FCE-PPD CENTER (NPI# 1235371295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235371295 |
| Entity Type | Organization |
| Organization Name | FCE-PPD CENTER |
| Other Organization Name | BLANKENSHIP FCE-PPD CENTER |
| Practice Address |
3040 Riverside Dr Suite C-5 Macon GA 31210-2521 |
| Practice Telephone | 4784759393 |
| Practice Fax Number | 4784759353 |
| Mailing Telephone | 4784759393 |
| Mailing Fax Number | 4784759353 |
| Enumeration Date | 2009-04-06 |
| Last Update Date | 2009-04-06 |
| Authorized Official Name | LISA S BLANKENSHIP (DIRECTOR OF BUSINESS OPS) |
| Authorized Official Telephone | 4784759393 |
| Authorized Official Credential | CWCP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
PT001629 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| Blankenship FCE-PPD Center | Doing Business As Name - Organization |
| Street Address |
3040 RIVERSIDE DR SUITE C-5 |
| City | MACON |
| State | GA |
| Zip Code | 31210-2521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710343447 | Larger Than Life Chiropractic | Chiropractor | 3040 Riverside Dr, B3, Macon, GA 31210-2521 | 2016-01-11 |
| 1598044349 | Predita Howard | Counselor | 3040 Riverside Dr, Ste D-5, Macon, GA 31210-2521 | 2011-08-11 |
| 1871872622 | Gerinda Lockett | Counselor | 3040 Riverside Dr, Ste D-5, Macon, GA 31210-2521 | 2011-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033743455 | Dana Elizabeth Toth | Nurse Practitioner | 5300 Bowman Rd, Macon, GA 31210 | 2020-02-25 |
| 1871124735 | Jessica Bello | Nurse Practitioner | 5300 Bowman Road, Macon, GA 31210 | 2020-01-30 |
| 1225505787 | Rebekah Hollinshead | Occupational Therapist | Therapy Specialists of Georgia, 4116 Arkwright Road, Macon, GA 31210 | 2018-11-01 |
| 1346744943 | Ace Medical Transport LLC. | Ambulance | 728 Gay Dr, Macon, GA 31210 | 2018-03-20 |
| 1972965226 | Omar Faruk Ahmad | Family Medicine | 3400 Riverside Drvie, Macon, GA 31210 | 2016-03-25 |
| 1083074868 | Macon Dentist Office, PC | Dentist | 206 Tom Hill Sr Blvd, Suite 106, Macon, GA 31210 | 2016-03-07 |
| 1992176952 | Kerisia Wasztyl | Marriage & Family Therapist | 4691 Pine Valley Dr, Macon, GA 31210 | 2015-10-15 |
| 1073905444 | Eunice Malave De Leon | Social Worker | 174 Spring St, Macon, GA 31210 | 2015-02-23 |
| 1396141545 | Axis Surgery Center LLC | Clinic/Center | 230 Sheraton Blvd, Ste B, Macon, GA 31210 | 2014-11-17 |
| 1073914115 | Monique Rechelle Delay Moore | Community/Behavioral Health | 646 Millrun Court, Macon, GA 31210 | 2014-09-09 |
| Find all providers in zip 31210 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477512903 | Pam Thomasson | Physical Therapist | 1600 Forsyth St, Macon, GA 31201-1408 | 2006-03-22 |
| 1255892600 | Joshua Beagle | Physical Therapist | 3708 Northside Dr, Macon, GA 31210-2404 | 2019-03-28 |
| 1629536776 | Mayur Vishnubhai Patel | Physical Therapist | 3708 Northside Dr, Macon, GA 31210-2404 | 2019-03-07 |
| 1902304439 | Candice Newton Wilson | Physical Therapist | 3708 Northside Dr, Macon, GA 31210-2404 | 2018-01-30 |
| 1033634811 | Lauren Coleman | Physical Therapist | 3708 Northside Dr, Macon, GA 31210-2404 | 2017-08-14 |
| 1518319409 | Stephanie Reich Kauzlarich | Physical Therapist | 3708 Northside Dr, Macon, GA 31210-2404 | 2016-07-05 |
| 1790136836 | Randall Clay Cannon | Physical Therapist | 3708 Northside Dr, Macon, GA 31210-2404 | 2016-06-30 |
| 1790745529 | Catherine L Hawkins | Physical Therapist | 1600 Forsyth St, Macon, GA 31201-1408 | 2006-03-24 |
| 1154381960 | John T Williamson | Physical Therapist | 1600 Forsyth St, Macon, GA 31201-1408 | 2006-03-24 |
| 1861452682 | Katharine E Nelson | Physical Therapist | 1600 Forsyth St, Macon, GA 31201-1408 | 2006-03-24 |
| Find all providers in MACON | ||||
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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.