MELISSA T CLINKSCALES (NPI# 1275596504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275596504 |
| Entity Type | Individual |
| Full Name | MELISSA T CLINKSCALES |
| Credential | PAAA |
| Practice Address |
3950 Austell Rd Austell GA 30106 |
| Mailing Address |
Po Box 155 Austell GA 30168-1002 |
| Practice Telephone | 7707323649 |
| Practice Fax Number | 7707323648 |
| Mailing Telephone | 7707323649 |
| Mailing Fax Number | 7707323648 |
| Enumeration Date | 2006-04-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 002686 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3950 AUSTELL RD |
| City | AUSTELL |
| State | GA |
| Zip Code | 30106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417951369 | Olatunde Idowu | Internal Medicine | 3950 Austell Rd, Box 22, Austell, GA 30106-1121 | 2005-06-09 |
| 1962001834 | Camille Patrice Mckenzie-brown | Nurse Practitioner | 3950 Austell Rd, Austell, GA 30106-1121 | 2020-10-22 |
| 1508487018 | Michelle Taylor Marbury | Pharmacist | 3950 Austell Rd, Austell, GA 30106-1121 | 2020-05-06 |
| 1477174605 | Alexandra Kamman | Physical Therapist | 3950 Austell Rd, Austell, GA 30106-1121 | 2020-04-28 |
| 1023637923 | Lauren Davison Warren | Registered Nurse | 3950 Austell Rd, Austell, GA 30106-1121 | 2020-04-10 |
| 1932730306 | Kerstie Kay Sims | Registered Nurse | 3950 Austell Rd, Austell, GA 30106-1121 | 2020-02-03 |
| 1386288280 | Karen L Taylor | Pharmacist | 3950 Austell Rd, Austell, GA 30106-1121 | 2019-11-04 |
| 1619510740 | Taurus Rafeal Womble | Nurse Practitioner | 3950 Austell Rd, Austell, GA 30106-1121 | 2019-10-22 |
| 1699325951 | Whitney Stafford | Nurse Anesthetist, Certified Registered | 3950 Austell Rd, Austell, GA 30106-1121 | 2019-09-18 |
| 1174177752 | Amanda Mathews Vicznesky | Physician Assistant | 3950 Austell Rd, Austell, GA 30106-1121 | 2019-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073126231 | Courtney Lashune Dorsett | Nurse Practitioner | 1005 Cureton Drive, Austell, Austell, GA 30106 | 2020-08-27 |
| 1184240491 | Brian H Eves | Dietitian, Registered | 3972 Brantley Drive, Austell, GA 30106 | 2020-06-23 |
| 1669014486 | Jesse Mccoy | Registered Nurse | 3950 Austell Rd., Austell, GA 30106 | 2019-10-14 |
| 1427522820 | Envision Optics LLC | Optometrist | 1680 E West Connector, Austell, GA 30106 | 2019-01-18 |
| 1972042380 | Thomas Dental Group | Clinic/Center | 1133 East West Connector, Suite 120, Austell, GA 30106 | 2017-02-17 |
| 1245779792 | Colton Dental Group | Clinic/Center | 2495 East-west Connector, Ste 60, Austell, GA 30106 | 2017-02-16 |
| 1144691684 | Georgia Dental Professionals, PC | Dentist | 780 East West Connector Sw, Suite 108, Austell, GA 30106 | 2015-10-09 |
| 1285013714 | Ikeade Bello Alamu | Nurse Practitioner | 2870 Betula Drive, Austell, GA 30106 | 2015-05-29 |
| 1376922211 | Jessica Williams | Obstetrics & Gynecology | 1700 Hospital South Dr Ste 500, Austell, GA 30106 | 2015-05-26 |
| 1558799593 | Tonya Renee Baldwin | Speech-Language Pathologist | 4229 Brass Trl., Austell, GA 30106 | 2013-10-30 |
| Find all providers in zip 30106 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699325951 | Whitney Stafford | Nurse Anesthetist, Certified Registered | 3950 Austell Rd, Austell, GA 30106-1121 | 2019-09-18 |
| 1487012167 | Caroline E Harris | Nurse Anesthetist, Certified Registered | 3950 Austell Rd, Austell, GA 30106-1121 | 2016-02-09 |
| 1528458270 | Nancy Miyumo Ogendo | Nurse Anesthetist, Certified Registered | 3950 Austell Rd, Austell, GA 30106-1121 | 2015-02-03 |
| 1750793865 | Luis Garcia | Nurse Anesthetist, Certified Registered | 1650 Mulkey Rd, Austell, GA 30106-1186 | 2014-05-22 |
| 1336498203 | Mylena Kerce | Nurse Anesthetist, Certified Registered | 3950 Austell Rd, Austell, GA 30106-1121 | 2012-09-06 |
| 1174829386 | Stacy Harrison Bradfield | Nurse Anesthetist, Certified Registered | 3870 Medical Park Dr, Ste 110, Austell, GA 30106-1110 | 2011-02-04 |
| 1427298694 | Jennifer Anne Valenti | Nurse Anesthetist, Certified Registered | 3950 Austell Rd, Austell, GA 30106-1121 | 2009-03-02 |
| 1407025976 | Carmen Nicole Simmons | Nurse Anesthetist, Certified Registered | 3950 Austell Rd, Austell, GA 30106-1121 | 2008-02-28 |
| 1487705778 | Sharon G Carlson | Nurse Anesthetist, Certified Registered | 3950 Austell Rd, Austell, GA 30106-1121 | 2007-01-15 |
| 1962465559 | Heidi Somers-brown | Nurse Anesthetist, Certified Registered | 3950 Austell Rd, Austell, GA 30106 | 2006-04-06 |
| Find all providers in AUSTELL | ||||
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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.