BETTY JO LYNN FANCHER


Address: 3711 Eisenhower Pkwy, Macon, GA 31206-3672
Phone: 4786331000

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 02261 GA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 3711 EISENHOWER PKWY
City MACON
State GA
Zip Code 31206-3672

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City MACON
Zip Code 31206

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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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