FELICIA WORTHEN BROCK (NPI# 1114442340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114442340 |
Entity Type | Individual |
Full Name | FELICIA WORTHEN BROCK |
Credential | FNP |
Practice Address |
3465 Macon Rd Columbus GA 31907-2581 |
Mailing Address |
610 19th St Columbus GA 31901-1528 |
Practice Telephone | 7062433051 |
Mailing Telephone | 7063227884 |
Mailing Fax Number | 7062434356 |
Enumeration Date | 2017-08-09 |
Last Update Date | 2018-03-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F07171293 | GA | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | AANP | F07171293 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
610 19th St, Columbus, GA 319011528 | 7063227884 |
Street Address |
3465 MACON RD |
City | COLUMBUS |
State | GA |
Zip Code | 31907-2581 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033190723 | Brian Douglas Foor | Physician Assistant | 3465 Macon Rd, Ste D, Columbus, GA 31907-2582 | 2005-11-09 |
1285123919 | Catherine Larsen Green | Physician Assistant | 3465 Macon Rd, Columbus, GA 31907 | 2018-05-08 |
1154830388 | Sara Catrett | Nurse Practitioner | 3465 Macon Rd, Columbus, GA 31907-2581 | 2017-09-20 |
1821462136 | St Francis Affiliated Services LLC | Clinic/Center | 3465 Macon Rd, Ste. D, Columbus, GA 31907-2581 | 2015-11-24 |
1578971552 | Lauren Geeter Bursey | Nurse Practitioner | 3465 Macon Rd, Ste D, Columbus, GA 31907-2581 | 2014-07-23 |
1881859825 | Maria Elena Bendana | Family Medicine | 3465 Macon Rd, Ste D, Columbus, GA 31907-2582 | 2008-07-18 |
1356488761 | Mark A. Mills | Physician Assistant | 3465 Macon Rd, Ste D, Columbus, GA 31907-2582 | 2007-02-01 |
1124102405 | Angie Renee Haque | Family Medicine | 3465 Macon Rd, Ste D, Columbus, GA 31907-2582 | 2006-10-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730702051 | At Ease Private Home Care, LLC | Home Health | 3906 Pond View Court, Columbus, GA 31907 | 2020-05-20 |
1285268219 | Mh 102, PC | Nurse Practitioner | 1 Aflac Parkway, Columbus, GA 31907 | 2020-02-28 |
1427602978 | Alicia Keeshan Taylor | Massage Therapist | 5401 Gunboat Dr Unit 31, Columbus, GA 31907 | 2019-08-01 |
1285101071 | Valerie Rena Bickham | Chore Provider | 1259 Bismarck Drive, Columbus, GA 31907 | 2018-10-30 |
1629555172 | West Georgia Regenerative Medicine LLC | Physical Therapist | 3624 Edgewood Rd Ste B, Columbus, GA 31907 | 2018-07-26 |
1659866747 | Transitional Independence, LLC | In Home Supportive Care | 5633 Lexington Dr, Columbus, GA 31907 | 2018-06-29 |
1598285892 | Aa Personal Care, LLC | Nursing Care | 547 Moye Rd, Columbus, GA 31907 | 2017-06-27 |
1366981573 | Sabrina Renae Crosby Lopes | Counselor | 1120 21st Unit -a, Columbus, GA 31907 | 2017-02-21 |
1326445073 | Angela James | Nurse Practitioner | 6400 Flatrock Road, Columbus, GA 31907 | 2014-11-24 |
1841617255 | Sabrina Ann Patterson | Community Health Worker | 2726 Courtland, Columbus, GA 31907 | 2014-03-24 |
Find all providers in zip 31907 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518566900 | Melissa Nameth | Nurse Practitioner | 3003 Cortona Rd, Columbus, OH 43204-4898 | 2020-10-18 |
1962019901 | Joshua Peltier | Nurse Practitioner | 2657 Summit St, Columbus, OH 43202-2434 | 2020-09-24 |
1891302949 | Lindsay Baughman | Nurse Practitioner | 5866 Regency Dr, Columbus, IN 47203-4551 | 2020-09-23 |
1114530706 | Renee Dawn Holloway-vaughan | Nurse Practitioner | 1317 Antietam Dr, Columbus, GA 31907-6887 | 2020-08-25 |
1063024354 | Nathaniel Z Raidel | Nurse Practitioner | 5699 Sandalwood Blvd, Columbus, OH 43229-3420 | 2020-08-19 |
1174134332 | Hailey Lyn Holman | Nurse Practitioner | 5141 W Broad St Ste 130, Columbus, OH 43228-1984 | 2020-08-12 |
1508475989 | Kara Shroff | Nurse Practitioner | 1127 Dublin Rd, Columbus, OH 43215-1005 | 2020-07-30 |
1265050553 | Mary Hoobler | Nurse Practitioner | 5059 N High St, Columbus, OH 43214-1589 | 2020-07-13 |
1417575200 | Candice Kilbarger | Nurse Practitioner | 2329 Keep Pl, Columbus, OH 43204-4989 | 2020-07-08 |
1295351872 | Christina Cotterman | Nurse Practitioner | 700 Children Dr, Columbus, OH 43205 | 2020-06-19 |
Find all providers in COLUMBUS |
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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.