MRS. GEORGIA JAMILLAH BUCKLEY (NPI# 1205862547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205862547 |
| Entity Type | Individual |
| Full Name | MRS. GEORGIA JAMILLAH BUCKLEY |
| Credential | PA-C |
| Practice Address |
5511 Raeford Rd Suite 150 Fayetteville NC 28304-2057 |
| Practice Telephone | 9106305000 |
| Practice Fax Number | 9104246767 |
| Mailing Telephone | 9106305000 |
| Mailing Fax Number | 9104246767 |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2013-04-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
0010-00442 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5511 RAEFORD RD SUITE 150 |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28304-2057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568422681 | Patrick S. O'brien | Dentist | 5511 Raeford Rd, Suite 203, Fayetteville, NC 28304-2057 | 2006-03-24 |
| 1609265842 | Carolina Comfort Dental | Dentist | 5511 Raeford Rd, Suite #225, Fayetteville, NC 28304-2057 | 2015-01-12 |
| 1336404953 | Korey Lee Revels | Chiropractor | 5511 Raeford Rd, Suite 100, Fayetteville, NC 28304-2057 | 2012-07-10 |
| 1578797569 | Divine Homecare LLC | Home Health | 5511 Raeford Rd, Fayetteville, NC 28304-2057 | 2009-05-06 |
| 1407098338 | John Bradley Mitchell | Physician Assistant | 5511 Raeford Rd, Suite 150, Fayetteville, NC 28304-2057 | 2009-03-24 |
| 1467679712 | Carolina Urgent & Family Care P.a. | Clinic/Center | 5511 Raeford Rd, Suite 150, Fayetteville, NC 28304-2057 | 2007-04-19 |
| 1396806733 | Paige E Nance Dds Pa | Dentist | 5511 Raeford Rd, Ste 225, Fayetteville, NC 28304-3049 | 2006-12-12 |
| 1538265004 | Edward M Schultz | Chiropractor | 5511 Raeford Rd, Suite 100, Fayetteville, NC 28304-3049 | 2006-09-15 |
| 1194821520 | American Chiropractic Care | Chiropractor | 5511 Raeford Rd, Suite 100, Fayetteville, NC 28304-3049 | 2006-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598301061 | Coast To Coast Bilingual Counseling | Social Worker | 910 Hope Mills Road, Fayetteville, NC 28304 | 2019-11-20 |
| 1811530561 | Frances L. Hurst | Technician | 6732 Carloway Dr, Fayetteville, NC 28304 | 2019-10-25 |
| 1538717764 | Rose Mary A O'conner | Technician | 3530 Madison Ave, Fayetteville, NC 28304 | 2019-08-30 |
| 1932756087 | Sally Frances Jones | Technician | 2053 Mango Circle, Fayetteville, NC 28304 | 2019-08-23 |
| 1326528803 | Jeneen Yvette Townsend | Counselor | 2671 Adams Lake Dr Apt F, Fayetteville, NC 28304 | 2018-08-15 |
| 1780179580 | Ma Cornelia Villavicencio Leano | Nurse Practitioner | 3081 Stone Carriage Cir Apt Z, Fayetteville, NC 28304 | 2018-06-25 |
| 1861986267 | Pediatric After Hours Care of Fayetteville | Pediatrics | 556 Sandhurst Drive, Fayetteville, NC 28304 | 2018-06-19 |
| 1700386133 | Good Night Medical of Ohio, LLC | Durable Medical Equipment & Medical Supplies | 405 Owen Dr Ste 202, Fayetteville, NC 28304 | 2018-02-12 |
| 1003321365 | Valleygate Dental Surgery Center of Fayetteville, LLC | Dentist | 2038 Litho Place, Fayetteville, NC 28304 | 2017-12-08 |
| 1871004663 | The Salt Project | Marriage & Family Therapist | 1611-b Owen Dr., Fayetteville, NC 28304 | 2017-10-19 |
| Find all providers in zip 28304 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245860618 | Robert Maughan | Physician Assistant | 129 Bryce Creek Ln, Fayetteville, NC 28303-4981 | 2020-01-24 |
| 1578050480 | Marlee Anne Fallon | Physician Assistant | 4402 Medical Center Dr Ste 402, Fayetteville, NY 13066-6626 | 2018-04-16 |
| 1285149781 | Rebecca Anderson | Physician Assistant | 413 Owen Dr Ste 201, Fayetteville, NC 28304-3490 | 2017-12-06 |
| 1750807186 | Julia Niemi | Physician Assistant | 2409 Murchison Rd # B, Fayetteville, NC 28301-3519 | 2017-08-17 |
| 1548709991 | Pallavi Annamaneni | Physician Assistant | 2149 Valleygate Dr Ste 102, Fayetteville, NC 28304-3666 | 2017-02-17 |
| 1124457650 | Amanda Warden | Physician Assistant | 89 Cowley Hollow Rd, Fayetteville, TN 37334-6947 | 2013-11-05 |
| 1639473739 | Andrea Bethauser | Physician Assistant | 918 Hope Mills Rd, Fayetteville, NC 28304-4243 | 2011-01-04 |
| 1891928941 | Gladys Maria Rivero | Physician Assistant | 3450 Sandystone Cir, Fayetteville, NC 28311-2503 | 2009-08-24 |
| 1366524092 | Lisa Aldrin Rojeski | Physician Assistant | 4038 N Remington Dr, Suite 4, Fayetteville, AR 72703-6345 | 2006-10-20 |
| 1902829039 | Michael John Winn | Physician Assistant | 5511 Raeford Road, Suite 150, Fayetteville, NC 28304-2058 | 2006-07-26 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28304 |
Please comment or provide details below to improve the information on MRS. GEORGIA JAMILLAH BUCKLEY.
| 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.