MACY MALCOM COPELAN


Address: 1430 John Wesley Gilbert Drive, Augusta, GA 30912-0001
Phone: 7067219416

MACY MALCOM COPELAN (NPI# 1316571318) 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) 1316571318
Entity Type Individual
Full Name MACY MALCOM COPELAN
Other Name MACY ELIZABETH MALCOM
Credential DMD
Practice Address 1430 John Wesley Gilbert Drive
Augusta
GA 30912-0001
Mailing Address 3780 Eatonton Rd
Madison
GA 30650-5578
Practice Telephone 7067219416
Mailing Telephone 7064746806
Enumeration Date 2020-02-27
Last Update Date 2020-06-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program DN016074 GA Student, Health Care

Office Location

Street Address 1430 JOHN WESLEY GILBERT DRIVE
City AUGUSTA
State GA
Zip Code 30912-0001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1811978927 Andrew Robert Kious Dentist 1430 John Wesley Gilbert Drive, Ghsu College of Dental Medicine, Augusta, GA 30912 2005-11-07
1801421268 Cassandra Nicole Liston Student in an Organized Health Care Education/Training Program 1430 John Wesley Gilbert Drive, Augusta, GA 30912-0001 2020-03-05
1710511738 Amara Altman Student in an Organized Health Care Education/Training Program 1430 John Wesley Gilbert Drive, Dental College of Georgia, Augusta, GA 30909 2020-02-28
1447884770 Shane Mitchell Turgeon Student in an Organized Health Care Education/Training Program 1430 John Wesley Gilbert Drive, Augusta, GA 30912-0001 2020-02-25
1295368918 Jackie Janzen Dentist 1430 John Wesley Gilbert Drive, Augusta, GA 30912-0001 2020-02-20
1275195984 Anh Nguyen Dentist 1430 John Wesley Gilbert Drive, Augusta, GA 30912-5042 2019-07-02
1508328824 Skylar Yearous Student in an Organized Health Care Education/Training Program 1430 John Wesley Gilbert Drive, College of Dental Medicine Pedodontics - Gc 2116, Augusta, GA 30901 2019-04-04
1659832657 Mahmoud Elashiry Student in an Organized Health Care Education/Training Program 1430 John Wesley Gilbert Drive, Augusta, GA 30912-0001 2019-03-31
1942761267 Eric Hatten Student in an Organized Health Care Education/Training Program 1430 John Wesley Gilbert Drive, Augusta, GA 30912-0001 2019-03-28
1063973477 Fatin Jweinat Student in an Organized Health Care Education/Training Program 1430 John Wesley Gilbert Drive, Augusta, GA 30912-0001 2019-03-28
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548885940 Hannah Gullickson Folsom Family Medicine 1459 Laney Walker Blvd Ae 3042, Augusta, GA 30912 2020-06-11
1487278909 Robert Kennedy Internal Medicine Augusta University Internal Medicine Residency Program, 1120 15th Street, Bi 5070, Augusta, GA 30912 2020-06-01
1952968737 Kayla M. Lasota Pediatrics 11230 115th St Ae3042, Augusta, GA 30912 2019-05-28
1003379280 Kayla Cox Internal Medicine 1120 15th St Bi5070, Augusta, GA 30912 2019-04-13
1619435740 Justin Ray Mackert Student in an Organized Health Care Education/Training Program Augusta University, 1120 15th Street, Gc 5110, Augusta, GA 30912 2019-03-07
1417444167 Victor Celis Dentist John Wesley Gilbert Dr, Augusta, GA 30912 2018-04-18
1487157921 Julie Ann Matsen Student in an Organized Health Care Education/Training Program 997 St. Sebastian Way, Eg-2021-10, Augusta Univ., Dept. of Psychiatry & Health Behavior, Augusta, GA 30912 2018-03-12
1497287031 Luke Yuung-jier Chang Ophthalmology 1120 15th St # Ba2720, Augusta, GA 30912 2017-04-02
1821537622 Lashawn Kay Boone Nurse Practitioner 1445 Harper St, Augusta, GA 30912 2017-02-14
1134675564 Arnab Saha Internal Medicine 1120 15 Th St., Augusta, GA 30912 2016-08-26
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Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336764851 Joseph Pansius Student in an Organized Health Care Education/Training Program 1465 Laney Walker Blvd Bldg Af-1040, Augusta, GA 30912-0002 2020-06-10
1093339517 Daniel Jason Garcia Student in an Organized Health Care Education/Training Program 1040 Alexander Dr Apt 6323, Augusta, GA 30909-0291 2020-06-01
1922633643 Miki Christine Hayashi Student in an Organized Health Care Education/Training Program 1120 15th Street Augusta, Augusta, GA 30912-0001 2020-03-03
1578195277 Joseph Nelson Eddy Student in an Organized Health Care Education/Training Program 430 John Wesley Gilbert Drive, Augusta, GA 30912-0001 2020-02-10
1669035960 Katherine Arenella Student in an Organized Health Care Education/Training Program 1 Freedom Way # 21, Augusta, GA 30904-6258 2019-04-22
1881257152 Walker Barmore Student in an Organized Health Care Education/Training Program Augusta University 1120 15th St Bi5070, Augusta, GA 30912-0001 2019-04-22
1255892253 Jennifer Bates Student in an Organized Health Care Education/Training Program 1120 15th St # Gc5119, Augusta, GA 30912-0004 2019-03-31
1861950768 Ila Steinke Student in an Organized Health Care Education/Training Program S9259 County Road V, Augusta, WI 54722 2019-03-09
1619435740 Justin Ray Mackert Student in an Organized Health Care Education/Training Program Augusta University, 1120 15th Street, Gc 5110, Augusta, GA 30912 2019-03-07
1609334820 Ashley Alexandra Pater Student in an Organized Health Care Education/Training Program Augusta University 1120 15th Street Gc 5110, Augusta, GA 30912-0001 2019-03-06
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Competitor

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City AUGUSTA
Zip Code 30912

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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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