SHANITA SOUTHERLAND AUSBORN


Address: 770 Walnut St, Macon, GA 31201-7307
Phone: 4787874266

SHANITA SOUTHERLAND AUSBORN (NPI# 1205229531) 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) 1205229531
Entity Type Individual
Full Name SHANITA SOUTHERLAND AUSBORN
Credential APRN
Practice Address 770 Walnut St
Macon
GA 31201-7307
Practice Telephone 4787874266
Practice Fax Number 4787874199
Mailing Telephone 4787874266
Mailing Fax Number 4787874199
Enumeration Date 2015-03-11
Last Update Date 2016-06-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
RN203226 GA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 770 WALNUT ST
City MACON
State GA
Zip Code 31201-7307

Providers in the same location

NPI Name Taxonomy Address Enumeration
1427042290 Victoria Woods Anderson Family Medicine 770 Walnut St, Macon, GA 31201-7307 2005-09-07
1235685959 Lanita James Nurse Practitioner 770 Walnut St, Macon, GA 31201-7307 2016-09-01
1801278700 Rachel Alean Andrews Nurse Practitioner 770 Walnut St, Macon, GA 31201-7307 2015-06-26
1598152811 Lawanda Greene Nurse Practitioner 770 Walnut St, Macon, GA 31201-7307 2015-04-24
1760804132 Michele Scarborough Nurse Practitioner 770 Walnut St, Macon, GA 31201-7307 2014-01-20
1831532704 Tiffany Gaulden Carswell Nurse Practitioner 770 Walnut St, Macon, GA 31201-7307 2013-04-10
1023368040 Mariana Thuyen Nguyen Nurse Practitioner 770 Walnut St, Macon, GA 31201-7307 2012-09-17
1669768990 Kameisha Tenille Williams-thomas Family Medicine 770 Walnut St, Macon, GA 31201-7307 2011-06-24
1942520093 Jennifer Evans Family Medicine 770 Walnut St, Macon, GA 31201-7307 2010-06-10
1336332857 First Choice Primary Care, Inc. Clinic/Center 770 Walnut St, Macon, GA 31201-7307 2007-08-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639666340 Yasameen Emad Muzahim Internal Medicine 777 Hemlock Street, Msc 165, Macon, GA 31201 2018-04-18
1952819419 Putnam Dialysis LLC Clinic/Center 657 Hemlock Street, Suite 200, Macon, GA 31201 2018-01-18
1730604331 Graham Arthur Mercier Surgery 169 Ashley Ave., Room 202 Main Hospital Msc 333, Charleston, SC 31201 2017-08-04
1376075705 Diamond Jude Internal Medicine 777 Hemlock Street Msc #104, Macon, GA 31201 2017-04-03
1174055263 Carol Roobin Bashuk Hearing Instrument Specialist 634 First Street, Macon, GA 31201 2017-03-29
1144752411 Hubert Pare Student in an Organized Health Care Education/Training Program 777 Hemlock Street, Msc# 165, Macon, GA 31201 2017-03-28
1548613789 Michael Daugherty Counselor 1873 Hardeman Ave, Suite 1, Macon, GA 31201 2016-07-22
1316317993 4front Healthcare of Middle Georgia, LLC Hospice Care, Community Based 682 1st St, Macon, GA 31201 2015-09-25
1881073054 Andrew Lee Drahos Surgery 777 Hemlock St # 140, Macon, GA 31201 2015-05-21
1720474158 April Nicole Colley Nurse Practitioner 1014 Forsyth Street, Macon, GA 31201 2015-04-13
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093315848 Tracy Tarvers Nurse Practitioner 129 Wolf Creek Dr N, Macon, GA 31210-9002 2020-10-30
1578160560 Ida Mayaka Nurse Practitioner 210 Autumn Trace Ct, Macon, GA 31210-8025 2020-10-03
1427664465 Shanna Lynn Beaulieu Nurse Practitioner 781 Spring St Ste 230, Macon, GA 31201-2185 2020-09-16
1467070557 Raquel Simmons Nurse Practitioner 670 Ivy Brook Way, Macon, GA 31210-5520 2020-07-06
1174159800 Jamie K Polk Nurse Practitioner 3951 Ridge Ave Ste C, Macon, GA 31210-5064 2020-03-13
1033743455 Dana Elizabeth Toth Nurse Practitioner 5300 Bowman Rd, Macon, GA 31210 2020-02-25
1730730581 Lindsay Fernandez Nurse Practitioner 102 Saint Johns Pl, Macon, GA 31210-8606 2019-09-24
1003468240 Skylar Nelson Nurse Practitioner 330 Hospital Dr Ste 200, Macon, GA 31217-8034 2019-07-09
1861051880 Courtney Elizabeth Avery Nurse Practitioner 540 Charter Blvd Ste 400, Macon, GA 31210-4882 2019-06-12
1376101196 Detra K Dixon Nurse Practitioner 227 Amalie Dr, Macon, GA 31220-2667 2019-06-05
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Competitor

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City MACON
Zip Code 31201

Improve Information

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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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