BRIAN ELLIOTT (NPI# 1326448101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326448101 |
| Entity Type | Individual |
| Full Name | BRIAN ELLIOTT |
| Credential | NP-C |
| Practice Address |
3131 S Main St Moultrie GA 31768-6925 |
| Mailing Address |
Po Box 934 Moultrie GA 31776-0934 |
| Practice Telephone | 2298903514 |
| Mailing Telephone | 2298903514 |
| Enumeration Date | 2014-08-28 |
| Last Update Date | 2016-06-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
RN109322 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427291418 | Brian Carter Elliott | Nurse Anesthetist, Certified Registered | 6 Elmview Circle, Dover, NH 03820 | 2009-04-07 |
| 1376702928 | Brian Marc Elliott | Internal Medicine | 16 Downer Ave, Scarsdale, NY 10583-4904 | 2008-06-07 |
| 1790990752 | Brian J Elliott | Anesthesiology | 3920 S Rome St, Gilbert, AZ 85297-7366 | 2007-05-13 |
| 1760558985 | Brian Elliott | Dentist | 8880 Edgefield Dr, Colorado Springs, CO 80920-7201 | 2006-11-28 |
| 1760566434 | Brian Edward Elliott | Optometrist | 6331 Jackson Ave, Riverbank, CA 95367 | 2006-10-25 |
| 1255426391 | Brian Gerald Elliott | Podiatrist | 275 West Bassett Rd., Suite 4, Shelbyville, IN 46176 | 2006-10-04 |
| 1134114796 | Brian W Elliott | Internal Medicine | 3251 3rd Ave N, St Petersburg, FL 33713-8506 | 2005-09-20 |
| 1699234856 | Brian Elliott | Student in an Organized Health Care Education/Training Program | 128 E Apple St, Dayton, OH 45409-2902 | 2019-03-18 |
| 1336472398 | Brian Keith Elliott | Physician Assistant | 1 Medical Park Blvd, Bristol, TN 37620-7430 | 2009-09-09 |
| 1033302609 | Brian Elliott | Specialist/Technologist | 510 Cottage Grove Rd, Bloomfield, CT 06002-3123 | 2007-08-27 |
| Street Address |
3131 S MAIN ST |
| City | MOULTRIE |
| State | GA |
| Zip Code | 31768-6925 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255323564 | Dale Mcgregor | Emergency Medicine | 3131 S Main St, Moultrie, GA 31768-6925 | 2005-08-22 |
| 1144861485 | Rebecca Lee Hayes | Nurse Practitioner | 3131 S Main St, Moultrie, GA 31768-6925 | 2019-10-07 |
| 1942865480 | Colquitt Regional Pathology, LLC | Pathology | 3131 S Main St, Moultrie, GA 31768-6925 | 2019-05-09 |
| 1669937264 | Colquitt County Hospital Authority | Pharmacy | 3131 S Main St, Moultrie, GA 31768-6925 | 2019-02-07 |
| 1407331143 | Christopher Neil Medders | Nurse Practitioner | 3131 S Main St, Moultrie, GA 31768-6925 | 2018-09-28 |
| 1255832671 | Alexa Smith | Occupational Therapist | 3131 S Main St, Moultrie, GA 31768-6925 | 2018-02-21 |
| 1346757481 | Jeffery W Roberts | Nurse Anesthetist, Certified Registered | 3131 S Main St, Moultrie, GA 31768-6925 | 2018-01-10 |
| 1720593239 | Colquitt Regional Medical Center | Ambulance | 3131 S Main St, Moultrie, GA 31768-6925 | 2017-12-06 |
| 1689188906 | Mary Ann Waller | Speech-Language Pathologist | 3131 S Main St, Moultrie, GA 31768-6925 | 2017-11-22 |
| 1063923688 | Radiology Associates of Moultrie LLC | Radiology | 3131 S Main St, Moultrie, GA 31768-6925 | 2017-10-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356975452 | Zachary Schiffer | Specialist/Technologist | 3131 S Main Street, Moultrie, GA 31768 | 2020-02-27 |
| 1326697731 | Daisy Concierge Care | Nursing Care | 437 S. Morris Rd Lt 1, Moultrie, GA 31768 | 2019-09-09 |
| 1194208751 | Regina Mercer Ward | Nurse Practitioner | 1724 Villa Dr Sw, Moultrie, GA 31768 | 2018-09-10 |
| 1225473630 | Moultrie Orthodontics, P.C. | Clinic/Center | 12 Longleaf Office Park, Moultrie, GA 31768 | 2013-04-30 |
| 1497032239 | Freds Stores of Tennessee Inc | Pharmacy | 2601 South Main Street, Moultrie, GA 31768 | 2011-11-08 |
| 1821382672 | Colquitt Regional Ob/gyn, LLC | Obstetrics & Gynecology | 3 Sweet Bay Ct, Moultrie, GA 31768 | 2011-06-08 |
| 1568779809 | Shana Goodno | Nurse Practitioner | 207 31 St Ave Se, Moultrie, GA 31768 | 2010-09-08 |
| 1508177445 | Cherokee Rose Emergency Physicians | Emergency Medicine | 3131 South Main Street, Moultrie, GA 31768 | 2010-06-25 |
| 1023299963 | Hetal Patel | Counselor | 600 2nd St South East, Moultrie, GA 31768 | 2007-11-20 |
| 1720146756 | William C Byrd Inc | Assisted Living Facility | 498 5th Street Se, Moultrie, GA 31768 | 2006-12-04 |
| Find all providers in zip 31768 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467819102 | Lori Dixon | Nurse Practitioner | 1 Sweet Bay Ct, Moultrie, GA 31768-6756 | 2016-01-26 |
| 1316362973 | Julie Marie Posey | Nurse Practitioner | 115 31st Ave Se, Moultrie, GA 31768-6771 | 2014-02-19 |
| 1932464864 | Beckie Annette Nowland | Nurse Practitioner | 3131 S Main St, Moultrie, GA 31768-6925 | 2012-07-06 |
| 1295020881 | Jade Griffin Mcfarland | Nurse Practitioner | 780 26th Ave Se, Moultrie, GA 31768-6799 | 2011-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154110 | Christina Danielle Palau Vaccari | Nurse Practitioner | 712 Pasley Ave Se, Atlanta, GA 30316-2158 | 2020-11-07 |
| 1427657113 | Cynthia Diane Prather | Nurse Practitioner | 3264 Lower Boston Rd, Thomasville, GA 31757-1311 | 2020-10-22 |
| 1932706728 | Alecia Ann Czarnecki | Nurse Practitioner | 6240 Crooked Creek Dr, Rex, GA 30273-5006 | 2020-10-05 |
| 1801401112 | Cotenna D. Clark | Nurse Practitioner | 1857 Cameo Ct, Tucker, GA 30084-7002 | 2020-09-14 |
| 1487264370 | Helen Young Yates | Nurse Practitioner | 40 Red Rock Ct Ne, Ludowici, GA 31316-6280 | 2020-08-05 |
| 1982214334 | Jasmine Alecia Henderson | Nurse Practitioner | 52 Roseberry Cir, Port Wentworth, GA 31407-5612 | 2020-07-31 |
| 1275142994 | Theresia Richardson | Nurse Practitioner | 2033 Buford Hwy Ste 109, Buford, GA 30518-8802 | 2020-07-28 |
| 1063021277 | Elsa Duncan Duncan | Nurse Practitioner | 1822 E Gwinnett St, Savannah, GA 31404-1853 | 2020-07-24 |
| 1154941946 | Joy P Wharton | Nurse Practitioner | 182 Silver Arrow Cir, Austell, GA 30168-7490 | 2020-04-21 |
| 1235769985 | Michelle Brack | Nurse Practitioner | 502 Hall Rd, Thomasville, GA 31757-8105 | 2020-01-22 |
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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.