MRS. MACEY DIANA ELKS (NPI# 1356854202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356854202 |
| Entity Type | Individual |
| Full Name | MRS. MACEY DIANA ELKS |
| Credential | NP |
| Practice Address |
3051 Watson Blvd Ste 525 Warner Robins GA 31093 |
| Mailing Address |
3051 Watson Blvd Ste 525 Warner Robins GA 31093-8556 |
| Practice Telephone | 4789534563 |
| Practice Fax Number | 4789534564 |
| Mailing Telephone | 4789534563 |
| Mailing Fax Number | 4789534564 |
| Enumeration Date | 2017-11-14 |
| Last Update Date | 2018-07-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | RN224167 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
RN224167 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 688 Walnut St, Macon, GA 312012677 | 4782901465 | |
| 777 Hemlock St, Macon, GA 312012102 | 4786331000 |
| Street Address |
3051 WATSON BLVD STE 525 |
| City | WARNER ROBINS |
| State | GA |
| Zip Code | 31093 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033455027 | Jeffrey Wong | Occupational Therapist | 3051 Watson Blvd Ste 525, Warner Robins, GA 31093-8556 | 2012-12-19 |
| 1245855691 | Callie Rose Hammerle | Physical Therapist | 3051 Watson Blvd Ste 525, Warner Robins, GA 31093-8556 | 2020-06-11 |
| 1003441676 | Maxwell James Albanese | Physical Therapist | 3051 Watson Blvd Ste 525, Warner Robins, GA 31093-8556 | 2020-03-04 |
| 1760015887 | James Palmer | Physical Therapist | 3051 Watson Blvd Ste 525, Warner Robins, GA 31093-8556 | 2020-02-17 |
| 1710531306 | Kimberlyn Jena Wilson | Physical Therapist | 3051 Watson Blvd Ste 525, Warner Robins, GA 31093-8556 | 2019-07-31 |
| 1235537192 | Precila Pioquinto | Physical Therapist | 3051 Watson Blvd Ste 525, Warner Robins, GA 31093-8556 | 2014-12-09 |
| 1093132219 | Linda Durden | Nurse Practitioner | 3051 Watson Blvd Ste 525, Warner Robins, GA 31093-8556 | 2014-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922654102 | Hui Bostian | Technician | 402 Pinecrest Dr., Warner Robins, GA 31093 | 2019-08-14 |
| 1457914616 | Janvi Hemantkumar Wadiwala | Student in an Organized Health Care Education/Training Program | 233 North Houston Rd, Suite 140e, Warner Robins, GA 31093 | 2019-04-15 |
| 1477033124 | Urological Health Center, PC | Urology | 1770 Watson Boulevard, Warner Robins, GA 31093 | 2018-08-21 |
| 1477043719 | Revealing Strength Counseling, LLC | Counselor | 2762 Watson Blvd, Warner Robins, GA 31093 | 2018-05-11 |
| 1265930069 | Alma J Ellington | Counselor | 306 North Davis Drive, Suite B Room 4, Warner Robins, GA 31093 | 2018-01-26 |
| 1841707668 | Guiding Light Healthcare Services | Family Medicine | 306 N. Davis Dr., Suite B, Warner Robins, GA 31093 | 2018-01-02 |
| 1083143416 | Rosa C Gilbert | Counselor | 303 Mimosa, Warner Robins, GA 31093 | 2017-06-08 |
| 1982141545 | Ariel Young | Psychologist | 104 Stanton Circle, Warner Robins, GA 31093 | 2017-01-20 |
| 1801259437 | Gramps 'n' Grannies, Inc. | Assisted Living Facility | 502 North Huston Rd., Warner Robins, GA 31093 | 2016-03-31 |
| 1710346903 | Brenda Marie Warren | Marriage & Family Therapist | 106-b Olympia Dr., Warner Robins, GA 31093 | 2016-02-16 |
| Find all providers in zip 31093 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508476581 | Jarvis Reese | Nurse Practitioner | 413 Tug Ct, Warner Robins, GA 31088-2134 | 2020-08-05 |
| 1285295618 | Marsha A Ward Roberts | Nurse Practitioner | 1861 Watson Blvd, Warner Robins, GA 31093-3631 | 2019-06-26 |
| 1881765071 | Jill Wegner | Nurse Practitioner | 114 Sutherlin Dr Ste C-1, Warner Robins, GA 31088-2259 | 2006-11-11 |
| 1851782411 | Jo Ann Saxon | Nurse Practitioner | 707 N Houston Rd, Warner Robins, GA 31093-2101 | 2015-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265032114 | Candace Buckley | Nurse Practitioner | 244 Ashland Dr, Woodstock, GA 30189-7161 | 2020-10-29 |
| 1679170740 | Jennifer Lassiter | Nurse Practitioner | 4116 Holley Rd., Lizella, GA 31052 | 2020-10-02 |
| 1891301164 | Tashoy Wallace | Nurse Practitioner | 121 Odyssey Turn, Conyers, GA 30012-3681 | 2020-09-21 |
| 1912513672 | Katherine Anne Sego | Nurse Practitioner | 4060 Rolling Meadows Ln, Watkinsville, GA 30677-3011 | 2020-09-18 |
| 1548872468 | Phyllis Kelly Wood | Nurse Practitioner | 217 Banks Rd, Suite 31, Fayetteville, GA 30214 | 2020-08-21 |
| 1588276505 | Sherron Johnson | Nurse Practitioner | 1980 Wrights Way, Jonesboro, GA 30236-7205 | 2020-08-20 |
| 1942811682 | Ashlee Renee Mack | Nurse Practitioner | 116 Slate Cir, Savannah, GA 31419-9681 | 2020-08-16 |
| 1467063610 | Rosa Maria Phillips | Nurse Practitioner | 649 Amicalola Woods Rd, Dawsonville, GA 30534-1205 | 2020-08-12 |
| 1750991790 | Akosua Frema Sarfo | Nurse Practitioner | 116 Ginkgo Ln, Grovetown, GA 30813-5392 | 2020-08-04 |
| 1851919039 | Robert Brant | Nurse Practitioner | 20 Fairway Oaks, Waverly, GA 31565-2767 | 2020-07-14 |
| Find all providers with the same taxonomy | ||||
| City | WARNER ROBINS |
| Zip Code | 31093 |
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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.