BETTY JO LYNN FANCHER (NPI# 1093847840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093847840 |
Entity Type | Individual |
Full Name | BETTY JO LYNN FANCHER |
Credential | PA-C |
Practice Address |
3711 Eisenhower Pkwy Macon GA 31206-3672 |
Practice Telephone | 4786331000 |
Mailing Telephone | 4786338730 |
Enumeration Date | 2007-03-09 |
Last Update Date | 2020-09-24 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | 02261 | GA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
3711 EISENHOWER PKWY |
City | MACON |
State | GA |
Zip Code | 31206-3672 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457678211 | New Vision Family Eye Care Center, L.L.C. | Optometrist | 3711 Eisenhower Pkwy, Macon, GA 31206-3672 | 2010-05-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992267892 | Andel Anthony Higgins | Family Medicine | 3780 Eisenhower Parkway, Macon, GA 31206 | 2019-04-01 |
1437651924 | Amanda Mckenzie | Clinic/Center | Us Renal Care 657 Hemlock Street, Macon, GA 31206 | 2018-03-01 |
1003337718 | Shantha Tyhessia Jones | Home Health | 2453 Shea Drive, Macon, GA 31206 | 2017-07-03 |
1043683527 | Autumn Anderson Lucas | Nurse Practitioner | 100 University Parkway, Macon, GA 31206 | 2015-11-05 |
1306273651 | Monique Whipple | Speech-Language Pathologist | 164 Summer Grove Lane, Macon, GA 31206 | 2013-10-02 |
1710956750 | Total Renal Care Inc | Clinic/Center | 2494 2nd St, Macon, GA 31206 | 2006-03-14 |
1396710828 | Ruth Macphie Hagemann | Counselor | 100 University Pkwy, Macon, GA 31206 | 2006-02-20 |
1609861129 | Rickey Harton Jr. | Optometrist | 3353 Mercer University Drive, Macon, GA 31206 | 2005-09-12 |
1104453711 | Lise Wendy Forestal | Student in an Organized Health Care Education/Training Program | 3780 Eisenhower Parkway, Macon, GA 31206 | 2020-03-24 |
1346702172 | Alayna Dukes | Family Medicine | 3780 Eisenhower Pkwy, Macon, GA 31206 | 2019-04-01 |
Find all providers in zip 31206 |
Taxonomy Code | 363A00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245854348 | Monica Bruney | Physician Assistant | 101 Preston Ct Ste 103, Macon, GA 31210-5771 | 2020-06-04 |
1023677895 | Kathleen Forbes Matthews | Physician Assistant | 3735 Bonita Pl, Macon, GA 31204-1309 | 2019-06-06 |
1659773018 | Joseph T. Smoak | Physician Assistant | 4226 Hartley Bridge Road, Suite 104, Macon, GA 31216-4116 | 2014-09-17 |
1821439811 | Irene Gung Ho | Physician Assistant | 3203 Vineville Ave Ste A, Macon, GA 31204 | 2013-07-08 |
1528235397 | Emmanuel Amwenba Enoghayin | Physician Assistant | 157 Cambridge Way, Macon, GA 31220-8736 | 2008-05-12 |
1801000153 | Jennifer L. Hames | Physician Assistant | 771 Orange St, Macon, GA 31201-2126 | 2007-05-09 |
1659322105 | Christopher B Kelley | Physician Assistant | 201 Oakleaf Dr, Macon, GA 31210-1924 | 2006-05-12 |
1275591828 | Delano Parker | Physician Assistant | 1157 Forsyth Street, Macon, GA 31201 | 2006-05-03 |
1609869197 | Deborah D Moore | Physician Assistant | 1157 Forsyth St, Macon, GA 31201-7452 | 2005-08-30 |
1245236744 | Edward Keith Grant | Physician Assistant | 3708 Northside Dr, Macon, GA 31210-2404 | 2005-06-21 |
Find all providers in MACON |
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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.