MRS. STACEY M. PERRY (NPI# 1205384880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205384880 |
| Entity Type | Individual |
| Full Name | MRS. STACEY M. PERRY |
| Credential | PA-C |
| Practice Address |
3696 Wheeler Rd Augusta GA 30909 |
| Mailing Address |
3696 Wheeler Rd Augusta GA 30909-6520 |
| Practice Telephone | 0673619307 |
| Mailing Telephone | 0673619307 |
| Enumeration Date | 2016-09-13 |
| Last Update Date | 2019-08-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 8180 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 247 Merion Ct, Martinez, GA 309074417 | 7063315165 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770592016 | Stacey L Perry | Podiatrist | 34509 9th Ave S, Ste 306, Federal Way, WA 98003-6700 | 2006-08-05 |
| Street Address |
3696 WHEELER RD |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992703193 | Richard Harris Bromer | Specialist | 3696 Wheeler Rd, Augusta, GA 30909-6520 | 2005-07-12 |
| 1255930806 | Nicole Paige Wolbert | Nurse Practitioner | 3696 Wheeler Rd, Augusta, GA 30909-6520 | 2020-10-23 |
| 1013539907 | Kristen Rogers Bradley | Nurse Practitioner | 3696 Wheeler Rd, Augusta, GA 30909-6520 | 2020-05-13 |
| 1093234791 | Shannon Lynn Egan | Physician Assistant | 3696 Wheeler Rd, Augusta, GA 30909-6520 | 2017-09-13 |
| 1477996965 | Eugene Mitchell Long IIi | Internal Medicine | 3696 Wheeler Rd, Augusta, GA 30909 | 2013-04-15 |
| 1710182605 | Aaron W Flanders | Internal Medicine | 3696 Wheeler Rd, Augusta, GA 30909 | 2007-06-19 |
| 1912917824 | Augusta Oncology Associates, P.C. | Specialist | 3696 Wheeler Rd, Augusta, GA 30909-6520 | 2006-08-09 |
| 1649257890 | Miriam Yvette Atkins | Specialist | 3696 Wheeler Rd, Augusta, GA 30909-6520 | 2005-12-29 |
| 1700863438 | John Kennison Hudson | Specialist | 3696 Wheeler Rd, Augusta, GA 30909-6520 | 2005-12-23 |
| 1376520148 | David Ronald Squires | Specialist | 3696 Wheeler Rd, Augusta, GA 30909-6520 | 2005-12-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912513888 | Lauran Simpson | Behavior Technician | 1237 Augusta West Parkway, Augusta, GA 30909 | 2020-09-16 |
| 1487273884 | Still Perspectives Counseling LLC | Counselor | 1265 Inerstate Prwy, Suite B, Augusta, GA 30909 | 2020-04-15 |
| 1598397838 | Mjra Medical LLC | Psychologist | 3675 J Dewey Gray Cr Ste 300, Augusta, GA 30909 | 2020-02-05 |
| 1003452319 | Danny Robinson | Counselor | 2609 Commons Boulevard, Augusta, GA 30909 | 2019-11-21 |
| 1407498637 | Candice M Cruse | Social Worker | 2609 Commons Blvd, Augusta, GA 30909 | 2019-10-09 |
| 1902363385 | Mary D Jodon | Pharmacist | 3338 Wrightsboro Rd., Augusta, GA 30909 | 2019-02-21 |
| 1447790514 | Burn Critical Care Associates, LLC | Internal Medicine | 3614 J. Dewey Gray Circle, Bldg B., Augusta, GA 30909 | 2017-03-08 |
| 1124561766 | Sasha Latara Mccraw | Counselor | 7303 Palomino Court, Augusta, GA 30909 | 2016-11-30 |
| 1174974620 | Warren Umansky, Ph.d. | Psychologist | 302 Wheeler Executive Ctr, Augusta, GA 30909 | 2016-06-27 |
| 1811358955 | Theodora Mcleskey | Nurse Practitioner | 1215 George C. Wilson Drive, Augusta, GA 30909 | 2016-03-17 |
| Find all providers in zip 30909 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306443346 | Margaret Howard | Physician Assistant | 1120 15th St # Ba8222, Augusta, GA 30912-0004 | 2020-10-02 |
| 1932740529 | Karmen Littlejohn Elsen | Physician Assistant | 1120 15th St Professional Bld 1, Augusta, GA 30912-0004 | 2019-10-04 |
| 1821643313 | Alicia M Sanborn | Physician Assistant | 21 Enterprise Dr, Augusta, ME 04330-7894 | 2019-08-02 |
| 1750856332 | Annie Ruth Dennis-king | Physician Assistant | 1120 15th St # Bi-3088, Augusta, GA 30912-0004 | 2018-10-10 |
| 1649745415 | Sara Bailey | Physician Assistant | 3486 Peach Orchard Rd, Augusta, GA 30906-5214 | 2018-10-09 |
| 1386154045 | Anna Louise Walker | Physician Assistant | 1120 15th St Digestive Health Center Ad 2226, Augusta, GA 30912-0001 | 2017-10-09 |
| 1801337779 | Women's Health of Augusta | Physician Assistant | 1303 Dantignac St Ste 2500, Augusta, GA 30901-2792 | 2017-03-13 |
| 1376090571 | Kacee Camp Morris | Physician Assistant | 1350 Walton Way Fl 2, Augusta, GA 30901-2612 | 2016-09-06 |
| 1366807216 | Ashley Andrews Macdearmid | Physician Assistant | 15 Enterprise Dr Ste 100, Augusta, ME 04330-7998 | 2015-12-19 |
| 1124490255 | John R Martin | Physician Assistant | 3651 Wheeler Rd., Augusta, GA 30909 | 2015-10-28 |
| Find all providers in AUGUSTA | ||||
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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.