MRS. TABATHA P ANDERSON


Address: 590 Historic Hwy 441 N, Demorest, GA 30535
Phone: 7067545511

MRS. TABATHA P ANDERSON (NPI# 1427248731) 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) 1427248731
Entity Type Individual
Full Name MRS. TABATHA P ANDERSON
Other Name MISS TABATHA D PEAVY
Credential RN,MSN,FNPC
Practice Address 590 Historic Hwy 441 N
Demorest
GA 30535
Mailing Address 350 Sunny Brook Trl
Clarkesville
GA 30523-4197
Practice Telephone 7067545511
Mailing Telephone 7069880584
Enumeration Date 2007-08-01
Last Update Date 2018-12-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
RN149791 GA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 590 HISTORIC HWY 441 N
City DEMOREST
State GA
Zip Code 30535

Providers in the same location

NPI Name Taxonomy Address Enumeration
1093717357 Family Practice of Habersham PC Internal Medicine 590 Historic Hwy 441 N, Demorest, GA 30535 2005-06-01
1255581138 The Hospital Authority of Habersham County Orthopaedic Surgery 590 Historic Hwy 441 N, Demorest, GA 30535 2008-09-26
1124154794 Family Practice of Habersham PC Clinic/Center 590 Historic Hwy 441 N, Demorest, GA 30535-1779 2007-02-26
1679503833 James E Spoden Otolaryngology 590 Historic Hwy 441 N, Suite D, Demorest, GA 30535 2006-07-04
1609878974 John Timothy Cope Internal Medicine 590 Historic Hwy 441 N, Demorest, GA 30535 2005-06-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396353355 Kristen Diana Maxwell X Nurse Practitioner 396 Historic Highway 441 North, Demorest, GA 30535 2020-07-16
1659925972 Jared Davis Physical Therapist 541 Historic Hiwy 441, Demorest, GA 30535 2019-07-25
1669939070 Habersham Medical Center Foundation, Inc. Pharmacy 541 Old Historic Hwy 441 N Ste 1, Demorest, GA 30535 2019-02-22
1114417128 The Hospital Authority of Habersham County Family Medicine 638 Hwy 441 N Suite B-2, Demorest, GA 30535 2018-05-15
1578077434 Linh My Dao Registered Nurse 541 Historic Hwy. 441-n, Demorest, GA 30535 2017-11-29
1447797063 Cmvo, LLC Pharmacy 4654 Highway 115, Unit 1, Demorest, GA 30535 2017-01-20
1851741128 Katherine Glenn Physical Therapy Assistant 541 Us-441 Bus, Demorest, GA 30535 2016-06-17
1558735886 Waterfall Emergency Physicians, LLC Physician Assistant 541 Historic Hwy 441n, Demorest, GA 30535 2015-11-24
1407278237 Deborah Gale Pharmacist 116 Savannah Ter, Demorest, GA 30535 2014-01-14
1538580576 Garrett Family Medicine, LLC Family Medicine 590 Historic Hwy 441 Lower Level, Demorest, GA 30535 2013-12-18
Find all providers in zip 30535

Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1336753920 Henny P Brown Nurse Practitioner 3430 Ridgeland Pl, Alpharetta, GA 30004-8483 2020-09-01
1487267415 Alethea Hope Tucker Nurse Practitioner 3685 Braselton Hwy Ste 100, Dacula, GA 30019-5920 2020-08-28
1952913808 Carol Jo Wilbanks Nurse Practitioner 206 Crest Dr, Rock Spring, GA 30739-2041 2020-08-21
1164032017 Myiesha Sellers Mcfarlin Nurse Practitioner 55 Sellers Ln, Baxley, GA 31513-2208 2020-08-05
1124645395 Kisha Smalley Nurse Practitioner 117 Gambier Cv, Mcdonough, GA 30252-6273 2020-07-02
1346861127 Finan Tedla Nurse Practitioner 2626 Peachtree Rd Nw Unit 1802, Atlanta, GA 30305-5633 2020-05-03
1841819547 Millicent Charte Duncan Nurse Practitioner 138 Parkview Rd, Savannah, GA 31419-9672 2020-04-13
1891329660 Tracey Lynn Murray Nurse Practitioner 980 Johnson Ferry Rd Ste 880, Sandy Springs, GA 30342-1609 2020-03-02
1841820917 Vedic Family Practice and Wellness Nurse Practitioner 1240 Upper Hembree Rd Ste E, Roswell, GA 30076-0914 2020-01-17
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Competitor

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City DEMOREST
Zip Code 30535

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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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