STEPHANIE INGRAM (NPI# 1154595676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154595676 |
| Entity Type | Individual |
| Full Name | STEPHANIE INGRAM |
| Credential | CSA |
| Practice Address |
65 Mote Crossing Rd Covington GA 30016-5253 |
| Practice Telephone | 7703546940 |
| Mailing Telephone | 7703546940 |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2008-04-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
3135 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144421371 | Stephanie T Ingram | Developmental Therapist | 611 House Rd, Boaz, KY 42027-8129 | 2007-05-28 |
| 1871065458 | Stephanie Ann Ingram | Nurse Practitioner | 350 East 17th Street, 10 Baird Hall, New York, NY 10003 | 2018-12-20 |
| 1124210067 | Stephanie Fernice Ingram | Internal Medicine | 3304 Sw 34th Cir, Suite 103, Ocala, FL 34474-3358 | 2007-08-14 |
| 1417157512 | Stephanie Elizabeth Ingram | Contractor | 15600 San Pedro Ave, Ste. 307, San Antonio, TX 78232-3740 | 2007-07-18 |
| Street Address |
65 MOTE CROSSING RD |
| City | COVINGTON |
| State | GA |
| Zip Code | 30016-5253 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972822062 | Sgi Surgical LLC | Physician Assistant | 65 Mote Crossing Rd, Covington, GA 30016-5253 | 2010-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013565605 | Katrina Williams | Case Manager/Care Coordinator | 220 Meadowidge Dr, Covington, GA 30016 | 2019-08-28 |
| 1407322134 | Mali Rice | Registered Nurse | 105 Syracuse Lane, Covington, GA 30016 | 2018-10-20 |
| 1619452927 | Angelina Jones | Contractor | 290 Piedmont Circle, Covington, GA 30016 | 2018-10-02 |
| 1881116721 | Springhill Manor Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 600 Spring Hill Drive, Covington, GA 30016 | 2017-07-12 |
| 1922538529 | Tisha Owes | Home Health | 110 Trinity Dr, Covington, GA 30016 | 2017-06-15 |
| 1053868695 | Delhia Assanah IIi | Counselor | 101 Kirkland Road, Covington, GA 30016 | 2016-09-01 |
| 1760834295 | Resurgens East Surgery Center, LLC | Clinic/Center | 3241 Iris Dr, Suite 100, Covington, GA 30016 | 2016-07-08 |
| 1528443371 | Latoya N Wright | Counselor | 100 Winnstead Place, Covington, GA 30016 | 2015-07-22 |
| 1598157307 | Sierra Private Homecare, Inc. | Adult Companion | 75 Cinnamon Oak Circle, Covington, GA 30016 | 2015-03-03 |
| 1326391079 | Lana Abiola Fraser | Nurse's Aide | 840 Oakhill Road, Covington, GA 30016 | 2012-10-18 |
| Find all providers in zip 30016 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104423151 | Osler Surgical Services LLC | Physician Assistant | 929 Tezcucco Ct, Covington, LA 70433-8157 | 2020-10-02 |
| 1639704307 | Spectrum Surgical LLC | Physician Assistant | 3142 Highway 278 Nw # 135, Covington, GA 30014-2304 | 2020-03-03 |
| 1710291950 | Alisha N Turner | Physician Assistant | 115 Timberlake Ter, Covington, GA 30016-1352 | 2010-07-29 |
| 1134336258 | Christopher J Salsman | Physician Assistant | 429 Place Saint Michel, Covington, LA 70433-8136 | 2007-05-17 |
| 1811047020 | Anilkumar Ambalal Patel | Physician Assistant | 1075 Hwy 190 E Service Road, Suite 200, Covington, LA 70433 | 2007-01-11 |
| 1457715930 | Garrett Michael Simoneaux | Physician Assistant | 76 Starbrush Cir, Covington, LA 70433-7208 | 2016-04-11 |
| 1659677474 | Turner Surgical Services | Physician Assistant | 115 Timberlake Ter, Covington, GA 30016-1352 | 2011-01-27 |
| 1538462502 | Jessica L. Harvey | Physician Assistant | 1000 Ochsner Blvd, Covington, LA 70433-8107 | 2010-12-14 |
| 1972822062 | Sgi Surgical LLC | Physician Assistant | 65 Mote Crossing Rd, Covington, GA 30016-5253 | 2010-05-27 |
| 1871614586 | Richard Dale Springer | Physician Assistant | 1202 S Tyler St, St Tammy Parish Hospital, Covington, LA 70437 | 2007-04-02 |
| Find all providers in COVINGTON | ||||
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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.