CRYSTAL MARIE BRANCH (NPI# 1295272532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295272532 |
| Entity Type | Individual |
| Full Name | CRYSTAL MARIE BRANCH |
| Credential | FNP-BC |
| Practice Address |
9465 Highway 5 Douglasville GA 30135 |
| Mailing Address |
2727 Paces Ferry Rd Se Ste 1-1100 Atlanta GA 30339-6151 |
| Practice Telephone | 6787321513 |
| Practice Fax Number | 4046147353 |
| Mailing Telephone | 6787321513 |
| Enumeration Date | 2017-01-25 |
| Last Update Date | 2018-06-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | RN250544 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
9465 HIGHWAY 5 |
| City | DOUGLASVILLE |
| State | GA |
| Zip Code | 30135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114932324 | Walgreen Co | Pharmacy | 9465 Highway 5, Douglasville, GA 30135-1509 | 2006-07-29 |
| 1346595378 | Latanya R Smith | Nurse Practitioner | 9465 Highway 5, Douglasville, GA 30135-1509 | 2012-07-16 |
| 1942580493 | Gaynell Williams George | Pharmacist | 9465 Highway 5, Douglasville, GA 30135-1509 | 2011-08-27 |
| 1508196700 | Saye Gorgor | Nurse Practitioner | 9465 Highway 5, Douglasville, GA 30135-1509 | 2010-01-11 |
| 1861560286 | Rediclinic LLC | Clinic/Center | 9465 Highway 5, Douglasville, GA 30135 | 2006-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265043301 | Heart & Soul Wellness Solutions LLC | Social Worker | 4752 Pepper Tree Lane, Douglasville, GA 30135 | 2020-08-12 |
| 1477176923 | R & J Health Care | Clinic/Center | 6853b Douglas Blvd Ste B, Douglasville, GA 30135 | 2020-05-19 |
| 1003479411 | The Sister Circle of Love and Empowerment LLC | Clinic/Center | 4706 Boyer Glen Dr., Douglasville, GA 30135 | 2019-04-22 |
| 1457825358 | Marcia Ann-marie Wilson | Nurse Practitioner | 4279 Caroline Court, Douglasville, GA 30135 | 2019-01-14 |
| 1225564917 | Danielle Doebereiner-brown | Nurse Practitioner | 3872 Ga-5, Douglasville, GA 30135 | 2017-05-02 |
| 1851832430 | Jennifer Williams | Physical Therapist | 4999 Presley Mill Rd, Douglasville, GA 30135 | 2017-03-15 |
| 1316484686 | Geneva Brent | Licensed Practical Nurse | 2109 Fairburn Road, Douglasville, GA 30135 | 2017-01-25 |
| 1659816288 | Stephanie Walthour | Marriage & Family Therapist | 3400 Chapel Hill Rd Ste 317, Douglasville, GA 30135 | 2017-01-05 |
| 1770932105 | Solutions 2 Wellness and Recovery,llc | Social Worker | 2256 Greenwood Meadows Lane, Douglasville, GA 30135 | 2016-06-07 |
| 1326408378 | Sr & L Transport Services, LLC | Non-emergency Medical Transport (VAN) | 4841 Black Bear Trail, Douglasville, GA 30135 | 2016-03-03 |
| Find all providers in zip 30135 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (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. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548822901 | Sweet Resolve LLC | Nurse Practitioner | 4318 Ridge Rd, Ste 111 Pmb 1017, Douglasville, GA 30134 | 2019-07-05 |
| 1841850500 | Fidelis Chinomso Orji | Nurse Practitioner | 766 Nottingham Dr, Douglasville, GA 30134-5820 | 2019-06-15 |
| 1871015362 | Sherry Lee Harper | Nurse Practitioner | 8901 Stonebridge Blvd Ste 100, Douglasville, GA 30134-2210 | 2017-07-17 |
| 1164841516 | Stella Medical Center | Nurse Practitioner | 2121 Fairburn Rd Ste B, Douglasville, GA 30135-1029 | 2014-04-14 |
| 1104130368 | Caroline C Anaele | Nurse Practitioner | 2121 Fairburn Road, Suite B, Douglasville, GA 30135-1029 | 2010-07-29 |
| 1639238967 | Rosebud H Tucker | Nurse Practitioner | 9465 Hwy 5, Douglasville, GA 30135 | 2006-12-06 |
| 1093340457 | Shiandra Rumph Thomas | Nurse Practitioner | 6025 Professional Pkwy, Douglasville, GA 30134-5609 | 2020-03-06 |
| 1194361899 | Danna Michel | Nurse Practitioner | 8954 Hospital Dr, Douglasville, GA 30134-2272 | 2019-11-18 |
| 1306306428 | Analvis Cuesta | Nurse Practitioner | 4586 Timber Ridge Dr Ste 200, Douglasville, GA 30135-7514 | 2019-03-24 |
| 1417324484 | Charisma Freeman | Nurse Practitioner | 6025 Professional Pkwy, Suite 200, Douglasville, GA 30134-5609 | 2015-08-26 |
| Find all providers in DOUGLASVILLE | ||||
| City | DOUGLASVILLE |
| Zip Code | 30135 |
Please comment or provide details below to improve the information on CRYSTAL MARIE BRANCH.
| 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.