge, GA 30281-7639 2020-07-08
1861011850 Meghan Meredith Health Educator 2000 Westwood Cir Se, Smyrna, GA 30080-5851 2020-04-10
1730715806 Ashia James Health Educator 484 E Valley Rd Ne, Rydal, GA 30171-1674 2020-03-20
1366078628 Raul Enrique Hiteshew Health Educator 16285 Laconia Ln, Alpharetta, GA 30004-2700 2020-03-19
1477185197 Allen Henderson Health Educator 152 Arlington Ct, Newnan, GA 30263-2970 2020-02-11
1598309270 Dana Melvin Health Educator 639 Metromont Rd Ste A, Hiram, GA 30141-2805 2019-11-05
1659927408 Corine Godfrey Walker Health Educator 1364 Tucker Rd, Moultrie, GA 31768-8305 2019-08-16
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Competitor

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City WAYNESBORO
Zip Code 30830

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Dataset Information

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.

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