MISS JACQUELINE J BURKES (NPI# 1336138841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336138841 |
| Entity Type | Individual |
| Full Name | MISS JACQUELINE J BURKES |
| Credential | PAC |
| Practice Address |
220 Alston St Richland GA 31825-1404 |
| Mailing Address |
6612 Hensley Dr Columbus GA 31907-3025 |
| Practice Telephone | 2298384150 |
| Practice Fax Number | 2298384156 |
| Mailing Telephone | 7065632213 |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
002386 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
220 ALSTON ST |
| City | RICHLAND |
| State | GA |
| Zip Code | 31825-1404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205364783 | Rebecca Shepherd Ohearn | Nurse Practitioner | 220 Alston St, Richland, GA 31825-1404 | 2017-05-30 |
| 1467997726 | Leslie Smith | Nurse Practitioner | 220 Alston St, Richland, GA 31825-1404 | 2016-12-22 |
| 1548695190 | Rebecca Smith | Nurse Practitioner | 220 Alston St, Richland, GA 31825-1404 | 2013-09-13 |
| 1053406199 | Suzanne Stark | Nurse Practitioner | 220 Alston St, Richland, GA 31825-1404 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124229307 | Careconnect Health, Inc. | Clinic/Center | 510 Alston St Ste A, Richland, GA 31825 | 2007-05-29 |
| 1023161577 | New Horizons Csb Redhill Adult Group | Counselor | Route 2 Box 626, Richland, GA 31825 | 2007-01-19 |
| 1689723348 | Ladona Marie Hunter | Pharmacist | 310 Alston St., Richland, GA 31825 | 2007-01-10 |
| 1063436624 | Careconnect Health, Inc. | Clinic/Center | 510 Alston St Ste B, Richland, GA 31825 | 2006-07-27 |
| 1225181779 | New Horizons Csb Stewart County C & A | Counselor | 504 Depot St, Richland, GA 31825-1015 | 2007-01-19 |
| 1811935356 | Four County Health Care LLC | Skilled Nursing Facility | 124 Overby Dr, Richland, GA 31825-1300 | 2006-06-04 |
| 1235268053 | Four County Health Care, LLC | Respite Care | 99 Overby Dr, Richland, GA 31825-1322 | 2007-03-05 |
| 1114056934 | Four County Health Care, LLC | Clinic/Center | 99 Overby Dr, Richland, GA 31825-1322 | 2007-03-05 |
| 1295867752 | Integrity Rehabilitation, Inc | Physical Therapist | 297 Alston St, Richland, GA 31825-1403 | 2007-03-11 |
| 1144354150 | Lee Christopher Boyd | Physical Therapy Assistant | 297 Alston St, Richland, GA 31825-1403 | 2007-03-15 |
| Find all providers in zip 31825 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962798991 | Heather M Potter | Physician Assistant | 945 Goethals Dr. Ste 310, Richland, WA 99352 | 2011-06-28 |
| 1467636456 | Billie Jean Knight | Physician Assistant | 943 Stevens Dr., Richland, WA 99352 | 2007-12-26 |
| 1285692285 | Barbara K Mallory | Physician Assistant | 310 Torbett St, Richland, WA 99354-2604 | 2006-05-02 |
| 1356322093 | James Arthur Davidson | Physician Assistant | 1979 Snyder St, Ste 150, Richland, WA 99354-5319 | 2005-11-09 |
| 1629521349 | Matthew John Concienne | Physician Assistant | 888 Swift Blvd, Richland, WA 99352-3514 | 2016-07-29 |
| 1275920597 | Patricia Neuman | Physician Assistant | 1516 Jadwin Ave, Richland, WA 99354-2902 | 2015-04-24 |
| 1164837126 | Nicholas Manke | Physician Assistant | 1100 Goethals Dr, Richland, WA 99352-3300 | 2014-06-27 |
| 1285076810 | Elise Sinnwell | Physician Assistant | 310 Torbett St, Richland, WA 99354-2604 | 2013-07-24 |
| 1700222437 | Travis R Henderson | Physician Assistant | 310 Torbett St, Richland, WA 99354-2604 | 2013-05-21 |
| 1518250554 | Timothy Robert Nickolaus | Physician Assistant | 875 Swift Blvd, Richland, WA 99352-3592 | 2011-05-24 |
| Find all providers in RICHLAND | ||||
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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.