DEBORAH PACKER (NPI# 1285090084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285090084 |
| Entity Type | Individual |
| Full Name | DEBORAH PACKER |
| Credential | MD |
| Practice Address |
4172 Knollcrest Cir N Martinez GA 30907-1672 |
| Practice Telephone | 7068360174 |
| Mailing Telephone | 7068360174 |
| Enumeration Date | 2016-01-08 |
| Last Update Date | 2016-01-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 40184 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
4172 KNOLLCREST CIR N |
| City | MARTINEZ |
| State | GA |
| Zip Code | 30907-1672 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275158156 | Mary Cameron Elizabeth Robert | Dentist | 3226 Washington Rd, Augusta, GA 30907 | 2020-06-16 |
| 1841760451 | Debra E Gibbs | Dental Hygienist | 523 Crystal Creek West, Martinez, GA 30907 | 2018-11-27 |
| 1083183651 | Leslie Yvonne Watkins | Massage Therapist | 3450 River Watch Parkway, Suite 100, Martinez, GA 30907 | 2018-11-13 |
| 1124594718 | Kimberly A Delaigle | Nurse Practitioner | 3475 Riverwatch Parkway, Suite 310, Martinez, GA 30907 | 2018-10-22 |
| 1366960825 | Catherine Lane Hopkins | Speech-Language Pathologist | 435 Cambridge Circle, Martinez, GA 30907 | 2017-09-05 |
| 1518485143 | Challenging Perspectives | Clinic/Center | 3710 Executive Center Dr Suite B, Martinez, GA 30907 | 2017-09-04 |
| 1386168490 | Carlene Elizabeth Lemcke | Speech-Language Pathologist | 3580 Riverwatch Parkway, Martinez, GA 30907 | 2017-07-31 |
| 1619499357 | Orchid Archer | Registered Nurse | 702 Riverbend Drive, Martinez, GA 30907 | 2017-07-14 |
| 1437679339 | Mediator Senior Care, LLC | In Home Supportive Care | 4143 Columbia Rd., Suite B, Martinez, GA 30907 | 2017-06-21 |
| 1518407907 | Augusta Smilecare PC | Dentist | 4200 Columbia Road, Martinez, GA 30907 | 2017-03-03 |
| Find all providers in zip 30907 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063872372 | Minaxi, LLC | Family Medicine | 3524 Lost Tree Ct, Martinez, GA 30907-9500 | 2016-02-29 |
| 1881039824 | Jenna Chung | Family Medicine | 200 Muir Rd Bldg Floor2, Martinez, CA 94553-4614 | 2013-05-03 |
| 1700084514 | Mittal Jignesh Patel | Family Medicine | 1100 W Lake Commons Dr, Martinez, GA 30907-7932 | 2007-07-03 |
| 1821216581 | Inja J Hwang | Family Medicine | 1000 Ward Street, Martinez, CA 94553 | 2007-04-20 |
| 1306985254 | D Kent Hobert Md Inc | Family Medicine | 1210 Alhambra Ave, Martinez, CA 94553-2314 | 2007-02-06 |
| 1639245608 | Matthew Alan Gutierrez | Family Medicine | 20 Allen St, Martinez, CA 94553-2681 | 2006-11-28 |
| 1750451688 | Sandeep Dosanjh | Family Medicine | 2500 Alambra Ave, Martinez, CA 94553-3156 | 2006-11-08 |
| 1366534166 | Mathew Ciechan | Family Medicine | 3940 Washington Rd, Martinez, GA 30907-5247 | 2006-09-29 |
| 1376655795 | Edward H Boland | Family Medicine | 3830 Washington Rd, Suite 17, Martinez, GA 30907-5064 | 2006-08-31 |
| 1740204791 | Roger Dewey Brown | Family Medicine | 210 Bobby Jones Expy, Martinez, GA 30907-5140 | 2006-07-26 |
| Find all providers in MARTINEZ | ||||
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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.