MANDI CHARLES (NPI# 1225477300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225477300 |
| Entity Type | Individual |
| Full Name | MANDI CHARLES |
| Credential | R.N. |
| Practice Address |
1400 Northside Forsyth Dr Suite 390 Cumming GA 30041-7668 |
| Mailing Address |
975 Johnson Fy Rd Ne Suite 100 Atlanta GA 30342-1619 |
| Practice Telephone | 4042561311 |
| Practice Fax Number | 4047052774 |
| Mailing Telephone | 4042561311 |
| Mailing Fax Number | 4047052774 |
| Enumeration Date | 2013-06-21 |
| Last Update Date | 2013-06-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WS0121X |
Registered Nurse Specialization: Plastic Surgery |
RN165071 | GA | Nursing Service Providers |
| Street Address |
1400 NORTHSIDE FORSYTH DR SUITE 390 |
| City | CUMMING |
| State | GA |
| Zip Code | 30041-7668 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639178486 | Joel A. Hoffman | Specialist | 1400 Northside Forsyth Dr, Suite 240, Cumming, GA 30041-7668 | 2005-07-14 |
| 1144832585 | Linda Lilian Adhiambo | Nurse Practitioner | 1400 Northside Forsyth Dr, Cumming, GA 30041-7668 | 2020-08-18 |
| 1821632605 | Charley Whitmire | Nurse Practitioner | 1400 Northside Forsyth Dr, Cumming, GA 30041-7668 | 2019-11-04 |
| 1437601549 | Deborah A Martin, Md, Facs | Surgery | 1400 Northside Forsyth Dr, Suite 340, Cumming, GA 30041-7668 | 2016-10-25 |
| 1528422649 | Amanda Yassin | Pharmacist | 1400 Northside Forsyth Dr, Cumming, GA 30041-7668 | 2016-04-06 |
| 1255733812 | Kimberly Neadow | Nurse Practitioner | 1400 Northside Forsyth Dr, Ste 310, Cumming, GA 30041-7668 | 2014-09-25 |
| 1962843557 | Monica Patterson | Audiologist | 1400 Northside Forsyth Dr, Suite 240, Cumming, GA 30041-7668 | 2013-07-11 |
| 1306107982 | Ebony L Sims | Pharmacist | 1400 Northside Forsyth Dr, Cumming, GA 30041-7668 | 2012-05-31 |
| 1538428834 | C Colleen Benson | Audiologist | 1400 Northside Forsyth Dr, Ste 240, Cumming, GA 30041-7668 | 2012-05-08 |
| 1063729754 | Amy Lynn Burnham | Physician Assistant | 1400 Northside Forsyth Dr, Suite 200, Cumming, GA 30041-7668 | 2010-09-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962036905 | Annie Kyungjin Han | Nurse Practitioner | 1505 Northside Forsyth Drive, Suite 2500, Cumming, GA 30041 | 2020-02-28 |
| 1295388197 | Pamela Edler | Pharmacist | 1200 Northside Forsyth Drive, Pharmacy Department, Cumming, GA 30041 | 2019-07-19 |
| 1720557127 | Dr. Tiffany Lamonde LLC | Physical Therapist | 1445 Haw Creek Circle, Suite 503, Cumming, GA 30041 | 2018-11-15 |
| 1487140893 | Bhbd LLC | Chiropractor | 425 Peachtree Parkway, Suite 315, Cumming, GA 30041 | 2018-07-09 |
| 1891219861 | Anna Gawrys | Pharmacist | 1525 Marketplace Blvd, Cumming, GA 30041 | 2017-08-01 |
| 1679029219 | Square One Dental LLC | Clinic/Center | 3510 Rowe Lane, Cumming, GA 30041 | 2016-09-01 |
| 1720441454 | Pavilion Psychological Services LLC | Psychologist | 1445 Haw Creek Corners Circle East, Suite 501, Cumming, GA 30041 | 2016-03-31 |
| 1346606506 | American Health Imaging of Ga, LLC | Clinic/Center | 1050 Haw Creek Pkwy, Suite 100, Cumming, GA 30041 | 2016-01-04 |
| 1013311307 | Stephen Hartle | Physician Assistant | 2576 Peachtree Pkwy, Suite 100, Cumming, GA 30041 | 2014-10-15 |
| 1063828408 | Stephanie Evans Wellborn | Physician Assistant | 1800 Northside Forsyth Dr Ste 450, Cumming, GA 30041 | 2014-07-07 |
| Find all providers in zip 30041 | ||||
| Taxonomy Code | 163WS0121X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Plastic Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497373161 | Ivette Ballara | Registered Nurse | 3400 Old Milton Pkwy Ste 330, Alpharetta, GA 30005-3707 | 2020-07-09 |
| 1558727487 | Natalie Brasher Daniel | Registered Nurse | 1348 Walton Way Ste 6300, Augusta, GA 30901-5109 | 2016-01-07 |
| 1336315597 | Denise Renee Drake | Registered Nurse | 747 Ralph Mcgill Blvd Ne Unit 1207, Atlanta, GA 30312-1134 | 2008-05-07 |
| 1801252671 | Christy Wilson | Registered Nurse | 1348 Walton Way Ste 6300, Augusta, GA 30901-5109 | 2016-01-11 |
| 1649312976 | Marsha L Brantley | Registered Nurse | 900 Mohawk St, Suite A, Savannah, GA 31419-1780 | 2007-02-13 |
| 1700935293 | Angela R Evans | Registered Nurse | 975 Johnson Ferry Rd Ne, Suite 500, Atlanta, GA 30342-1619 | 2007-01-10 |
| 1912928284 | Jean W. Hothem | Registered Nurse | 1296 Sims St, Suite B, Gainesville, GA 30501-3850 | 2006-07-22 |
Please comment or provide details below to improve the information on MANDI CHARLES.
| 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.