DR. NICHOLE R MADISON (NPI# 1407297799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407297799 |
| Entity Type | Individual |
| Full Name | DR. NICHOLE R MADISON |
| Credential | DDS |
| Practice Address |
107 Fahm St Savannah GA 31401-2391 |
| Practice Telephone | 9125440867 |
| Enumeration Date | 2013-07-15 |
| Last Update Date | 2016-05-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2013018603 | MO | Dental Providers |
| Street Address |
107 FAHM ST |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31401-2391 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063988434 | Alexandra Moses | Counselor | 107 Fahm St, Savannah, GA 31401-2391 | 2018-10-23 |
| 1700389178 | Melissa Ann Kempinski | Counselor | 107 Fahm St, Savannah, GA 31401 | 2018-03-13 |
| 1992229280 | J C Lewis Primary Health Care Center Inc | Clinic/Center | 107 Fahm St, Savannah, GA 31401-2391 | 2017-07-28 |
| 1780129940 | Lisa Woodard Martin | Dental Hygienist | 107 Fahm St, Savannah, GA 31401-2391 | 2016-12-27 |
| 1922401637 | Danielle Swindell | Licensed Practical Nurse | 107 Fahm St, B, Savannah, GA 31401-2391 | 2014-10-08 |
| 1881097038 | Carolyn Maynor | Licensed Practical Nurse | 107 Fahm St, B, Savannah, GA 31401-2391 | 2014-10-02 |
| 1902209141 | Andrea Moon | Registered Nurse | 107 Fahm St, B, Savannah, GA 31401-2391 | 2014-10-02 |
| 1073916227 | Shirley Williams | Licensed Practical Nurse | 107 Fahm St, B, Savannah, GA 31401-2391 | 2014-10-02 |
| 1942452800 | Ann Tilton Weil | Nurse Practitioner | 107 Fahm St, Savannah, GA 31401-2391 | 2008-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760031470 | Leslie Beatrice Dixon | Technician | 1109 Harmon Street, Savannah, GA 31401 | 2019-09-05 |
| 1912444621 | Sarah Kristen Shuman | Counselor | 140 East 40th St, Savannah, GA 31401 | 2017-01-20 |
| 1427591791 | Catherine Naomi Spann | Licensed Practical Nurse | 107 B Fahm Street, Savannag, GA 31401 | 2016-11-18 |
| 1871952499 | Jesline Palmer | Case Manager/Care Coordinator | 466 Martin Luther King Blvd, Savanah, GA 31401 | 2016-02-11 |
| 1487012894 | Suzanne Waltman Coote | Social Worker | 127 Abercorn St, Suite 301b, Savannah, GA 31401 | 2016-02-01 |
| 1356748032 | Beverly Weaver | Registered Nurse | 107 B Fahm St., Savannah, GA 31401 | 2014-11-25 |
| 1275938011 | Olukemi Olubajo | Dietitian, Registered | 125 Fahm Street, J C Lewis Primary Health Care Center, Savannah, GA 31401 | 2014-10-22 |
| 1346642279 | Kristin Jaski | Social Worker | 127 Abercorn St, Suite 301b, Savannah, GA 31401 | 2014-09-23 |
| 1528497500 | Kathleen Alice Flynn | Nurse Practitioner | 1900 Abercorn Street, Suite 100, Savannah, GA 31401 | 2013-11-11 |
| 1306112248 | Elizabeth Windom Stewart | Nurse Practitioner | 300 Bull St Ste 102, Savannah, GA 31401 | 2012-03-26 |
| Find all providers in zip 31401 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841755287 | Southside Emergency Dental Center LLC | Dentist | 10515 White Bluff Rd., Savannah, GA 31406 | 2019-02-08 |
| 1184117392 | Scott Carl Harman | Dentist | 22 Park of Commerce Way Ste 1, Savannah, GA 31405-7479 | 2018-06-12 |
| 1265933840 | Dwc-p LLC | Dentist | 5209 Paulsen Street, Savannah, GA 31405 | 2018-02-28 |
| 1255783353 | Lindsay H English | Dentist | 310 Eisenhower Dr Bldg No8, Savannah, GA 31406 | 2016-07-13 |
| 1720442627 | Gamble Dentalsmart Eb5 Vii PC | Dentist | 110 Mall Blvd, Savannah, GA 31406-4728 | 2016-04-07 |
| 1548528045 | Morgan Wimbish Murray | Dentist | 721 E 66th St, Savannah, GA 31405-4505 | 2012-05-03 |
| 1265741201 | Laura Hawkins Hissam | Dentist | 5420 Paulsen Street, Savannah, GA 31405 | 2010-09-24 |
| 1801124862 | Leon Edward Felps | Dentist | 6602 Abercorn St., Suite 101, Savannah, GA 31405 | 2009-12-01 |
| 1508099490 | Hetal Patel | Dentist | 101 Little Neck Rd, Savannah, GA 31419-8828 | 2009-08-26 |
| 1124260096 | Todd Wilson Fruit | Dentist | 400 Johnny Mercer Blvd Ste A, Savannah, GA 31410-2166 | 2009-03-24 |
| Find all providers in SAVANNAH | ||||
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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.