MRS. MARY BEATTY WISE (NPI# 1184047565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184047565 |
| Entity Type | Individual |
| Full Name | MRS. MARY BEATTY WISE |
| Credential | NP-C |
| Practice Address |
496 Fairfield Ct Evans GA 30809-3641 |
| Mailing Address |
818 Saint Sebastian Way Suite 308 Augusta GA 30901-2651 |
| Practice Telephone | 2292929248 |
| Mailing Telephone | 7067244400 |
| Enumeration Date | 2014-01-21 |
| Last Update Date | 2016-01-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN213344 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225419229 | Mary Wise | Speech-Language Pathologist | 1518 Sunnyview Oval, Keasbey, NJ 08832-1050 | 2015-06-15 |
| 1487886800 | Mary Anne Wise | Massage Therapist | 3187 Rt 28, Shokan, NY 12481-0052 | 2009-08-18 |
| 1558379495 | Mary Bernadette Wise | General Practice | 7929 Ogden Ave, Lyons, IL 60534 | 2006-08-04 |
| 1649248550 | Mary Louise Wise | Psychologist | 2 E. Franklin Ave., #6, Mpls, MN 55403 | 2006-03-08 |
| 1861009227 | Mary Wise | Pharmacist | 2057 Charlie Hall Blvd Ste C, Charleston, SC 29414-6164 | 2020-09-29 |
| 1831545086 | Mary Fowler Wise | Family Medicine | 1300 Old Weisgarber Rd, Knoxville, TN 37909-1291 | 2016-05-06 |
| 1881966794 | Mary Helen Wise | Social Worker | 411 W Chapel Hill St, Suite 908, Durham, NC 27701-3616 | 2012-02-08 |
| 1740516913 | Mary C Wise | Occupational Therapist | 1335 Nw Broad St, Murfreesboro, TN 37129-4428 | 2009-10-23 |
| 1558502153 | Mary Felicia Wise | Registered Nurse | 8200 W Silver Spring Dr, Milwaukee, WI 53218-2552 | 2009-03-12 |
| 1720111768 | Mary Moore Wise | Registered Nurse | 1540 Spring Valley Dr, Huntington, WV 25704-9300 | 2007-03-13 |
| Street Address |
496 FAIRFIELD CT |
| City | EVANS |
| State | GA |
| Zip Code | 30809-3641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326674060 | Dominion Behavioral Health Services LLC | Psychiatric Unit | 817 Prairie Lane, Evans, GEORGIA 30809 | 2020-03-13 |
| 1710478102 | Georgia Dental Professionals, PC | Dentist | 5131 Washington Rd, Evans, GA 30809 | 2018-05-22 |
| 1649770678 | Angel Legare | Physician Assistant | 404 Town Park Blvd Ste 101, Evans, GA 30809 | 2018-02-16 |
| 1952829541 | Felicia Evette Rhodes | Home Health Aide | 715 Jones Creek, Evans, GA 30809 | 2017-09-02 |
| 1659733582 | Patricia J. Stewart Lpc, LLC | Counselor | 465 N. Belair Rd. Ste 2d, Evans, GA 30809 | 2016-03-21 |
| 1114306727 | John Mccaskey | Family Medicine | 465 N Belair Rd Ste 1b, Evans, GA 30809 | 2015-05-28 |
| 1053702878 | Jennifer Wahl | Assistant Behavior Analyst | 1135 Waltons Pass, Evans, GA 30809 | 2015-02-16 |
| 1609298777 | Custom Pharmacy, Inc | Pharmacy | 1202 Town Park Lane, Suite 200, Evans, GA 30809 | 2014-01-09 |
| 1457797938 | Perfect Health Always On Call, LLC | Non-Pharmacy Dispensing Site | 4244 Washington Rd, Evans, GA 30809 | 2013-05-11 |
| 1417207119 | Tommy Battle | Respiratory Therapist, Registered | 101 Pond View, Evans, GA 30809 | 2012-09-11 |
| Find all providers in zip 30809 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346873163 | Kyla Megan Kitchens | Nurse Practitioner | 4150 Washington Rd Ste 11, Evans, GA 30809-4722 | 2020-02-20 |
| 1033778568 | Caitlin J Vu | Nurse Practitioner | 753 Winding Creek Ct, Evans, GA 30809-4874 | 2019-06-09 |
| 1508398439 | Ashlee Blakeslee | Nurse Practitioner | 4350 Towne Centre Dr Ste 1100, Evans, GA 30809-3329 | 2017-03-30 |
| 1982069258 | Beverly Brinson | Nurse Practitioner | 4423 Sapelo Dr, Evans, GA 30809-8222 | 2015-12-30 |
| 1952799918 | Bradford Kesler Cheek | Nurse Practitioner | 1132 Midford Ct, Evans, GA 30809-5244 | 2014-12-29 |
| 1912251190 | Christopher Thomas Schiffbauer | Nurse Practitioner | 208 Darling Way, Evans, GA 30809-8405 | 2012-11-09 |
| 1609132463 | Heather Jennings | Nurse Practitioner | 1235 Berkley Hills Pass, Evans, GA 30809-7472 | 2012-04-05 |
| 1922184027 | Melissa Lampp Sumner | Nurse Practitioner | 400 Town Park Blvd, Suite 300, Evans, GA 30809-3471 | 2006-10-31 |
| 1639780760 | Cassandra Bigley | Nurse Practitioner | 2930 11th Ave, Evans, CO 80620-1011 | 2020-08-12 |
| 1689214033 | Lauren Rudd Nates | Nurse Practitioner | 411 Town Park Blvd, Evans, GA 30809-3487 | 2020-01-14 |
| Find all providers in EVANS | ||||
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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.