DR. BRENDA L NELSON-PORTER (NPI# 1417557638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417557638 |
| Entity Type | Individual |
| Full Name | DR. BRENDA L NELSON-PORTER |
| Credential | ND |
| Practice Address |
105 Wilson Cir Newnan GA 30263-5594 |
| Practice Telephone | 7703657577 |
| Mailing Telephone | 7703657577 |
| Enumeration Date | 2020-10-27 |
| Last Update Date | 2020-10-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
Dietary & Nutritional Service Providers | ||
| Y | 175F00000X | Naturopath | Other Service Providers | ||
| N | 291900000X | Military Clinical Medical Laboratory | Laboratories | ||
| N | 374U00000X | Home Health Aide | Nursing Service Related Providers | ||
| N | 385H00000X | Respite Care | Respite Care Facility |
| Street Address |
105 WILSON CIR |
| City | NEWNAN |
| State | GA |
| Zip Code | 30263-5594 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750914115 | Tina Harvey | Counselor | 55 A, Suite A, Newnan, GA 30263 | 2020-02-13 |
| 1407492846 | Pathways Center for Behavioral & Developmental Growth | Community/Behavioral Health | 78 Hospital Road, Newnan, GA 30263 | 2019-11-20 |
| 1831672047 | Jp & Jg Enterprises | Hospice Care, Community Based | 22 Madras Parkway, Newnan, GA 30263 | 2018-09-13 |
| 1376052928 | Newnan Endoscopy Center LLC | Clinic/Center | 1200 Lower Fayetteville Rd, Newnan, GA 30263 | 2017-09-27 |
| 1417314899 | Natalie Stephens | Speech-Language Pathologist | 87 Matador Way, Newnan, GA 30263 | 2016-01-15 |
| 1376943423 | Kathryn R Fletcher | Case Manager/Care Coordinator | 30 O'tara Woods Drive, Newnan, GA 30263 | 2014-08-26 |
| 1912260068 | Tamecia Hill | Counselor | 37 2nd Ave., Newnan, GA 30263 | 2012-06-22 |
| 1013289255 | Pathways Center for Behavioral and Developmental Growth | Community/Behavioral Health | 52 Perry St, Newnan, GA 30263 | 2012-02-03 |
| 1245513092 | Rocky Mountain Holdings LLC | Ambulance | 180 W Aviation Way, Newnan, GA 30263 | 2011-09-27 |
| 1316240427 | Georgia Cvs Pharmacy, LLC | Durable Medical Equipment & Medical Supplies | 395 Jackson St, Newnan, GA 30263 | 2010-12-10 |
| Find all providers in zip 30263 | ||||
| Taxonomy Code | 175F00000X |
| Grouping | Other Service Providers |
| Classification | Naturopath |
| Diagnoses, treats, and cares for patients, using system of practice that bases treatment of physiological functions and abnormal conditions on natural laws governing human body: Utilizes physiological, psychological, and mechanical methods, such as air, water, light, heat, earth, phototherapy, food and herb therapy, psychotherapy, electrotherapy, physiotherapy, minor and orificial surgery, mechanotherapy, naturopathic corrections and manipulation, and natural methods or modalities, together with natural medicines, natural processed foods, and herbs and nature's remedies. Excludes major surgery, therapeutic use of x ray and radium, and use of drugs, except those assimilable substances containing elements or compounds which are components of body tissues and are physiologically compatible to body processes for maintenance of life. |
| Notes: Source: The Federal Dictionary of Occupational Titles, U.S. Department of Labor, Washington, D.C., section #079, 101-014 [7/1/2007: definition changed, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043694631 | Justin Reese | Naturopath | 802 Lower Fayetteville Rd Ste A, Newnan, GA 30263-5768 | 2015-07-14 |
| 1922352806 | Margaret Reese | Naturopath | 802 Lower Fayetteville Rd, Suite A, Newnan, GA 30263-5768 | 2012-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790383974 | Gertrise Thomas | Naturopath | 3492 Highway 5 Apt 209, Douglasville, GA 30135-6909 | 2020-10-11 |
| 1164038493 | Anna Bausum | Naturopath | 1396 Normandy Dr Ne Apt 4, Atlanta, GA 30306-2531 | 2020-09-22 |
| 1447877469 | Brennan Roger Milbury | Naturopath | 4876 Ga 196 W, Hinesville, GA 31313 | 2020-06-26 |
| 1174153407 | Stefanie Lyn Fario | Naturopath | 26 Transom Rd, Port Wentworth, GA 31407-5602 | 2020-01-26 |
| 1669023206 | Jameelah Atiya Nelson | Naturopath | 555 Draycott Ct Sw, Atlanta, GA 30331-7677 | 2019-09-25 |
| 1770136335 | Kalli Q Mejia | Naturopath | 1929 Riverlanding Cir, Lawrenceville, GA 30046-2841 | 2019-07-22 |
| 1447802723 | James Munro | Naturopath | 395 Central Park Pl Ne Unit 610, Atlanta, GA 30312-1260 | 2019-07-16 |
| 1851951685 | Ronak Patel | Naturopath | 200 Sandy Springs Pl Ste 200, Atlanta, GA 30328-5917 | 2019-06-14 |
| 1720549421 | Norma Jean Curby | Naturopath | 1117 Perimeter Ctr Ste N316, Atlanta, GA 30338-5443 | 2019-03-26 |
| 1467918102 | Shama Patel | Naturopath | 5755 N Point Pkwy Ste 32, Alpharetta, GA 30022-1143 | 2019-02-19 |
| 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.