TRACY ROACH (NPI# 1164066809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164066809 |
| Entity Type | Individual |
| Full Name | TRACY ROACH |
| Practice Address |
327 Harmony Church Rd Sandersville GA 31082-9010 |
| Practice Telephone | 4784566647 |
| Mailing Telephone | 4784566647 |
| Enumeration Date | 2019-11-06 |
| Last Update Date | 2019-11-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073700720 | Tracy Roach | Speech-Language Pathologist | 1801 Nw Vesper St, Blue Springs, MO 64015-3219 | 2007-09-26 |
| Street Address |
327 HARMONY CHURCH RD |
| City | SANDERSVILLE |
| State | GA |
| Zip Code | 31082-9010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033613724 | Keith B Thompson | Driver | 417 W Haynes St, Sandersville, GA 31082 | 2018-03-19 |
| 1922451079 | Thomas A Curry | Pharmacist | 514 Washington Avenue, Sandersville, GA 31082 | 2016-07-13 |
| 1770952574 | Cynthia J. Roche | Physical Therapist | 618 Ferncrest Drive, Sandersville, GA 31082 | 2015-09-22 |
| 1376948109 | Solomon Agyeman | Physical Therapist | 610 Sparta Wood, Sandersville, GA 31082 | 2014-10-22 |
| 1649472036 | John R. Clements | Dentist | 106 W 2nd Ave, Sandersville, GA 31082 | 2007-06-05 |
| 1821214271 | John W Dickey | Dentist | 201 Medical Arts Drive, Sandersville, GA 31082 | 2007-04-17 |
| 1346340320 | Mark R Harvey Md PC | Internal Medicine | 203 Medical Arts Pl, Suite 3, Sandersville, GA 31082 | 2006-09-22 |
| 1932202694 | Georgia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 206 S Harris St, Sandersville, GA 31082 | 2006-09-07 |
| 1053421172 | Mark R Harvey | Internal Medicine | 203 Medical Arts Place, Suite 3, Sandersville, GA 31082 | 2006-08-30 |
| 1093757239 | Parrin Tareyl Barton | Family Medicine | 610 Ferncrest Drive, Sandersville, GA 31082 | 2006-06-12 |
| Find all providers in zip 31082 | ||||
| Taxonomy Code | 3747A0650X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Attendant Care Provider |
| An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083214183 | Julia Mcenhill | Technician | 10 Evonshire Dr, Sharpsburg, GA 30277-3266 | 2020-10-28 |
| 1497352884 | Ernestine Atwater | Technician | 1962 Twin Falls Rd, Decatur, GA 30032-6070 | 2020-10-08 |
| 1952916207 | Nitza Chea Bishop | Technician | 151 Chulio Rd Se, Rome, GA 30161-8496 | 2020-09-14 |
| 1174137822 | Nettie Pearl Smith | Technician | 2919 Lonesome Rd, Albany, GA 31721-5644 | 2020-09-01 |
| 1255943478 | David Williams Jr. | Technician | 126 Thompson St, Cusseta, GA 31805-3945 | 2020-08-19 |
| 1750992913 | Phyllis Denise Haynes | Technician | 1111 Glenwood Ln, Bogart, GA 30622-2396 | 2020-08-12 |
| 1306464037 | Vickie Moore | Technician | 1639 Breeds Hill Loop, Columbus, GA 31907-7430 | 2020-07-09 |
| 1275150542 | Quindeic Rhones | Technician | 2556 Miles St, Augusta, GA 30906-5326 | 2020-07-02 |
| 1083231476 | Martha Crawford | Technician | 593 Crawford St Se, Dawson, GA 39842-2041 | 2020-07-01 |
| 1356967350 | Gloria Foster | Technician | 8643 Crenshaw Dr, Grovetown, GA 30813-8322 | 2020-06-25 |
| Find all providers with the same taxonomy | ||||
| City | SANDERSVILLE |
| Zip Code | 31082 |
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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.