LORI PONDER


Address: 15 Riverbend Dr Sw, Ste 100, Rome, GA 30161-6065
Phone: 7062910884

LORI PONDER (NPI# 1235110263) 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) 1235110263
Entity Type Individual
Full Name LORI PONDER
Credential CRNP
Practice Address 15 Riverbend Dr Sw
Ste 100
Rome
GA 30161-6065
Practice Telephone 7062910884
Practice Fax Number 7063788267
Mailing Telephone 7062910884
Mailing Fax Number 7063788267
Enumeration Date 2005-11-08
Last Update Date 2011-09-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363L00000X Nurse Practitioner 1-089350 AL Physician Assistants & Advanced Practice Nursing Providers
Y 363LF0000X Nurse Practitioner
Specialization: Family
RN147727 GA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
GA 205983747A 05

Office Location

Street Address 15 RIVERBEND DR SW
STE 100
City ROME
State GA
Zip Code 30161-6065

Providers in the same location

NPI Name Taxonomy Address Enumeration
1427428085 Children's Dental Center, PC Dentist 15 Riverbend Dr Sw, Ste 130, Rome, GA 30161-6005 2015-09-25
1548685811 Ashley Ann Holloway Nurse Practitioner 15 Riverbend Dr Sw, Ste 100, Rome, GA 30161-6005 2014-02-24
1134468101 Emma Cordle Nurse Practitioner 15 Riverbend Dr Sw, Ste 100, Rome, GA 30161-6005 2013-02-11
1083893150 Kristen Higgins Leezer Obstetrics & Gynecology 15 Riverbend Dr Sw, Ste 200, Rome, GA 30161-6005 2007-10-25
1053462325 Northwest Georgia Medical Clinic, P.C. Specialist 15 Riverbend Dr Sw, Ste 200, Rome, GA 30161-6065 2007-01-15
1861424004 Lisa Blake Obstetrics & Gynecology 15 Riverbend Dr Sw, Ste 200, Rome, GA 30161-6065 2006-07-07
1336127802 Asa A. Peek Obstetrics & Gynecology 15 Riverbend Dr Sw, Ste 200, Rome, GA 30161-6065 2006-01-05
1447237169 Dixon L Freeman Obstetrics & Gynecology 15 Riverbend Dr Sw, Ste 200, Rome, GA 30161-6065 2005-12-22
1083691703 James H Vick IIi Obstetrics & Gynecology 15 Riverbend Dr Sw, Ste 200, Rome, GA 30161-6065 2005-12-22
1609853324 Mary Catherine Burch Nurse Practitioner 15 Riverbend Dr Sw, Ste 100, Rome, GA 30161-6065 2005-12-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1265069256 Three Rivers Housing and Development Corporation Chore Provider 326 W. 9th St, Rome, GA 30161 2020-03-27
1144865957 Eric Alan Fuller Audiologist-Hearing Aid Fitter 700 East 2nd Street, Suite C, Rome, GA 30161 2019-11-15
1003394883 Cindy V Shelton Health Educator 204 E 1st Ave, Rome, GA 30161 2018-08-02
1083153597 Julie Oglesby Allen Counselor 1 S Broad St Sw Ste 5, Rome, GA 30161 2017-02-16
1902299530 Michael Thomas Phillips Pharmacist 2005 Maple Street, Rome, GA 30161 2015-03-06
1407259112 Angela Smith Community/Behavioral Health 109 John Maddox Suite 200, Rome, GA 30161 2014-10-08
1215344379 Nancy Patel Pharmacist 1421 North Broad St, Rome, GA 30161 2014-07-21
1821336629 Wendy Pence Nurse Practitioner 3001 Turner Mccall Blvd, Rome, GA 30161 2013-01-29
1558526202 Marilyn Teresa Ringstaff Registered Nurse 1513 Dean St., Rome, GA 30161 2008-07-22
1134310147 Reneka L Dobbs-jackson Family Medicine 420 E 2nd Ave Ste 103, Rome, GA 30161 2007-08-05
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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
1801409966 Jamie Marcinkowski Nurse Practitioner 1617 N James Street, Suite 100, Rome, NY 13440 2020-08-28
1174141196 Amy Wheeler Nurse Practitioner 10 Walking Horse Dr Nw, Rome, GA 30165-2586 2020-07-07
1871115345 Brooke Combs Nurse Practitioner 200 Marable Way Nw, Rome, GA 30165-1387 2020-05-07
1942768296 Tina Annette Witt Nurse Practitioner 330 Turner Mccall Blvd Sw Ste 206, Rome, GA 30165-5632 2019-03-06
1821336629 Wendy Pence Nurse Practitioner 3001 Turner Mccall Blvd, Rome, GA 30161 2013-01-29
1124268784 Linda Josephine Wynn Nurse Practitioner 101 Watson St Nw, Rome, GA 30165-2172 2009-02-23
1831379940 Barbara Lillian Gibson Nurse Practitioner 80 Redmond Rd Nw, Rome, GA 30165-1534 2007-11-06
1427123645 Michael Anthony Carter Nurse Practitioner 327 E 11th St Se, Rome, GA 30161-6206 2006-11-22
1902845159 Jennifer Lynn Maher Nurse Practitioner 7901 Ridge Mills Rd, Rome, NY 13440-2203 2006-06-05
1073511283 Lynne S Rollins Nurse Practitioner 3 Broad St, Rome, GA 30161-3017 2005-07-12
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Competitor

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City ROME
Zip Code 30161

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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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