LIANE H PUGH (NPI# 1396209235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396209235 |
| Entity Type | Individual |
| Full Name | LIANE H PUGH |
| Practice Address |
122 Gordon Commercial Dr Ste C Lagrange GA 30240-5754 |
| Practice Telephone | 7068454045 |
| Practice Fax Number | 7068454367 |
| Mailing Telephone | 7068454045 |
| Mailing Fax Number | 7068454367 |
| Enumeration Date | 2019-01-24 |
| Last Update Date | 2019-01-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
206078 | GA | Nursing Service Providers |
| Street Address |
122 GORDON COMMERCIAL DR STE C |
| City | LAGRANGE |
| State | GA |
| Zip Code | 30240-5754 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083938492 | Melissa Ann Johnson | Counselor | 122 Gordon Commercial Dr Ste C, Lagrange, GA 30240-5754 | 2010-03-15 |
| 1689282220 | Sherjuana Davis | Social Worker | 122 Gordon Commercial Dr Ste C, Lagrange, GA 30240-5754 | 2020-07-20 |
| 1821636846 | Katie Kinsey | Case Manager/Care Coordinator | 122 Gordon Commercial Dr Ste C, Lagrange, GA 30240-5754 | 2019-12-20 |
| 1104464296 | Christopher Blake Glaze | Counselor | 122 Gordon Commercial Dr Ste C, Lagrange, GA 30240-5754 | 2019-12-19 |
| 1134767361 | Forrest Johnson | Case Manager/Care Coordinator | 122 Gordon Commercial Dr Ste C, Lagrange, GA 30240-5754 | 2019-12-18 |
| 1033755475 | Zenetta Michelle Harris | Licensed Practical Nurse | 122 Gordon Commercial Dr Ste C, Lagrange, GA 30240-5754 | 2019-11-20 |
| 1760023915 | Mariana Garcia | Case Manager/Care Coordinator | 122 Gordon Commercial Dr Ste C, Lagrange, GA 30240-5754 | 2019-09-30 |
| 1134770274 | Jennie Laplant | Counselor | 122 Gordon Commercial Dr Ste C, Lagrange, GA 30240-5754 | 2019-09-20 |
| 1427608652 | Robin Wilson | Licensed Practical Nurse | 122 Gordon Commercial Dr Ste C, Lagrange, GA 30240-5754 | 2019-09-19 |
| 1912555103 | Sophia Vaughn | Contractor | 122 Gordon Commercial Dr Ste C, Lagrange, GA 30240-5754 | 2019-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598223844 | Urgencare, LLC | Clinic/Center | 2169 West Point Road, Suite 105, Lagrange, GA 30240 | 2019-03-06 |
| 1679075527 | Georgia Pain and Spine Care, Inc | Pain Medicine | 303 Smith St Fl 2, Lagrange, GA 30240 | 2018-03-07 |
| 1629463500 | Quoc Vinh Ngo | Emergency Medicine | Wellstar West Georgia Medical Center, 1504 Vernon Road, Lagrange, GA 30240 | 2015-03-30 |
| 1770913964 | Dell H Lawson | Counselor | 300 Medical Dr. Ste 705., Lagrange, GA 30240 | 2013-11-25 |
| 1629418793 | Mortar & Pestle, LLC | Pharmacy | 205 Vernon Street, Lagrange, GA 30240 | 2013-07-03 |
| 1336582329 | Weredeselam Menna Olango | Psychiatry & Neurology | 303 Medical Dr Ste 401, Lagrange, GA 30240 | 2013-04-10 |
| 1720333743 | Mortar and Pestle, LLC | Pharmacy | 300 Mooty Bridge Road, Lagrange, GA 30240 | 2012-07-16 |
| 1366768459 | Karin Taylor | Physical Medicine & Rehabilitation | 1600 Vernon Rd Ste A, Lagrange, GA 30240 | 2010-04-14 |
| 1871819458 | Kathryn J Hill | Counselor | 100 Smith St Ste 1, Lagrange, GA 30240 | 2010-04-08 |
| 1285802751 | Air Evac Ems, Inc. | Ambulance | 455 Aerotron Pkwy, Lagrange, GA 30240 | 2008-02-18 |
| Find all providers in zip 30240 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184972242 | Anna R Ogletree | Registered Nurse | 122 Gordon Commercial Dr Ste C, Pathways Center, Lagrange, GA 30240-5754 | 2012-08-21 |
| 1013265164 | Marcia Annette Davis | Registered Nurse | 122 Gordon Commercial Dr Ste C, Pathways, Lagrange, GA 30240-5754 | 2012-08-21 |
| 1487918975 | Verna Fay Daley-evans | Registered Nurse | 122 Gordon Commercial Dr Ste C, Lagrange, GA 30240-5754 | 2012-06-28 |
| 1598029134 | Tammy R Pierce | Registered Nurse | 122 Gordon Commercial Dr Ste C, Lagrange, GA 30240-5754 | 2012-06-28 |
| 1659574200 | Carolynn Landers | Registered Nurse | 230 Yager Ave Ste 5, Lagrange, KY 40031-1060 | 2007-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134744717 | Leighana Caldwell | Registered Nurse | 4104 Springridge Ct, Powder Springs, GA 30127-3546 | 2020-06-10 |
| 1083236087 | Adenike Anne Apata | Registered Nurse | 3796 Okefenokee Rdg, Loganville, GA 30052-7167 | 2020-05-12 |
| 1780233452 | Kellie Tedisco | Registered Nurse | 129 Kelly Farm Dr, Luthersville, GA 30251-1607 | 2019-09-05 |
| 1114575859 | Justin Vassell | Registered Nurse | 1903 Phoenix Boulevard, Suite 200, College Park, GA 30349 | 2019-08-27 |
| 1871053819 | Gay Nell Robinson | Registered Nurse | 733 Erika Ln, Grovetown, GA 30813-8305 | 2019-03-25 |
| 1184123812 | Alex Whitman Peterson | Registered Nurse | 1010 Huntcliff Ste 1350, Atlanta, GA 30350-1809 | 2018-02-08 |
| 1629586748 | Dianne Marie Knettel | Registered Nurse | 37 Calumet Pkwy Ste 100, Newnan, GA 30263-6734 | 2018-01-11 |
| 1205347630 | Caroline R Mckinnon | Registered Nurse | 688 Lambeth Dr, Evans, GA 30809-4272 | 2017-10-12 |
| 1619499357 | Orchid Archer | Registered Nurse | 702 Riverbend Drive, Martinez, GA 30907 | 2017-07-14 |
| 1407381817 | Divine Psychiatric Care | Registered Nurse | 2651 Cedar Dr, Lawrenceville, GA 30043-1325 | 2017-04-23 |
| Find all providers with the same taxonomy | ||||
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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.