KEATHERN SCOTT MALONE (NPI# 1154374312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154374312 |
| Entity Type | Individual |
| Full Name | KEATHERN SCOTT MALONE |
| Credential | MD |
| Practice Address |
3051 Watson Blvd Suite400 Warner Robins GA 31093-8536 |
| Mailing Address |
3051 Watson Blvd Suite 400 Warner Robins GA 31093-8536 |
| Practice Telephone | 4789534563 |
| Practice Fax Number | 4789534616 |
| Mailing Telephone | 4789712227 |
| Mailing Fax Number | 4789534677 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2012-08-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation | 044524 | GA | Allopathic & Osteopathic Physicians |
| Y | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
044534 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000775607E | 05 |
| Street Address |
3051 WATSON BLVD SUITE400 |
| City | WARNER ROBINS |
| State | GA |
| Zip Code | 31093-8536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285632596 | Matthew Thomas Henry | Physical Therapist | 3051 Watson Blvd, Warner Robins, GA 31093-8536 | 2005-07-11 |
| 1619380821 | Karen Stewart | Occupational Therapist | 3051 Watson Blvd, Ste 525, Warner Robins, GA 31093-8536 | 2014-06-05 |
| 1346524634 | Geoff Aulds | Physical Therapist | 3051 Watson Blvd, Ste 525, Warner Robins, GA 31093-8536 | 2011-10-05 |
| 1679854145 | Gejuanna Hargrove Fletcher | Occupational Therapist | 3051 Watson Blvd, Warner Robins, GA 31093-8536 | 2011-08-29 |
| 1134415235 | Jonathan Harris | Orthopaedic Surgery | 3051 Watson Blvd, Warner Robins, GA 31093-8536 | 2011-06-27 |
| 1558661348 | Jessica Lynch | Physical Therapy Assistant | 3051 Watson Blvd, Warner Robins, GA 31093-8536 | 2010-10-26 |
| 1447589502 | Jennifer Jean Tucker | Community Health Worker | 3051 Watson Blvd, Warner Robins, GA 31093-8536 | 2009-12-18 |
| 1790014918 | Angela Darlene Andrews | Specialist/Technologist | 3051 Watson Blvd, Warner Robins, GA 31093-8536 | 2009-12-17 |
| 1609105808 | Jeremy Marcus Mainor | Community Health Worker | 3051 Watson Blvd, Warner Robins, GA 31093-8536 | 2009-12-17 |
| 1336472935 | Lindy B. Bramblett | Physician Assistant | 3051 Watson Blvd, Suite 525, Warner Robins, GA 31093-8536 | 2009-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922654102 | Hui Bostian | Technician | 402 Pinecrest Dr., Warner Robins, GA 31093 | 2019-08-14 |
| 1457914616 | Janvi Hemantkumar Wadiwala | Student in an Organized Health Care Education/Training Program | 233 North Houston Rd, Suite 140e, Warner Robins, GA 31093 | 2019-04-15 |
| 1477033124 | Urological Health Center, PC | Urology | 1770 Watson Boulevard, Warner Robins, GA 31093 | 2018-08-21 |
| 1477043719 | Revealing Strength Counseling, LLC | Counselor | 2762 Watson Blvd, Warner Robins, GA 31093 | 2018-05-11 |
| 1265930069 | Alma J Ellington | Counselor | 306 North Davis Drive, Suite B Room 4, Warner Robins, GA 31093 | 2018-01-26 |
| 1841707668 | Guiding Light Healthcare Services | Family Medicine | 306 N. Davis Dr., Suite B, Warner Robins, GA 31093 | 2018-01-02 |
| 1083143416 | Rosa C Gilbert | Counselor | 303 Mimosa, Warner Robins, GA 31093 | 2017-06-08 |
| 1982141545 | Ariel Young | Psychologist | 104 Stanton Circle, Warner Robins, GA 31093 | 2017-01-20 |
| 1801259437 | Gramps 'n' Grannies, Inc. | Assisted Living Facility | 502 North Huston Rd., Warner Robins, GA 31093 | 2016-03-31 |
| 1710346903 | Brenda Marie Warren | Marriage & Family Therapist | 106-b Olympia Dr., Warner Robins, GA 31093 | 2016-02-16 |
| Find all providers in zip 31093 | ||||
| Taxonomy Code | 2081S0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Sports Medicine |
| A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. |
| Notes: Source: American Board of Medical Specialties, 2009. www.abms.org [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447872700 | Shaq S Hill-lofton | Physical Medicine & Rehabilitation | 6073 Magnolia Rdg, Stone Mountain, GA 30087-6068 | 2020-05-10 |
| 1861013773 | Amy Prall | Physical Medicine & Rehabilitation | 590 Cobb Ave Nw # 0201, Kennesaw, GA 30144-5563 | 2020-05-01 |
| 1912536145 | Christopher R. Sellars, Do, LLC | Physical Medicine & Rehabilitation | 4989 Peachtree Pkwy Ste 120, Peachtree Corners, GA 30092-2589 | 2020-04-08 |
| 1578194445 | Jakayla Campbell | Physical Medicine & Rehabilitation | 3096 Spring Hill Pkwy Se Apt F, Smyrna, GA 30080-4752 | 2020-01-30 |
| 1568003275 | Derek Charles Gaffey | Physical Medicine & Rehabilitation | 13025 Birmingham Hwy, Milton, GA 30004-7306 | 2019-10-03 |
| 1649830001 | Jennifer Creek Poston | Physical Medicine & Rehabilitation | 105 East Bacon Street, Pembroke, GA 31321 | 2019-06-18 |
| 1184113342 | Jamie Townsend Young | Physical Medicine & Rehabilitation | 1275 Shiloh Rd Nw Ste 2031, Kennesaw, GA 30144-7199 | 2018-05-03 |
| 1043724040 | Chesnee Miller | Physical Medicine & Rehabilitation | 2400 Gillionville Rd, Albany, GA 31707-3023 | 2017-11-29 |
| 1780006031 | Brandy Dodge | Physical Medicine & Rehabilitation | 4181 Hospital Dr Ne Ste 204, Covington, GA 30014-2541 | 2014-01-06 |
| 1972941839 | Beyond Rehabilitation PC | Physical Medicine & Rehabilitation | 1376 Lamont Dr Sw, Mableton, GA 30126-1182 | 2013-06-12 |
| Find all providers with the same taxonomy | ||||
| City | WARNER ROBINS |
| Zip Code | 31093 |
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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.