MS. NICKY S TOMBLIN (NPI# 1427413285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427413285 |
| Entity Type | Individual |
| Full Name | MS. NICKY S TOMBLIN |
| Other Name | MRS. NICKY S PETERSON |
| Credential | CNM |
| Practice Address |
1315 Jesse Jewell Pkwy Ne Ste 200 Gainesville GA 30501-3822 |
| Practice Telephone | 7702199443 |
| Mailing Telephone | 7702199443 |
| Enumeration Date | 2015-12-22 |
| Last Update Date | 2020-05-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
95003494 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
NMW235760 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 100 Brewster Blvd, Naval Hospital, Camp Lejeune, NC 285472538 | 9104492573 | |
| 743 Spring St Ne, Gainesville, GA 305013715 | 7702199443 |
| Street Address |
1315 JESSE JEWELL PKWY NE STE 200 |
| City | GAINESVILLE |
| State | GA |
| Zip Code | 30501-3822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932361953 | Jameela Lenora Harper | Obstetrics & Gynecology | 1315 Jesse Jewell Pkwy Ne Ste 200, Gainesville, GA 30501-3822 | 2008-07-01 |
| 1992115125 | Stephanie Springfield | Obstetrics & Gynecology | 1315 Jesse Jewell Pkwy Ne Ste 200, Gainesville, GA 30501 | 2014-04-28 |
| 1336491711 | Mary Malissa Osborne | Physician Assistant | 1315 Jesse Jewell Pkwy Ne Ste 200, Gainesville, GA 30501-3822 | 2012-10-09 |
| 1093032336 | Karen Brown Wood | Obstetrics & Gynecology | 1315 Jesse Jewell Pkwy Ne Ste 200, Gainesville, GA 30501-3822 | 2010-04-27 |
| 1588804066 | Britteny Barron | Advanced Practice Midwife | 1315 Jesse Jewell Pkwy Ne Ste 200, Gainesville, GA 30501-3822 | 2009-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437782851 | Madison Raye Huth | Physician Assistant | 743 Spring Street Se, Gainesville, GA 30501 | 2020-02-13 |
| 1205487659 | Grace M Walker Brown | Nurse Practitioner | 592 Medical Park Dr., Suite A, Gainesville, GA 30501 | 2019-09-26 |
| 1174086987 | Nayab Ahmed | Student in an Organized Health Care Education/Training Program | 743 Spring Street, Suite 710, Gainesville, GA 30501 | 2019-04-09 |
| 1154881118 | Ryan D Berry | Student in an Organized Health Care Education/Training Program | 734 Spring St Se Ste 710, Gainesville, GA 30501 | 2019-03-24 |
| 1609336304 | Harper E Niver | Student in an Organized Health Care Education/Training Program | 743 Spring St., Suite 710, Gainesville, GA 30501 | 2019-03-20 |
| 1508336173 | Bradee Burrell Aderholt | Nurse Practitioner | 663 Lanier Park Drive, Gainesville, GA 30501 | 2018-11-27 |
| 1578068359 | Soammy Liz Matias | Chiropractor | 961 Green Street, Gainesville, GA 30501 | 2018-03-26 |
| 1811496896 | Matthew Brown | Speech-Language Pathologist | 500 Spring St. Se Suite 101, Gainesville, GA 30501 | 2018-02-06 |
| 1346769825 | Dr. Skeete & Associates of North Georgia, P.C. | Optometrist | 150 Pearl Nix Parkway, Suite D3a, Gainesville, GA 30501 | 2017-09-15 |
| 1932624723 | M & B Imaging, PC | Radiology | 1640 Jesse Jewell Pkwy Se Ste 2, Gainesville, GA 30501 | 2017-08-14 |
| Find all providers in zip 30501 | ||||
| Taxonomy Code | 363LX0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Obstetrics & Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487050621 | Naomi L. Sullivan | Nurse Practitioner | 1600 Sw Archer Rd., Box 100296, Gainesville, FL 32610-0296 | 2014-11-17 |
| 1598892291 | Julie L Rischar | Nurse Practitioner | 6440 W. Newberry Rd, Ste 111, Gainesville, FL 32605 | 2007-02-28 |
| 1861404303 | Pamela H Feaster | Nurse Practitioner | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2006-08-13 |
| 1457368532 | Nancy E Birkmaier | Nurse Practitioner | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2006-08-02 |
| 1316953391 | Kevin R Bishop | Nurse Practitioner | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2006-07-31 |
| 1306867932 | Patricia L Mckey | Nurse Practitioner | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2006-07-21 |
| 1396774006 | Heather C Bell | Nurse Practitioner | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2006-07-03 |
| 1063448512 | Kristin Foerster | Nurse Practitioner | 6440 W Newberry Rd, Suite 508, Gainesville, FL 32605-4381 | 2006-06-25 |
| 1720024458 | Maria Inslee Baldwin | Nurse Practitioner | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2006-06-21 |
| 1942246608 | Susan E Gentry | Nurse Practitioner | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2006-06-21 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 30501 |
Please comment or provide details below to improve the information on MS. NICKY S TOMBLIN.
| 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.