YVONNE CONAWAY


Address: 1279 Highway 54 W Ste 100, Fayetteville, GA 30214-4551
Phone: 7707195710

YVONNE CONAWAY (NPI# 1114583101) 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) 1114583101
Entity Type Individual
Full Name YVONNE CONAWAY
Credential WHNP
Practice Address 1279 Highway 54 W Ste 100
Fayetteville
GA 30214-4551
Mailing Address 114 Glenn Winkles Dr
Sharpsburg
GA 30277-3348
Practice Telephone 7707195710
Mailing Telephone 4046679748
Enumeration Date 2019-05-15
Last Update Date 2020-01-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LW0102X Nurse Practitioner
Specialization: Women's Health
RN207040 GA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
GA ADVANCE PRACTICE LICENSE RN207040 01

Office Location

Street Address 1279 HIGHWAY 54 W STE 100
City FAYETTEVILLE
State GA
Zip Code 30214-4551

Providers in the same location

NPI Name Taxonomy Address Enumeration
1497120414 Tumesha Lashay Williams Nurse Practitioner 1279 Highway 54 W Ste 100, Fayetteville, GA 30214-4551 2015-12-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548872468 Phyllis Kelly Wood Nurse Practitioner 217 Banks Rd, Suite 31, Fayetteville, GA 30214 2020-08-21
1073139317 Tyisha Salter Scott Counselor 110 Habersham Drive, Suite 142, Fayetteville, GA 30214 2020-06-23
1194341412 Camille Franncine Bolton Physical Therapist 500 Floy Farr Parkway, Suite 303, Fayetteville, GA 30214 2020-06-23
1205465895 Gillian Vaughan Heard Physician Assistant 1275 Ga-54 #201, Fayetteville, GA 30214 2020-04-06
1881234557 Peach Fits,inc Mastectomy Fitter 285 Glynn Street South, Suites 102 and 104, Fayetteville, GA 30214 2020-01-10
1255981072 Delta Healthcare Providers Clinic/Center 1275 W Lanier Ave, #200, Fayetteville, GA 30214 2019-09-13
1861965592 Hierarchy for Wellness Specialist 805 S Glynn St Bldg 127 142, Fayetteville, GA 30214 2019-01-04
1356810634 Fayette Dental Group PC Clinic/Center 720 W Lanier Ave, Fayetteville, GA 30214 2018-11-16
1891263299 Mattie Mae Farmer Clark Specialist/Technologist, Other Piedmont Fayette Hospital, 1255 Highway 54 West, Fayetteville, GA 30214 2018-11-05
1093293607 Allyson Holland Pharmacist 880 Highway 85 South, Fayetteville, GA 30214 2018-08-06
Find all providers in zip 30214

Taxonomy Information

Taxonomy Code 363LW0102X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Women's Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023575818 Janet Cole Nurse Practitioner 916 Our St, Fayetteville, NC 28314-8475 2019-02-27
1083836886 Linda Mckennon Smith Nurse Practitioner 3729 N Crossover Rd, Suite 107, Fayetteville, AR 72703-4582 2007-05-02
1831249986 County of Cumberland Nurse Practitioner 1235 Ramsey Street, Fayetteville, NC 28301-4401 2007-01-11
1821010364 Carolyn Ann Pollock Nurse Practitioner 3270 N Wimberly Dr, Fayetteville, AR 72703-4032 2006-07-24
1386623361 Dawn Fowler Barnes Nurse Practitioner 2915 Raeford Rd, Ste 203, Fayetteville, NC 28303-5508 2006-01-10
1982110813 Michelle Gomez Stucky Nurse Practitioner 1235 Ramsey St, Fayetteville, NC 28301-4401 2017-12-14
1447763222 Kristiana Gregg Nurse Practitioner 1279 Highway 54 W Ste 220, Fayetteville, GA 30214-4552 2017-11-15
1497047658 Heidi Lynn Lowder Nurse Practitioner 2817 Reilly Rd, Fayetteville, NC 28310 2011-05-06
1275855504 Lindsey L Witt Nurse Practitioner 1279 Highway 54 W, Suite 220, Fayetteville, GA 30214-4552 2010-03-01
1285963942 Shawn Lynese Smith Nurse Practitioner 2300 Ramsey St, Fayetteville, NC 28301-3856 2009-12-09
Find all providers in FAYETTEVILLE

Competitor

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City FAYETTEVILLE
Zip Code 30214

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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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