MRS. MARY GRACE B NUEGA


Address: 1255 Highway 54 W, Fayetteville, GA 30214-4526
Phone: 4043673014

MRS. MARY GRACE B NUEGA (NPI# 1407342603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407342603
Entity Type Individual
Full Name MRS. MARY GRACE B NUEGA
Credential NP
Practice Address 1255 Highway 54 W
Fayetteville
GA 30214-4526
Mailing Address 1835 Savoy Dr Ste 300
Atlanta
GA 30341-1071
Practice Telephone 4043673014
Practice Fax Number 7709427699
Mailing Telephone 6782889555
Mailing Fax Number 6782889556
Enumeration Date 2018-07-11
Last Update Date 2020-01-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner RN157187 GA Physician Assistants & Advanced Practice Nursing Providers
N 363LA2100X Nurse Practitioner
Specialization: Acute Care
RN157187 GA Physician Assistants & Advanced Practice Nursing Providers
N 363LA2200X Nurse Practitioner
Specialization: Adult Health
RN157187 GA Physician Assistants & Advanced Practice Nursing Providers
N 363LC0200X Nurse Practitioner
Specialization: Critical Care Medicine
RN157187 GA Physician Assistants & Advanced Practice Nursing Providers
N 363LG0600X Nurse Practitioner
Specialization: Gerontology
RN157187 GA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1255 HIGHWAY 54 W
City FAYETTEVILLE
State GA
Zip Code 30214-4526

Providers in the same location

NPI Name Taxonomy Address Enumeration
1790759579 Terrence Wise Internal Medicine 1255 Highway 54 W, Fayetteville, GA 30214-4526 2006-02-16
1518575737 Lillie La Marre Anesthesiologist Assistant 1255 Highway 54 W, Fayetteville, GA 30214-4526 2020-07-14
1932723285 Janam Nilesh Patel Anesthesiologist Assistant 1255 Highway 54 W, Fayetteville, GA 30214-4526 2020-06-02
1851934541 Kara Elizabeth Wright Registered Nurse 1255 Highway 54 W, Fayetteville, GA 30214-4526 2019-10-24
1093370827 Virginia Ann Horan Physician Assistant 1255 Highway 54 W, Fayetteville, GA 30214-4526 2019-05-07
1588123285 Morgan Roberson Nurse Practitioner 1255 Highway 54 W, Fayetteville, GA 30214-4526 2019-03-13
1174099410 Ellen Marie Morris-white Nurse Practitioner 1255 Highway 54 W, Fayetteville, GA 30214-4526 2018-10-14
1851874085 Monika Hill Nurse Practitioner 1255 Highway 54 W, Fayetteville, GA 30214-4526 2018-09-13
1700368958 Kristen Dawn Graddy Occupational Therapist 1255 Highway 54 W, Fayetteville, GA 30214-4526 2018-09-04
1326533415 Terrica Wilson Harris Nurse Anesthetist, Certified Registered 1255 Highway 54 W, Fayetteville, GA 30214-4526 2018-06-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548872468 Phyllis Kelly Wood Nurse Practitioner 217 Banks Rd, Suite 31, Fayetteville, GA 30214 2020-08-21
1073139317 Tyisha Salter Scott Counselor 110 Habersham Drive, Suite 142, Fayetteville, GA 30214 2020-06-23
1194341412 Camille Franncine Bolton Physical Therapist 500 Floy Farr Parkway, Suite 303, Fayetteville, GA 30214 2020-06-23
1205465895 Gillian Vaughan Heard Physician Assistant 1275 Ga-54 #201, Fayetteville, GA 30214 2020-04-06
1881234557 Peach Fits,inc Mastectomy Fitter 285 Glynn Street South, Suites 102 and 104, Fayetteville, GA 30214 2020-01-10
1255981072 Delta Healthcare Providers Clinic/Center 1275 W Lanier Ave, #200, Fayetteville, GA 30214 2019-09-13
1861965592 Hierarchy for Wellness Specialist 805 S Glynn St Bldg 127 142, Fayetteville, GA 30214 2019-01-04
1356810634 Fayette Dental Group PC Clinic/Center 720 W Lanier Ave, Fayetteville, GA 30214 2018-11-16
1891263299 Mattie Mae Farmer Clark Specialist/Technologist, Other Piedmont Fayette Hospital, 1255 Highway 54 West, Fayetteville, GA 30214 2018-11-05
1093293607 Allyson Holland Pharmacist 880 Highway 85 South, Fayetteville, GA 30214 2018-08-06
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1326659798 Derek Miles Anderson Nurse Practitioner 545 Woodward Dr, Fayetteville, GA 30215-7641 2020-08-11
1376167163 Shatanya Monique Cook Nurse Practitioner 1233 Highway 54 W Ste 205, Fayetteville, GA 30214-4542 2020-06-08
1063058972 Mardee L Baxley Nurse Practitioner 1991 Fordham Dr Ste 302, Fayetteville, NC 28304-3774 2019-11-26
1336781715 Anna Brooks Maness Reed Nurse Practitioner 2053 Valleygate Dr Ste 102, Fayetteville, NC 28304-3983 2019-10-17
1801362355 Dawn Stone Nurse Practitioner 874 Lanier Ave W Ste 220, Fayetteville, GA 30214-7659 2018-10-22
1902385784 Yasmin Mathlin Nurse Practitioner 641 Walker St, Fayetteville, NC 28311-1990 2018-08-12
1144731951 Kelli Borland Nurse Practitioner 101 Yorktown Dr Ste 207, Fayetteville, GA 30214-1578 2017-10-19
1134639867 Jeanne Marie Lythgoe Nurse Practitioner 2153 Valleygate Dr Ste 101, Fayetteville, NC 28304-3667 2017-10-09
1174048037 Sharon Davinroy Nurse Practitioner 315 Sparrow Dr, Fayetteville, NC 28306-8227 2017-08-11
1609302868 Rose M Graham Nurse Practitioner 1202 Walter Reed Road, Capefear Valley Associate, Fayetteville, NC 28304 2017-05-10
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Competitor

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City FAYETTEVILLE
Zip Code 30214

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Dataset Information

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.

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