MRS. BETHANY JOY RUDGE GILLEY (NPI# 1396010427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396010427 |
| Entity Type | Individual |
| Full Name | MRS. BETHANY JOY RUDGE GILLEY |
| Other Name | MISS BETHANY JOY RUDGE |
| Practice Address |
465 N Belair Rd Suite 1 B Evans GA 30809-3188 |
| Practice Telephone | 7068683100 |
| Mailing Telephone | 7068683100 |
| Enumeration Date | 2012-03-22 |
| Last Update Date | 2012-09-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 2098 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
465 N BELAIR RD SUITE 1 B |
| City | EVANS |
| State | GA |
| Zip Code | 30809-3188 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790784593 | Stephen Lewis Schmidt | Family Medicine | 465 N Belair Rd, Suite 1c, Evans, GA 30809-3188 | 2005-07-14 |
| 1689145781 | Ashli D Thomas | Internal Medicine | 465 N Belair Rd, Evans, GA 30809-3188 | 2018-12-16 |
| 1265885883 | Clint Lanier Holton | Nurse Practitioner | 465 N Belair Rd, Suite 1b, Evans, GA 30809-3188 | 2016-07-19 |
| 1033450820 | Kathryn Ricks Toburen | Nurse Practitioner | 465 N Belair Rd, Suite 1-b, Evans, GA 30809-3188 | 2013-03-05 |
| 1386924157 | Katie Nelson, Lpc, LLC | Counselor | 465 N Belair Rd, Ste 2d, Evans, GA 30809-3188 | 2011-08-24 |
| 1154628451 | Wellpull Corporation of Evans | Durable Medical Equipment & Medical Supplies | 465 N Belair Rd, Suite 1a, Evans, GA 30809-3188 | 2011-02-22 |
| 1063669315 | Medequip Health Corp | Pharmacy | 465 N Belair Rd, 1a2, Evans, GA 30809-3188 | 2008-08-19 |
| 1023229887 | Margo Louise Henderson | Nurse Practitioner | 465 N Belair Rd, Ste 2b, Evans, GA 30809-3190 | 2007-05-24 |
| 1457565004 | Christopher Patrick Parker | Pharmacist | 465 N Belair Rd, Suite 1a, Evans, GA 30809-3188 | 2007-05-10 |
| 1871718908 | Maria Alicia Johnson | Family Medicine | 465 N Belair Rd, Suite 1b, Evans, GA 30809-3188 | 2007-04-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326674060 | Dominion Behavioral Health Services LLC | Psychiatric Unit | 817 Prairie Lane, Evans, GEORGIA 30809 | 2020-03-13 |
| 1710478102 | Georgia Dental Professionals, PC | Dentist | 5131 Washington Rd, Evans, GA 30809 | 2018-05-22 |
| 1649770678 | Angel Legare | Physician Assistant | 404 Town Park Blvd Ste 101, Evans, GA 30809 | 2018-02-16 |
| 1952829541 | Felicia Evette Rhodes | Home Health Aide | 715 Jones Creek, Evans, GA 30809 | 2017-09-02 |
| 1659733582 | Patricia J. Stewart Lpc, LLC | Counselor | 465 N. Belair Rd. Ste 2d, Evans, GA 30809 | 2016-03-21 |
| 1114306727 | John Mccaskey | Family Medicine | 465 N Belair Rd Ste 1b, Evans, GA 30809 | 2015-05-28 |
| 1053702878 | Jennifer Wahl | Assistant Behavior Analyst | 1135 Waltons Pass, Evans, GA 30809 | 2015-02-16 |
| 1609298777 | Custom Pharmacy, Inc | Pharmacy | 1202 Town Park Lane, Suite 200, Evans, GA 30809 | 2014-01-09 |
| 1457797938 | Perfect Health Always On Call, LLC | Non-Pharmacy Dispensing Site | 4244 Washington Rd, Evans, GA 30809 | 2013-05-11 |
| 1417207119 | Tommy Battle | Respiratory Therapist, Registered | 101 Pond View, Evans, GA 30809 | 2012-09-11 |
| Find all providers in zip 30809 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518235217 | Kristin Jane House | Physician Assistant | 4446 Washington Rd, Ste # 7, Evans, GA 30809-6360 | 2011-12-08 |
| 1295985125 | Lauren Ourt Wieme | Physician Assistant | 465 N. Belair Rd, Suite 1b, Evans, GA 30809-3189 | 2008-09-29 |
| 1598830994 | Jennifer Miller Capito | Physician Assistant | 4244 Washington Road, Evans, GA 30809 | 2006-11-21 |
| 1427162270 | Jennifer Rochelle Mccarren | Physician Assistant | 1002 Williamsburg Way, Evans, GA 30809 | 2006-08-18 |
| 1790382711 | Mary-kathryn Christine Wilkins | Physician Assistant | 4350 Towne Centre Dr Ste 1400, Evans, GA 30809-3332 | 2020-10-02 |
| 1942843743 | Emily E Wright | Physician Assistant | 2930 11th Ave, Evans, CO 80620-1011 | 2019-10-24 |
| 1053953232 | Hannah Constantin | Physician Assistant | 2930 11th Ave, Evans, CO 80620-1011 | 2019-10-09 |
| 1134695745 | Sarah Elizabeth Curzon | Physician Assistant | 2930 11th Ave, Evans, CO 80620-1011 | 2018-10-22 |
| 1881160638 | Krista Gail Jones | Physician Assistant | 2930 11th Ave, Evans, CO 80620-1011 | 2018-10-19 |
| 1578038337 | Byron Tyrell Mathis | Physician Assistant | 4720 Washington Rd, Evans, GA 30809-5875 | 2018-10-09 |
| Find all providers in EVANS | ||||
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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.