DEIRDRE DANNETTE WOMACK


Address: 221 Bordeaux Dr, Fayetteville, GA 30214-5301
Phone: 4045398592

DEIRDRE DANNETTE WOMACK (NPI# 1194348391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194348391
Entity Type Individual
Full Name DEIRDRE DANNETTE WOMACK
Practice Address 221 Bordeaux Dr
Fayetteville
GA 30214-5301
Practice Telephone 4045398592
Mailing Telephone 4045398592
Enumeration Date 2020-05-21
Last Update Date 2020-05-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 376J00000X Homemaker Nursing Service Related Providers

Office Location

Street Address 221 BORDEAUX DR
City FAYETTEVILLE
State GA
Zip Code 30214-5301

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NPI Name Taxonomy Address Enumeration
1548872468 Phyllis Kelly Wood Nurse Practitioner 217 Banks Rd, Suite 31, Fayetteville, GA 30214 2020-08-21
1073139317 Tyisha Salter Scott Counselor 110 Habersham Drive, Suite 142, Fayetteville, GA 30214 2020-06-23
1194341412 Camille Franncine Bolton Physical Therapist 500 Floy Farr Parkway, Suite 303, Fayetteville, GA 30214 2020-06-23
1205465895 Gillian Vaughan Heard Physician Assistant 1275 Ga-54 #201, Fayetteville, GA 30214 2020-04-06
1881234557 Peach Fits,inc Mastectomy Fitter 285 Glynn Street South, Suites 102 and 104, Fayetteville, GA 30214 2020-01-10
1255981072 Delta Healthcare Providers Clinic/Center 1275 W Lanier Ave, #200, Fayetteville, GA 30214 2019-09-13
1861965592 Hierarchy for Wellness Specialist 805 S Glynn St Bldg 127 142, Fayetteville, GA 30214 2019-01-04
1356810634 Fayette Dental Group PC Clinic/Center 720 W Lanier Ave, Fayetteville, GA 30214 2018-11-16
1891263299 Mattie Mae Farmer Clark Specialist/Technologist, Other Piedmont Fayette Hospital, 1255 Highway 54 West, Fayetteville, GA 30214 2018-11-05
1093293607 Allyson Holland Pharmacist 880 Highway 85 South, Fayetteville, GA 30214 2018-08-06
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Taxonomy Information

Taxonomy Code 376J00000X
Grouping Nursing Service Related Providers
Classification Homemaker

Taxonomy Definition

An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards.
Notes: [7/1/2003: definition added]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770181539 Mary Lou Butler Homemaker 1383 Lorelei Dr, Fayetteville, OH 45118-9263 2020-10-14

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1265042329 Verntavius Jaymel Denham Homemaker 200 New St, Eatonton, GA 31024-7920 2020-08-04
1114542438 Shanita Davis Homemaker 1245 Stoney Field Pl, Lawrenceville, GA 30043-3830 2020-06-11
1891324042 Magnolia Home Health, LLC Dba Home Instead Senior Care Homemaker 6709 Forest Park Drive, Suite B, Savannah, GA 31406 2020-04-08
1285279810 Latisha Sonia Dollison Homemaker 985 Mount Zion Rd Apt 15c, Morrow, GA 30260-2256 2019-11-06
1558910786 Marcia Pauly Homemaker 4035 Flintridge Dr, Stone Mountain, GA 30083-3122 2019-09-10
1174171862 Mary Robson Homemaker 514 Raintree Hl, Peachtree City, GA 30269-2240 2019-08-27
1700433273 Theresa Ann Cuyler Homemaker 5335 Glatigny St, Savannah, GA 31405-5013 2019-08-20
1760947113 Alicia Tate Homemaker 8455 Highway 85 Ste A3, Riverdale, GA 30274-5115 2019-02-08
1043702277 Wellone Homecare Services Homemaker 2302 Parklake Dr Ne Ste 144, Atlanta, GA 30345-2896 2018-06-04
1629579081 Phillip Dale Rogers Homemaker 536 Norville Dr Nw, Resaca, GA 30735-6174 2018-02-21
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Competitor

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City FAYETTEVILLE
Zip Code 30214

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Dataset Information

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.

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