MR. GARY STEVEN KOLLER (NPI# 1205258431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205258431 |
Entity Type | Individual |
Full Name | MR. GARY STEVEN KOLLER |
Practice Address |
76 Holder Road Lumpkin GA 31815 |
Mailing Address |
79 Holder Road Lumpkin GA 31815 |
Practice Telephone | 2298381241 |
Practice Fax Number | 2298381242 |
Mailing Telephone | 2298381241 |
Enumeration Date | 2014-01-07 |
Last Update Date | 2015-06-30 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 364SF0001X |
Clinical Nurse Specialist Specialization: Family Health |
RN218792 | GA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
76 HOLDER ROAD |
City | LUMPKIN |
State | GA |
Zip Code | 31815 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194230748 | Carolyn H Baker | Day Training, Developmentally Disabled Services | Hwy 27 South, P.o. Box 98, Lumpkin, GA 31815 | 2017-12-05 |
1225485907 | Cynthia Thomas | Community Health Worker | 107 Health Department Rd., Lumpkin, GA 31815 | 2016-05-23 |
1053701219 | Monica Elaine Bennefield | Social Worker | 146 Cca Way, Lumpkin, GA 31815 | 2015-01-27 |
1982020913 | Chassy Gilbert | Community Health Worker | 107 Hwy 27 South, Lumpkin, GA 31815 | 2014-03-14 |
1326481979 | James Allen Blankenship | Registered Nurse | 146 Cca Road, Lumpkin, GA 31815 | 2013-04-14 |
1346590148 | Providence Family Medicine Clinic, Inc | Family Medicine | 1787 Broad Street, Providence Family Medicine Clinic, Inc, Lumpkin, GA 31815 | 2012-09-19 |
1508130931 | Sys Dennis Bennefield | Pharmacist | 79 Holder Road, Lumpkin, GA 31815 | 2012-03-02 |
1962549238 | Stewart-quitman County Services | Counselor | Us South 27, Lumpkin, GA 31815 | 2007-01-30 |
1073696548 | Stewart County Fire & Ems | Ambulance | 532 Martin Luther King Jr. Drive, Lumpkin, GA 31815 | 2006-10-20 |
1902811532 | Lumpkin Drugs Inc | Pharmacy | 815 Cotton St, Lumpkin, GA 31815 | 2006-07-30 |
Find all providers in zip 31815 |
Taxonomy Code | 364SF0001X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Clinical Nurse Specialist |
Specialization | Family Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396344586 | Lynester Williams | Clinical Nurse Specialist | 1876 Rock Chapel Rd, Lithonia, GA 30058-5105 | 2020-10-20 |
1942819545 | Alicia Haisley | Clinical Nurse Specialist | 504 Village Pt, Fairburn, GA 30213-5100 | 2020-07-29 |
1609314376 | Sajani Paresh Patel | Clinical Nurse Specialist | 4775 Jimmy Carter Blvd Ste 201, Norcross, GA 30093-3760 | 2017-02-02 |
1750827242 | Mahlet Abebe | Clinical Nurse Specialist | 621 Windcroft Cir Nw, Acworth, GA 30101-3797 | 2017-01-09 |
1952780389 | Beverley Murray | Clinical Nurse Specialist | 210 Long Bridge Rd, Helena, GA 31037-2804 | 2015-05-19 |
1013337690 | Elizabeth Anne Dykeman | Clinical Nurse Specialist | 3035 Highway 17, Sautee Nacoochee, GA 30571-3013 | 2014-04-22 |
1801135280 | Sharon Templeton Matson | Clinical Nurse Specialist | 2950 Ashbyrn Ct, Buford, GA 30519-3989 | 2013-02-05 |
1205061371 | Tami Mitchell Hefner | Clinical Nurse Specialist | 290 Emerald Dr, Clarkesville, GA 30523-4290 | 2009-05-19 |
1275796559 | Tawnya Lynette Pringle | Clinical Nurse Specialist | 3196 Mount Zion Rd, Apt 804, Stockbridge, GA 30281-9304 | 2008-07-07 |
1700070901 | Alice Evelyn Woodruff | Clinical Nurse Specialist | 108 Park Ave, Athens, GA 30601-1722 | 2007-08-30 |
Find all providers with the same taxonomy |
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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.