DR. TIA GUSTER (NPI# 1285896258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285896258 |
| Entity Type | Individual |
| Full Name | DR. TIA GUSTER |
| Credential | M.D. |
| Practice Address |
775 Poplar Rd Suite 120 Newnan GA 30265-8300 |
| Mailing Address |
Po Box 102321 Atlanta GA 30368-2321 |
| Practice Telephone | 7704004510 |
| Practice Fax Number | 6784232737 |
| Mailing Telephone | 7708012500 |
| Mailing Fax Number | 7708032121 |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2015-02-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 072881 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | MEDICARE PTAN | 202I163208 | 01 |
| DEA NUMBER | FG3299333 | 01 |
| Street Address |
775 POPLAR RD SUITE 120 |
| City | NEWNAN |
| State | GA |
| Zip Code | 30265-8300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033102454 | George Edgar Anderson | Obstetrics & Gynecology | 775 Poplar Rd, Suite 120, Newnan, GA 30265-8300 | 2005-08-31 |
| 1922558840 | Tiffany Freyermuth | Nurse Practitioner | 775 Poplar Rd, Suite 160, Newnan, GA 30265-8300 | 2016-10-04 |
| 1669840971 | Kacie Dingler | Nurse Practitioner | 775 Poplar Rd, Newnan, GA 30265-8300 | 2015-09-03 |
| 1346633963 | Newnan Plaza Pharmacy LLC | Pharmacy | 775 Poplar Rd, Suite 100, Newnan, GA 30265-8300 | 2015-03-05 |
| 1992127856 | Pediatric Associates of Newnan P.C. | Pediatrics | 775 Poplar Rd, Suite 150, Newnan, GA 30265-8300 | 2014-01-13 |
| 1801226725 | Cranford, Powell, and Morris Advanced Surgical Specialists LLC | Surgery | 775 Poplar Rd, Suite 350, Newnan, GA 30265-8300 | 2013-11-13 |
| 1083957724 | Jignesh C Patel | Pharmacist | 775 Poplar Rd, Suite #100, Newnan, GA 30265-8300 | 2013-04-01 |
| 1740527464 | The Plaza Pharmacy, LLC | Pharmacy | 775 Poplar Rd, Suite 100, Newnan, GA 30265-8300 | 2013-01-15 |
| 1336486588 | Freeman Pharmacy, LLC | Pharmacy | 775 Poplar Rd, Suite 100, Newnan, GA 30265-8300 | 2013-01-08 |
| 1790071728 | Jennifer Ashley Heavin | Nurse Practitioner | 775 Poplar Rd, Suite 150, Newnan, GA 30265-8300 | 2011-06-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265041537 | Shiva Bazargan | Pharmacist | 3116 Sr 34 West, Newnan, GA 30265 | 2020-07-23 |
| 1992322549 | Doctorsbeyond Inc. | Clinic/Center | 277 Skyview Court, Newnan, GA 30265 | 2020-06-30 |
| 1225652936 | Jerrica Conyers | Nurse Practitioner | 1635 Highwat 34 East Suite C, Newnan, GA 30265 | 2020-05-29 |
| 1982234688 | Morgan Elizabeth Bross | Physician Assistant | 1825 Ga- 34, Newnan, GA 30265 | 2020-01-22 |
| 1013553379 | Hopebridge LLC | Behavior Technician | 2147 Newnan Crossing Boulevard East, Newnan, GA 30265 | 2019-11-21 |
| 1518528116 | Stepping Stones Psychiatric Care LLC | Nurse Practitioner | 3025 Sharpsburg Mccullum Rd, Building B Suite 103, Newnan, GA 30265 | 2019-06-25 |
| 1356823363 | Stephen William Jacon | Specialist/Technologist | 29 Muirfield Court, Newnan, GA 30265 | 2018-09-05 |
| 1881176832 | Blueprint Psychiatry, LLC | Psychiatry & Neurology | 1601 Highway 34 E Ste A, Newnan, GA 30265 | 2018-09-05 |
| 1548790769 | Timothy Collins | Physical Therapist | 1755 Ga-34, Suite 1300, Rehab Department, Newnan, GA 30265 | 2017-06-20 |
| 1497289748 | Edible Health & Wellness,llc | Clinic/Center | 90f Glenda Trace Pmb 318, Newnan, GA 30265 | 2017-04-13 |
| Find all providers in zip 30265 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629410154 | Peachtree City Obstetrics and Gynecology, P.C. | Obstetrics & Gynecology | 775 Poplar Rd., Suite 360, Newnan, GA 30265-8304 | 2013-07-25 |
| 1316106032 | Latoya Benita Stephens | Obstetrics & Gynecology | 175 Jefferson Pkwy, Newnan, GA 30263-5823 | 2008-06-06 |
| 1174598585 | Tiffeny S. Carroll | Obstetrics & Gynecology | 775 Poplar Rd Ste 120, Newnan, GA 30265-8301 | 2006-02-20 |
| 1033102454 | George Edgar Anderson | Obstetrics & Gynecology | 775 Poplar Rd, Suite 120, Newnan, GA 30265-8300 | 2005-08-31 |
| 1093009383 | Kimberly Cross | Obstetrics & Gynecology | 775 Poplar Rd, Suite 210, Newnan, GA 30265-8300 | 2011-06-03 |
| 1750526463 | Laura Jane Evors | Obstetrics & Gynecology | 775 Poplar Rd Ste 120, Newnan, GA 30265-8301 | 2008-12-09 |
| 1265610380 | Brenda May May | Obstetrics & Gynecology | 600 Celebrate Life Pkwy, Newnan, GA 30265-8001 | 2008-01-31 |
| 1700066172 | Elisabeth Curtis | Obstetrics & Gynecology | 775 Poplar Rd, Suite 120, Newnan, GA 30265-8300 | 2007-11-14 |
| 1831308675 | Obosa Osawe | Obstetrics & Gynecology | 775 Poplar Rd Ste 120, Newnan, GA 30265-8301 | 2007-05-21 |
| 1164598264 | Oluwaseun Titilayo Cole | Obstetrics & Gynecology | 775 Poplar Rd Ste 120, Newnan, GA 30265-8301 | 2006-11-28 |
| Find all providers in NEWNAN | ||||
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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.