MRS. CHASITY COWART BROCK (NPI# 1407291925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407291925 |
| Entity Type | Individual |
| Full Name | MRS. CHASITY COWART BROCK |
| Other Name | MS. CHASITY COWART |
| Credential | NP-C |
| Practice Address |
222 Gordon St Bremen GA 30110-1519 |
| Practice Telephone | 7705371234 |
| Practice Fax Number | 7705371234 |
| Mailing Telephone | 7705371234 |
| Mailing Fax Number | 7705371237 |
| Enumeration Date | 2013-05-10 |
| Last Update Date | 2019-09-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN177270 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
222 GORDON ST |
| City | BREMEN |
| State | GA |
| Zip Code | 30110-1519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952948762 | Ashlie Linn Muir | Massage Therapist | 222 Gordon St, Bremen, GA 30110-1519 | 2019-12-01 |
| 1952951535 | Brandi Lee Parker | Physician Assistant | 222 Gordon St, Bremen, GA 30110-1519 | 2019-09-16 |
| 1669982088 | Brittany Sleek | Nurse Practitioner | 222 Gordon St, Bremen, GA 30110-1519 | 2017-10-11 |
| 1861915647 | 3:16 Family Medicine, LLC | Family Medicine | 222 Gordon St, Bremen, GA 30110-1519 | 2017-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596646 | Bhg Lxvi, LLC | Clinic/Center | 1021 Alabama Avenue, Bremen, GA 30110 | 2020-10-22 |
| 1013466788 | Jodi Elizabeth Walker | Speech-Language Pathologist | 35 Shelnutt Dr, Bremen, GA 30110 | 2016-09-23 |
| 1396927539 | Candace Kay Heard | Pharmacist | 240 Tallapoosa St, Bremen, GA 30110 | 2007-11-29 |
| 1871781476 | Allison Kimball Key | Family Medicine | Po Box 728, 222 Gordon Street, Bremen, GA 30110 | 2007-10-09 |
| 1013041706 | Haralson County Board of Health | Day Training, Developmentally Disabled Services | 1449 Cashtown Road, Bremen, GA 30110 | 2007-03-15 |
| 1942343892 | Haralson County Board of Health | Community/Behavioral Health | 1449 Temple Road, Bremen, GA 30110 | 2007-02-14 |
| 1649332008 | Anna Christine Jones | Nurse Practitioner | 101 Tom Murphy Industrial Blvd, Bremen, GA 30110 | 2006-12-14 |
| 1063584324 | Regina Lorren Holloway | Allergy & Immunology | 308 Carrollton Street, Bremen, GA 30110 | 2006-11-14 |
| 1285725887 | Daniel E Mcbrayer | Specialist | 306 Laurel St Ste C, Bremen, GA 30110 | 2006-09-27 |
| 1881795086 | William Robert Lovvorn | Pharmacist | 240 Tallapoosa Street E, Lovvorn Pharmacy, Bremen, GA 30110 | 2006-09-26 |
| Find all providers in zip 30110 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548748577 | Elizabeth Ann Engle | Nurse Practitioner | 417 S Whitlock St, Bremen, IN 46506-1626 | 2018-08-01 |
| 1669982088 | Brittany Sleek | Nurse Practitioner | 222 Gordon St, Bremen, GA 30110-1519 | 2017-10-11 |
| 1336683838 | Lori Pope | Nurse Practitioner | 204 Allen Memorial Dr Ste 201, Bremen, GA 30110-2062 | 2016-12-19 |
| 1164893616 | Rachel Pippenger | Nurse Practitioner | 1120 W South St, Bremen, IN 46506-1849 | 2015-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780285486 | Aprn Mobile Clinic LLC | Nurse Practitioner | 1361 Highwoods Pass, Grovetown, GA 30813-3994 | 2020-11-08 |
| 1093316820 | Odyne Rose Lacossiere-dorvilus | Nurse Practitioner | 30 Myrtlewood Dr, Savannah, GA 31405-1024 | 2020-11-06 |
| 1104427061 | Tya Wright | Nurse Practitioner | 1450 Newnan Crossing Blvd E Apt 13205, Newnan, GA 30265-0027 | 2020-11-05 |
| 1235730409 | Cheryl Lynn Williams | Nurse Practitioner | 282 Somerset Dr, Dallas, GA 30132-9761 | 2020-11-04 |
| 1033710298 | Karen F Frazier | Nurse Practitioner | 6610 Crest Wood Ln, Douglasville, GA 30135-9046 | 2020-11-04 |
| 1619578986 | Marjorie Sewannyana | Nurse Practitioner | 553 Camano Way, Mcdonough, GA 30253-8377 | 2020-11-03 |
| 1639770027 | Markesha Leshea Groomes | Nurse Practitioner | 209 N. Cuthbert, Colquitt, GA 39837-3515 | 2020-11-03 |
| 1265033625 | Ashley Thomas | Nurse Practitioner | 3750 Venture Dr Ste E4, Duluth, GA 30096-1863 | 2020-11-03 |
| 1558962894 | Anna Marie Kodama | Nurse Practitioner | 462 Furys Ferry Rd # C, Augusta, GA 30907-9506 | 2020-11-03 |
| 1093315848 | Tracy Tarvers | Nurse Practitioner | 129 Wolf Creek Dr N, Macon, GA 31210-9002 | 2020-10-30 |
| 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.