CHRISTY REBECCA ETHERIDGE


Address: 575 1st St, Macon, GA 31201-2825
Phone: 4787439762

CHRISTY REBECCA ETHERIDGE (NPI# 1285068247) 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) 1285068247
Entity Type Individual
Full Name CHRISTY REBECCA ETHERIDGE
Credential FNP
Practice Address 575 1st St
Macon
GA 31201-2825
Practice Telephone 4787439762
Mailing Telephone 4787439762
Enumeration Date 2013-08-27
Last Update Date 2020-09-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
RN081198 GA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 575 1ST ST
City MACON
State GA
Zip Code 31201-2825

Providers in the same location

NPI Name Taxonomy Address Enumeration
1174502314 Peter J Bolan Thoracic Surgery (Cardiothoracic Vascular Surgery) 575 1st St, Macon, GA 31201-2825 2006-01-16
1760948434 Sandra Bernette Broomfield Nurse Practitioner 575 1st St, Macon, GA 31201-2825 2019-02-18
1366988818 Haley Scruggs Registered Nurse 575 1st St, Macon, GA 31201-2825 2017-01-09
1861941775 Latoia Samson Physician Assistant 575 1st St, Macon, GA 31201-2825 2016-10-04
1629438007 Pamela Carty Nurse Practitioner 575 1st St, Macon, GA 31201-2825 2016-02-29
1790153450 Rhonda Findley Nurse Practitioner 575 1st St, Macon, GA 31201-2825 2015-09-10
1801213467 Jeffrey Brown Physician Assistant 575 1st St, Macon, GA 31201-2825 2014-03-20
1295054245 Melissa C. Mcphail Nurse Practitioner 575 1st St, Macon, GA 31201-2825 2010-05-28
1730408063 Jared Lewis Jarrett Nurse Practitioner 575 1st St, Macon, GA 31201-2825 2010-05-26
1447437090 Jason R Chapman Surgery 575 1st St, Macon, GA 31201-2825 2008-01-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639666340 Yasameen Emad Muzahim Internal Medicine 777 Hemlock Street, Msc 165, Macon, GA 31201 2018-04-18
1952819419 Putnam Dialysis LLC Clinic/Center 657 Hemlock Street, Suite 200, Macon, GA 31201 2018-01-18
1730604331 Graham Arthur Mercier Surgery 169 Ashley Ave., Room 202 Main Hospital Msc 333, Charleston, SC 31201 2017-08-04
1376075705 Diamond Jude Internal Medicine 777 Hemlock Street Msc #104, Macon, GA 31201 2017-04-03
1174055263 Carol Roobin Bashuk Hearing Instrument Specialist 634 First Street, Macon, GA 31201 2017-03-29
1144752411 Hubert Pare Student in an Organized Health Care Education/Training Program 777 Hemlock Street, Msc# 165, Macon, GA 31201 2017-03-28
1548613789 Michael Daugherty Counselor 1873 Hardeman Ave, Suite 1, Macon, GA 31201 2016-07-22
1316317993 4front Healthcare of Middle Georgia, LLC Hospice Care, Community Based 682 1st St, Macon, GA 31201 2015-09-25
1881073054 Andrew Lee Drahos Surgery 777 Hemlock St # 140, Macon, GA 31201 2015-05-21
1720474158 April Nicole Colley Nurse Practitioner 1014 Forsyth Street, Macon, GA 31201 2015-04-13
Find all providers in zip 31201

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
1093315848 Tracy Tarvers Nurse Practitioner 129 Wolf Creek Dr N, Macon, GA 31210-9002 2020-10-30
1578160560 Ida Mayaka Nurse Practitioner 210 Autumn Trace Ct, Macon, GA 31210-8025 2020-10-03
1427664465 Shanna Lynn Beaulieu Nurse Practitioner 781 Spring St Ste 230, Macon, GA 31201-2185 2020-09-16
1467070557 Raquel Simmons Nurse Practitioner 670 Ivy Brook Way, Macon, GA 31210-5520 2020-07-06
1174159800 Jamie K Polk Nurse Practitioner 3951 Ridge Ave Ste C, Macon, GA 31210-5064 2020-03-13
1033743455 Dana Elizabeth Toth Nurse Practitioner 5300 Bowman Rd, Macon, GA 31210 2020-02-25
1730730581 Lindsay Fernandez Nurse Practitioner 102 Saint Johns Pl, Macon, GA 31210-8606 2019-09-24
1003468240 Skylar Nelson Nurse Practitioner 330 Hospital Dr Ste 200, Macon, GA 31217-8034 2019-07-09
1861051880 Courtney Elizabeth Avery Nurse Practitioner 540 Charter Blvd Ste 400, Macon, GA 31210-4882 2019-06-12
1376101196 Detra K Dixon Nurse Practitioner 227 Amalie Dr, Macon, GA 31220-2667 2019-06-05
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Competitor

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City MACON
Zip Code 31201

Improve Information

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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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