SUSAN E. LOMAX (NPI# 1194873828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194873828 |
| Entity Type | Individual |
| Full Name | SUSAN E. LOMAX |
| Credential | CPNP |
| Practice Address |
777 Franklin Rd Se Marietta GA 30067-7803 |
| Practice Telephone | 7707326007 |
| Practice Fax Number | 7707328242 |
| Mailing Telephone | 7707326007 |
| Mailing Fax Number | 7707328242 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2012-08-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
RN117846 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
117846 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000874057I | 05 | |
| GA | MEDICAID PAYEE ID | 818552480A | 01 |
| GA | NPI | 11194873828 | 01 |
| GA | 818552480A | 05 |
| Street Address |
777 FRANKLIN RD SE |
| City | MARIETTA |
| State | GA |
| Zip Code | 30067-7803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114901337 | Mary Elizabeth Cahill | Nurse Practitioner | 777 Franklin Rd Se, Marietta, GA 30067-7803 | 2005-12-01 |
| 1265850788 | Dianna Linda Rains | Nurse Practitioner | 777 Franklin Rd Se, Marietta, GA 30067-7803 | 2014-04-01 |
| 1205142783 | Robin Asay Burris | Nurse Practitioner | 777 Franklin Rd Se, Marietta, GA 30067-7803 | 2010-08-23 |
| 1972756732 | Nuestros Ninos Our Kids Pediatrics Inc. | Nurse Practitioner | 777 Franklin Rd Se, Marietta, GA 30067-7803 | 2008-10-24 |
| 1457412934 | Ana Lynn Tesh | Nurse Practitioner | 777 Franklin Rd Se, Marietta, GA 30067-7803 | 2006-12-12 |
| 1528094604 | Joanna Hopkins Clark | Pediatrics | 777 Franklin Rd Se, Marietta, GA 30067-7803 | 2006-06-23 |
| 1710931548 | Jennifer H Puckett | Nurse Practitioner | 777 Franklin Rd Se, Marietta, GA 30067-7803 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689140022 | Sherry Wilson King | Marriage & Family Therapist | 1640 Powers Ferry Rd Blg 7, Ste 300, Marietta, GA 30067 | 2018-10-23 |
| 1053886861 | Precious Angel Home Care Services Inc | Adult Companion | 2470 Windy Hill Road, Marietta, Suite 253, Marietta, GA 30067 | 2018-10-08 |
| 1194206466 | Joshua P Moree | Chiropractor | 860 Franklin Gtwy Se Apt 111, Marietta, GA 30067 | 2018-08-24 |
| 1841778081 | Sun Pediatrics LLC | Pediatrics | 2520 Windy Hill Rd Se Ste 104, Marietta, GA 30067 | 2018-07-31 |
| 1508358714 | Mbs Wellness Group, LLC | Durable Medical Equipment & Medical Supplies | 62 Shawnee Trail Se, Marietta, GA 30067 | 2018-06-04 |
| 1497254213 | Allison M Jancik | Chiropractor | 1355 Terrell Mill Road Se, Bldg 1474, Ste 150, Marietta, GA 30067 | 2018-02-07 |
| 1801304969 | Danielle Ann Dietrich | Chiropractor | 805 Winterset Pkwy Se, Marietta, GA 30067 | 2018-01-11 |
| 1740794866 | Jessica Lofgren | Chiropractor | 1130 Northchase Pkwy Se Ste 125, Marietta, GA 30067 | 2017-11-28 |
| 1871026393 | Rhonda Dawes Milner | Counselor | 1640 Powers Ferry Rd Bldg 16, Suite 100, Marietta, GA 30067 | 2017-04-11 |
| 1457894537 | Carcelia Delk | Counselor | 1110 Augusta Dr Se, Marietta, GA 30067 | 2016-11-22 |
| Find all providers in zip 30067 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740816487 | Aleksa Rozman | Nurse Practitioner | 1121 Johnson Ferry Rd Ste 220, Marietta, GA 30068-2763 | 2020-03-13 |
| 1427539741 | Emily Dorsey Drew | Nurse Practitioner | 3911 Mary Eliza Trce Nw Ste 200, Marietta, GA 30064 | 2018-08-24 |
| 1932648730 | Nnokp | Nurse Practitioner | 777 Franklin Gtwy Se, Marietta, GA 30067-7803 | 2017-02-14 |
| 1154789949 | Jennifer Lee Besse | Nurse Practitioner | 121 Marble Mill Rd Nw Ste 101, Marietta, GA 30060-7959 | 2016-02-08 |
| 1134460207 | Ganielle Hooper | Nurse Practitioner | 2551 Roswell Rd Ste 420, Marietta, GA 30062-4761 | 2013-03-13 |
| 1720136476 | Mary B. Hammock | Nurse Practitioner | 3911 Mary Eliza Trce Nw, Suite 200, Marietta, GA 30064-1086 | 2007-01-08 |
| 1114901337 | Mary Elizabeth Cahill | Nurse Practitioner | 777 Franklin Rd Se, Marietta, GA 30067-7803 | 2005-12-01 |
| 1194226068 | Axis Hope, LLC | Nurse Practitioner | 2551 Roswell Rd Ste 420, Marietta, GA 30062-4761 | 2018-02-26 |
| 1811436348 | Charlotte Fischer Grulke | Nurse Practitioner | 2520 Windy Hill Rd Se, Suite 104, Marietta, GA 30067-8664 | 2017-02-16 |
| 1487105672 | Meagan Darling | Nurse Practitioner | 3911 Mary Eliza Trce Nw, #200, Marietta, GA 30064-1086 | 2016-10-22 |
| Find all providers in MARIETTA | ||||
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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.