MIA DENISE PICKARD (NPI# 1285279737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285279737 |
Entity Type | Individual |
Full Name | MIA DENISE PICKARD |
Credential | BC-FNP |
Practice Address |
1826 Veterans Blvd Dublin GA 31021-3620 |
Mailing Address |
105 Cottage Loop Dublin GA 31021-2564 |
Practice Telephone | 4782721210 |
Mailing Telephone | 4784849393 |
Enumeration Date | 2019-11-07 |
Last Update Date | 2019-11-07 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
RN197273 | GA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1826 VETERANS BLVD |
City | DUBLIN |
State | GA |
Zip Code | 31021-3620 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306848924 | Kathleen Lindauer Greer | Pharmacist | 1826 Veterans Blvd, Dublin, GA 31021-3620 | 2005-08-12 |
1396351359 | Lanira Postell | Social Worker | 1826 Veterans Blvd, Dublin, GA 31021-3620 | 2020-09-16 |
1780298398 | Jane Frances Helsing | Recreation Therapist | 1826 Veterans Blvd, Dublin, GA 31021-3620 | 2020-09-01 |
1154931996 | Maria Danielle Hall | Speech-Language Pathologist | 1826 Veterans Blvd, Dublin, GA 31021-3620 | 2020-08-06 |
1093325060 | Jessica Williams | Counselor | 1826 Veterans Blvd, Dublin, GA 31021-3620 | 2020-08-05 |
1528683083 | Jean Elizabeth Evans | Social Worker | 1826 Veterans Blvd, Dublin, GA 31021-3620 | 2020-06-10 |
1518581628 | Georgette Lacosta Brown | Social Worker | 1826 Veterans Blvd, Dublin, GA 31021-3620 | 2020-06-04 |
1760020150 | Lauren Avery | Pharmacist | 1826 Veterans Blvd, Dublin, GA 31021-3620 | 2019-12-16 |
1083258057 | Shannon Nayasha Johnson | Social Worker | 1826 Veterans Blvd, Dublin, GA 31021-3620 | 2019-11-03 |
1720621261 | Griselle Warthen | Social Worker | 1826 Veterans Blvd, Dublin, GA 31021-3620 | 2019-10-28 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497213748 | Ronald E. Johnson | Peer Specialist | Carl Vinson Va Medical Center, 1826 Veterans Blvd., Dublin, GA 31021 | 2019-03-06 |
1902384811 | Nieka Jackson | Pharmacist | 75 Woodlawn Dr, Apt. C-1, Dublin, GA 31021 | 2018-08-02 |
1407341522 | Empower Psychiatry & Weight Loss, LLC | Nurse Practitioner | 112 Rowe St Ste B, Dublin, GA 31021 | 2018-06-30 |
1619462207 | Kara Emily Frost | Speech-Language Pathologist | 1406 Bellevue Rd, Dublin, GA 31021 | 2018-06-26 |
1376035410 | Owens Speech Services, LLC | Speech-Language Pathologist | 401 Barfield Court, Dublin, GA 31021 | 2018-06-05 |
1558878884 | Tattnall Hospital Company, LLC | Neurological Surgery | 242 Industrial Blvd, Dublin, GA 31021 | 2018-01-09 |
1376991000 | Eatonton Facility Development Company, LLC | Hospice, Inpatient | 155 Greensboro Rd, Eatonton, GA 31021 | 2016-06-03 |
1801261177 | Jones Community Health Center, LLC | Clinic/Center | 115 Shadow Pond, Dublin, GA 31021 | 2015-12-11 |
1508237561 | Cancer Center of Middle Georgia | Specialist | 26 Erin Office Park, Dublin, GA 31021 | 2015-10-15 |
1922477249 | Mickey Jackson | Non-emergency Medical Transport (VAN) | 610 John Robinson Tl., Dublin, GA 31021 | 2015-09-16 |
Find all providers in zip 31021 |
Taxonomy Code | 363LP2300X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Primary Care |
Definition to come... |
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---|---|---|---|---|
1275149908 | Allied Onsite Healthcare, LLC | Nurse Practitioner | 5846 Marble Creek St, Dublin, OH 43016-6367 | 2020-09-18 |
1871138685 | Julie Childers | Nurse Practitioner | 654 County Farm Rd, Dublin, GA 31021-1799 | 2019-11-15 |
1790174480 | Andrea Amaddio-kinney | Nurse Practitioner | 6376 Chippenhook Ct, Dublin, OH 43017-1708 | 2015-01-18 |
1932718558 | Wendy Downhour | Nurse Practitioner | 5110 Blazer Pkwy, Dublin, OH 43017-1339 | 2020-07-29 |
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1639784788 | Natasha Allen | Nurse Practitioner | 4177 Pelham Cir, Lithonia, GA 30038-6140 | 2020-09-14 |
1336753920 | Henny P Brown | Nurse Practitioner | 3430 Ridgeland Pl, Alpharetta, GA 30004-8483 | 2020-09-01 |
1487267415 | Alethea Hope Tucker | Nurse Practitioner | 3685 Braselton Hwy Ste 100, Dacula, GA 30019-5920 | 2020-08-28 |
1952913808 | Carol Jo Wilbanks | Nurse Practitioner | 206 Crest Dr, Rock Spring, GA 30739-2041 | 2020-08-21 |
1164032017 | Myiesha Sellers Mcfarlin | Nurse Practitioner | 55 Sellers Ln, Baxley, GA 31513-2208 | 2020-08-05 |
1124645395 | Kisha Smalley | Nurse Practitioner | 117 Gambier Cv, Mcdonough, GA 30252-6273 | 2020-07-02 |
1346861127 | Finan Tedla | Nurse Practitioner | 2626 Peachtree Rd Nw Unit 1802, Atlanta, GA 30305-5633 | 2020-05-03 |
1841819547 | Millicent Charte Duncan | Nurse Practitioner | 138 Parkview Rd, Savannah, GA 31419-9672 | 2020-04-13 |
1891329660 | Tracey Lynn Murray | Nurse Practitioner | 980 Johnson Ferry Rd Ste 880, Sandy Springs, GA 30342-1609 | 2020-03-02 |
1841820917 | Vedic Family Practice and Wellness | Nurse Practitioner | 1240 Upper Hembree Rd Ste E, Roswell, GA 30076-0914 | 2020-01-17 |
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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.