DR. TRACEY BAZEMORE (NPI# 1245614916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245614916 |
| Entity Type | Individual |
| Full Name | DR. TRACEY BAZEMORE |
| Credential | LPC |
| Practice Address |
318 S. Wellborn Street Suite C Hinesville GA 31313 |
| Practice Telephone | 9123325145 |
| Practice Fax Number | 9123325153 |
| Mailing Telephone | 9123325145 |
| Mailing Fax Number | 9123325153 |
| Enumeration Date | 2015-07-13 |
| Last Update Date | 2015-07-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC003735 | GA | Behavioral Health & Social Service Providers |
| Street Address |
318 S. WELLBORN STREET SUITE C |
| City | HINESVILLE |
| State | GA |
| Zip Code | 31313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447877469 | Brennan Roger Milbury | Naturopath | 4876 Ga 196 W, Hinesville, GA 31313 | 2020-06-26 |
| 1558982660 | Hinesville Day Spa LLC | Massage Therapist | 951 E G Miles Pkwy, Suite B, Hinesville, GA 31313 | 2020-04-29 |
| 1104459932 | Johnny Roger Terry | Counselor | 115 W Oglethorpe Hwy, Hinesville, GA 31313 | 2020-02-20 |
| 1043875594 | Liberty Regional Medical Center | Pharmacy | 462 Elma G. Miles Parkway, Hinesville, GA 31313 | 2019-05-09 |
| 1730646811 | Jennifer Lee Reffeor | Nurse Practitioner | 109 W Oglethorpe Highway, Hinesville, GA 31313 | 2019-02-26 |
| 1760907968 | Kenya Dominic | Specialist | 445 E.g. Miles Parkway Ste 207, Hinesville, GA 31313 | 2017-08-08 |
| 1902358393 | Tricia Amelung | Nurse Practitioner | 512 South Main St., Suite 1a, Hinesville, GA 31313 | 2016-11-01 |
| 1881065449 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 801-a East General Stewart Way, Hinesville, GA 31313 | 2015-10-08 |
| 1831592021 | Jennifer Grisnik | Behavioral Analyst | 306 N. Main St., Suite 1a1, Hinesville, GA 31313 | 2014-10-01 |
| 1063814598 | Cynthia Stafford | Registered Nurse | 1060 Harmon Avenue, Ft Stewart, GA 31313 | 2014-09-16 |
| Find all providers in zip 31313 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568078947 | Michelle Jean Clark | Counselor | 318 S Welborn St Ste C, Hinesville, GA 31313-3127 | 2020-09-21 |
| 1508389438 | Sarah Teresa Anderson | Counselor | 101 E Memorial Dr, Hinesville, GA 31313-2727 | 2017-07-23 |
| 1649722208 | Barry Scott Chapman | Counselor | 115 Ali Ave, Hinesville, GA 31313-3812 | 2016-10-31 |
| 1316499387 | Barry S. Chapman and Associates LLC | Counselor | 116 Patriot Trl, Hinesville, GA 31313-3427 | 2016-10-26 |
| 1235688250 | Serve, LLC | Counselor | 110 N Commerce St, Hinesville, GA 31313-2720 | 2016-10-03 |
| 1598176026 | Katherine Lee | Counselor | 438 Elm St, Hinesville, GA 31313-3946 | 2014-05-19 |
| 1447680897 | Melissa Maulden | Counselor | 215 East Court Street, Hinesville, GA 31313 | 2013-11-21 |
| 1679919195 | Advent Care Systems | Counselor | 745 South Main, 745, Hinesville, GA 31313 | 2013-05-13 |
| 1437438934 | Michael Porter | Counselor | 790 Frank Cochran Dr Ste 111, Hinesville, GA 31313-3991 | 2011-08-15 |
| 1184911190 | Vivian Kish | Counselor | 1458 Airport Rd, Hinesville, GA 31313-9401 | 2011-06-29 |
| Find all providers in HINESVILLE | ||||
| City | HINESVILLE |
| Zip Code | 31313 |
Please comment or provide details below to improve the information on DR. TRACEY BAZEMORE.
| 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.