DEANNA M FETSCH (NPI# 1093981227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093981227 |
| Entity Type | Individual |
| Full Name | DEANNA M FETSCH |
| Credential | CPNP |
| Practice Address |
1121 Johnson Ferry Rd Suite 220 Marietta GA 30068-5425 |
| Practice Telephone | 7709770094 |
| Practice Fax Number | 7705095177 |
| Mailing Telephone | 7709770094 |
| Mailing Fax Number | 7705095177 |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2008-05-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
RN136405NP | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1121 JOHNSON FERRY RD SUITE 220 |
| City | MARIETTA |
| State | GA |
| Zip Code | 30068-5425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932195013 | Susan Stephen Glander | Obstetrics & Gynecology | 1121 Johnson Ferry Rd, Suite 150, Marietta, GA 30068-5425 | 2005-09-23 |
| 1801224167 | Roquin Pain Center | Clinic/Center | 1121 Johnson Ferry Rd, Suite 340, Marietta, GA 30068-5425 | 2013-10-24 |
| 1255776134 | Optimal Health Care, LLC | Internal Medicine | 1121 Johnson Ferry Rd, Suite 205, Marietta, GA 30068-5425 | 2013-05-06 |
| 1215270368 | Julie C Tanner | Dentist | 1121 Johnson Ferry Rd, Suite 450, Marietta, GA 30068-5425 | 2013-03-27 |
| 1396000279 | Premier Podiatry-east Cobb | Podiatrist | 1121 Johnson Ferry Rd, Building 1, Suite 215, Marietta, GA 30068-5425 | 2012-07-07 |
| 1447541206 | Stephen Mitchell Martin | Emergency Medicine | 1121 Johnson Ferry Rd, Suite 100, Marietta, GA 30068-5425 | 2011-04-28 |
| 1477866234 | Vanessa D Dunn | Nurse Practitioner | 1121 Johnson Ferry Rd, Suite 100, Marietta, GA 30068-5425 | 2010-07-22 |
| 1376798272 | Jennifer Louise Billingsley | Dental Assistant | 1121 Johnson Ferry Rd, Suite 320, Marietta, GA 30068-5425 | 2008-11-20 |
| 1821264516 | Sharon Lebedin | Nurse Practitioner | 1121 Johnson Ferry Rd, Suite 220, Marietta, GA 30068-5425 | 2008-05-02 |
| 1750557435 | Barbara Cossman | Nurse Practitioner | 1121 Johnson Ferry Rd, Suite 220, Marietta, GA 30068-5425 | 2008-05-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831798917 | Barbara Ann Goldschmidt | Pharmacist | 4088 Lower Roswell Rd, Marietta, GA 30068 | 2020-10-20 |
| 1285274480 | Cory Plasker | Chiropractor | 519b Johnson Ferry Road, Suite 350, Marietta, GA 30068 | 2020-01-15 |
| 1952949893 | Dr Amy L Varner LLC | Internal Medicine | 1000 Johnson Ferry Rd Bldg E Ste 200, Marietta, GA 30068 | 2019-12-11 |
| 1417501834 | Cornerstone Hospice and Palliative Care of Georgia, LLC | Hospice Care, Community Based | 1225 Johnson Ferry Rd., Bldg. 100, Suite 160, Marietta, GA 30068 | 2019-07-25 |
| 1639721038 | Cayla Clark | Behavior Technician | 137 Johnson Ferry Road Suite 2170, Marietta, GA 30068 | 2019-07-15 |
| 1467910828 | 2me Healthcare,llc | Home Health | 2586 Club Valley Drive Ne, Marietta, GA 30068 | 2019-03-05 |
| 1265912604 | Feidy Chiropractic Clinic Inc, Dba Cardwell Chiropractic Clinic | Chiropractor | 1230 Johnson Ferry Pl Ste G30, Marietta, GA 30068 | 2018-08-15 |
| 1225514219 | Audrey Hughes. Lcsw, LLC | Clinic/Center | 1212 Johnson Ferry Rd, Suite 300, Marietta, GA 30068 | 2018-07-13 |
| 1316461379 | Evan King | Registered Nurse | 52 Pioneer Trl, Marietta, GA 30068 | 2017-08-01 |
| 1912431867 | Anthony Izore | Nurse Practitioner | 5163 Tall Oak Drive, Marietta, GA 30068 | 2017-04-18 |
| Find all providers in zip 30068 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740816487 | Aleksa Rozman | Nurse Practitioner | 1121 Johnson Ferry Rd Ste 220, Marietta, GA 30068-2763 | 2020-03-13 |
| 1427539741 | Emily Dorsey Drew | Nurse Practitioner | 3911 Mary Eliza Trce Nw Ste 200, Marietta, GA 30064 | 2018-08-24 |
| 1932648730 | Nnokp | Nurse Practitioner | 777 Franklin Gtwy Se, Marietta, GA 30067-7803 | 2017-02-14 |
| 1154789949 | Jennifer Lee Besse | Nurse Practitioner | 121 Marble Mill Rd Nw Ste 101, Marietta, GA 30060-7959 | 2016-02-08 |
| 1134460207 | Ganielle Hooper | Nurse Practitioner | 2551 Roswell Rd Ste 420, Marietta, GA 30062-4761 | 2013-03-13 |
| 1720136476 | Mary B. Hammock | Nurse Practitioner | 3911 Mary Eliza Trce Nw, Suite 200, Marietta, GA 30064-1086 | 2007-01-08 |
| 1114901337 | Mary Elizabeth Cahill | Nurse Practitioner | 777 Franklin Rd Se, Marietta, GA 30067-7803 | 2005-12-01 |
| 1194226068 | Axis Hope, LLC | Nurse Practitioner | 2551 Roswell Rd Ste 420, Marietta, GA 30062-4761 | 2018-02-26 |
| 1811436348 | Charlotte Fischer Grulke | Nurse Practitioner | 2520 Windy Hill Rd Se, Suite 104, Marietta, GA 30067-8664 | 2017-02-16 |
| 1487105672 | Meagan Darling | Nurse Practitioner | 3911 Mary Eliza Trce Nw, #200, Marietta, GA 30064-1086 | 2016-10-22 |
| Find all providers in MARIETTA | ||||
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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.