MS. RITA GCEO DOUGLAS (NPI# 1174938864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174938864 |
Entity Type | Individual |
Full Name | MS. RITA GCEO DOUGLAS |
Credential | CEO |
Practice Address |
313 New Echota Way Woodstock GA 30189-7001 |
Practice Telephone | 6789789819 |
Mailing Telephone | 6789789819 |
Enumeration Date | 2014-06-22 |
Last Update Date | 2014-06-22 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 376G00000X | Nursing Home Administrator | Nursing Service Related Providers |
Street Address |
313 NEW ECHOTA WAY |
City | WOODSTOCK |
State | GA |
Zip Code | 30189-7001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801494356 | Susan Iruku | Pharmacist | 12050 Ga-92 #112, Woodstock, GA 30189 | 2020-10-15 |
1598267437 | Kelly Sierra | Nurse Practitioner | 100 Stoneforest Dr Ste 300, Woodstock, GA 30189 | 2018-03-07 |
1548770449 | Chandra Johnson | Nurse Practitioner | 295 Molly Lane Ste 150, Woodstock, GA 30189 | 2017-10-05 |
1083133912 | Amanda Bostock Sowisdral | Physician Assistant | 250 Parkbrooke Pl Ste 300, Woodstock, GA 30189 | 2017-09-12 |
1780101659 | Laura C Koch Woodstock LLC Dba Fountain View Dentistry | Dentist | 1816 Eagle Drive, Building 200-a, Woodstock, GA 30189 | 2017-08-23 |
1265954788 | Vicky Morton Bryan | Nurse Practitioner | 422 Sycamore Trail, Woodstock, GA 30189 | 2017-07-17 |
1063933588 | Marietta Eye Clinic, Pa | Optometrist | 2990 Eagle Dr Ste 110, Woodstock, GA 30189 | 2017-07-06 |
1275914749 | Nrup Tolat | Podiatrist | 100 Stoneforest Dr Ste 120, Woodstock, GA 30189 | 2015-06-10 |
1558781534 | Mary Jansson Carmon | Nurse Practitioner | 1000 Towne Lake Pkwy, Woodstock, GA 30189 | 2014-04-17 |
1518388941 | Afc Physicians of Georgia, PC | General Practice | 6440 Bells Ferry Rd, Woodstock, GA 30189 | 2014-01-03 |
Find all providers in zip 30189 |
Taxonomy Code | 376G00000X |
Grouping | Nursing Service Related Providers |
Classification | Nursing Home Administrator |
An individual, often licensed by the state, who is responsible for the management of a nursing home. |
Notes: Source: Lexikon: Dictionary of Health Care Terms, Organizations, and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL, 1994, p. 552. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083263545 | Temple Personal Care Home LLC | Nursing Home Administrator | 838 Shadybrook Dr Ne, Marietta, GA 30066-6215 | 2019-09-08 |
1992353072 | Oliver Eberechukwu Nosiri | Nursing Home Administrator | 2677 Cimmaron Trl, Lithia Springs, GA 30122-2796 | 2019-08-31 |
1548817893 | Curtis Jefferson | Nursing Home Administrator | 718 Walden Run Pl, Mcdonough, GA 30253-7008 | 2019-08-21 |
1407236045 | Patrice M Jackson-weathers | Nursing Home Administrator | 325 Willow Ridge Way, Avondale Estates, GA 30002-1284 | 2015-06-08 |
1710234646 | Rondine O Gordon | Nursing Home Administrator | 5503 Mountain View Pass, Stone Mountain, GA 30087-6020 | 2012-08-09 |
1780953018 | Dade Community Living Arrangement (cla) | Nursing Home Administrator | 1289 Macedonia Church Rd., Oxford, GA 30054-3651 | 2011-12-15 |
1720621592 | Floyd Billups | Nursing Home Administrator | 5637 La Fleur Trl, Lithonia, GA 30038-2846 | 2019-10-23 |
1104255421 | Sandy Williams | Nursing Home Administrator | 833 Arlington Dr, Columbus, GA 31907-7302 | 2013-11-07 |
1861423428 | Olubusola Ogundipe | Nursing Home Administrator | 7823 Spivey Station Blvd, Suite 210, Jonesboro, GA 30236-2886 | 2006-07-05 |
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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.