MICHELLE DENISE MCMICKIN (NPI# 1184288920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184288920 |
| Entity Type | Individual |
| Full Name | MICHELLE DENISE MCMICKIN |
| Practice Address |
52 Woodmont Dr Lagrange GA 30241-7703 |
| Practice Telephone | 2293477215 |
| Mailing Telephone | 2293477215 |
| Enumeration Date | 2019-04-26 |
| Last Update Date | 2019-04-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
197311 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
52 WOODMONT DR |
| City | LAGRANGE |
| State | GA |
| Zip Code | 30241-7703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073994182 | Pathways Center for Behavioral and Developmental Growth | Community/Behavioral Health | 102 Corporate Park Drive East, Lagrange, GA 30241 | 2015-06-15 |
| 1235303686 | Atlas Neck & Back Center | Chiropractor | 309 N. Morgan St., Suite A, Lagrange, GA 30241 | 2008-04-16 |
| 1578756565 | Richard Freeman Simmons | Dentist | 2219 B West Point Rd, Dr Richard F Simmons, Lagrange, GA 30241 | 2007-08-22 |
| 1013071851 | Troup County School District | Local Education Agency (LEA) | 100 North Davis Road, Lagrange, GA 30241 | 2006-12-19 |
| 1851748172 | Medventures Physical Therapy, LLC | Physical Therapist | 1075 Lafayette Parkway, Ste 220, Lagrange, GA 30241 | 2016-05-17 |
| 1154784205 | Med Ventures Mri, LLC | Radiology | 1075 Lafayette Parkway, Ste 120, Lagrange, GA 30241 | 2016-04-05 |
| 1437514965 | Holly Renee Abbott | Counselor | 104 Harwell Ave, Lagrange, GA 30241 | 2015-12-29 |
| 1386780104 | Andre D Feria Md | Internal Medicine | 142 Old Mill Road, Lagrange, GA 30241 | 2007-01-29 |
| 1356354500 | Mohd Khairul Anam | Internal Medicine | 142 Old Mill Road, Lagrange, GA 30241 | 2006-08-15 |
| 1417914052 | Troup County Health Department | Public Health or Welfare | 1220 Hogansville Rd, Department of Family and Childrens Services Health Cent, Lagrange, GA 30241 | 2006-04-27 |
| Find all providers in zip 30241 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356959001 | Amy Elizabeth Robinson | Nurse Practitioner | 2169 W Point Rd, Lagrange, GA 30240-4002 | 2020-07-20 |
| 1144859224 | Jamie Danielle Oubre | Nurse Practitioner | 3335 Hamilton Rd, Lagrange, GA 30241-8716 | 2020-04-02 |
| 1538705694 | Jennifer Costello | Nurse Practitioner | 336 Forest St, Lagrange, OH 44050-9685 | 2019-11-25 |
| 1407333115 | Tiffany Brush | Nurse Practitioner | 1555 Doctors Dr Ste 101, Lagrange, GA 30240-4132 | 2018-07-25 |
| 1326491663 | Jennifer Cline Taunton | Nurse Practitioner | 110 Kildare Ct, Lagrange, GA 30240-9583 | 2016-07-21 |
| 1285064931 | Sj &j Medical Group and Urgent Care | Nurse Practitioner | 304 Smith St, Lagrange, GA 30240-2746 | 2013-11-16 |
| 1700226107 | Jessica Marie Harrison | Nurse Practitioner | 102 Main St Ste 204, Lagrange, GA 30240-3225 | 2013-06-28 |
| 1659691848 | Janet L Cox | Nurse Practitioner | 1786 Commerce Pkwy, Lagrange, KY 40031-8786 | 2010-06-10 |
| 1801128459 | Stephanie White | Nurse Practitioner | 1075 Lafayette Pkwy Ste 210, Lagrange, GA 30241-3733 | 2010-02-08 |
| 1053331546 | Harry Rafael Sevilla Abilla | Nurse Practitioner | 310 North Davis Street, Lagrange, GA 30240 | 2006-07-20 |
| Find all providers in LAGRANGE | ||||
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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.