BETHANY KINSEY JAGDHARRY


Address: 7823 Spivey Station Blvd, Jonesboro, GA 30236
Phone: 4048922131

BETHANY KINSEY JAGDHARRY (NPI# 1437546819) 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) 1437546819
Entity Type Individual
Full Name BETHANY KINSEY JAGDHARRY
Credential RN, CDE
Practice Address 7823 Spivey Station Blvd
Jonesboro
GA 30236
Mailing Address 7823 Spivey Station Blvd
Jonesboro
GA 30236-2886
Practice Telephone 4048922131
Practice Fax Number 7709071429
Mailing Telephone 4048922131
Mailing Fax Number 7709071429
Enumeration Date 2015-04-23
Last Update Date 2018-07-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
RN203472 GA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
GA PENDING 05

Office Location

Street Address 7823 SPIVEY STATION BLVD
City JONESBORO
State GA
Zip Code 30236

Providers in the same location

NPI Name Taxonomy Address Enumeration
1972605418 Syed Sajid Hasan Psychiatry & Neurology 7823 Spivey Station Blvd, Suite 230, Jonesboro, GA 30236-2886 2006-09-04
1437698776 Orthopedic Solutions, PC Orthopaedic Surgery 7823 Spivey Station Blvd, Suite 300, Jonesboro, GA 30236-2886 2017-02-20
1699221648 Northside Hospital Inc Clinic/Center 7823 Spivey Station Blvd, Jonesboro, GA 30236-2886 2016-08-30
1063968022 Rebecca Mcphail Physician Assistant 7823 Spivey Station Blvd, Jonesboro, GA 30236-2886 2016-08-30
1861891723 Southern Crescent Physicians Group, Inc. Surgery 7823 Spivey Station Blvd, Suite 300, Jonesboro, GA 30236-2886 2014-08-17
1649521717 Nsh Cancer Institute Professional Services G, LLC Durable Medical Equipment & Medical Supplies 7823 Spivey Station Blvd, Suite 300, Jonesboro, GA 30236-2886 2012-09-28
1912136524 Georgia Vascular Institute, LLC Radiology 7823 Spivey Station Blvd, Suite 300, Jonesboro, GA 30236-2886 2009-07-06
1922267129 Southern Crescent Primary Care Internal Medicine 7823 Spivey Station Blvd, Suite 210, Jonesboro, GA 30236-2886 2008-06-03
1649441296 Georgia Cancer Specialists I, PC Internal Medicine 7823 Spivey Station Blvd, Suite 300, Jonesboro, GA 30236-2886 2008-03-21
1356555718 Jason Adam Bitkowski Surgery 7823 Spivey Station Blvd, Suite 200, Jonesboro, GA 30236-2886 2007-05-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972123362 Life Source Counseling & Consulting, LLC Clinic/Center 118 North Avenue, Suite A, Jonesboro, GA 30236 2020-04-25
1639609555 New Beginnings Behavioral Counseling,llc Social Worker 9456 S Main St Ste E2, Jonesboro, GA 30236 2017-06-13
1437696762 Clarissa Alexandra Poole Counselor 2106 Fair Ridge Ct, Jonesboro, GA 30236 2017-01-25
1588012892 Sundance Healthcare Service Inc In Home Supportive Care 7861 Collinswood Court, Jonesboro, GA 30236 2016-05-26
1942669205 Adrianne Smiley Gurley Occupational Therapist 1299 Battlecreek Rd Ste 210, Jonesboro, GA 30236 2016-02-15
1336505809 Integrated Health Center Dentist 8600 Tara Blvd, Suite D, Jonesboro, GA 30236 2016-01-13
1467827402 Surrell Porter Nurse Practitioner 1287 Georgia Highway 138 Spur, Suite 8, Jonesboro, GA 30236 2015-12-02
1740688910 Jacqueline Carolyn Edwards Registered Nurse 8081 Tara Blvd, 265, Jonesboro, GA 30236 2014-12-19
1770991861 Lower Extremity Diagnostics, LLC Podiatrist 6911 Tara Boulevard, Jonesboro, GA 30236 2014-08-01
1760899710 Fresenius Medical Care Jonesboro, LLC Clinic/Center 8060 Summitt Business Parkway, Jonesboro, GA 30236 2014-07-22
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457958233 Kaitlyn Soffray Simmons Nurse Practitioner 500 Kitchen St, Jonesboro, AR 72401-3135 2020-10-05
1407463938 Aleshia Williams Nurse Practitioner 5401 Clear Creek Ln, Jonesboro, AR 72404-7006 2020-09-29
1790397495 Kbsolutions and Behavioral Support Services, LLC Nurse Practitioner 7265 Mount Zion Blvd Ste 1, Jonesboro, GA 30236-2519 2020-08-24
1568080646 Maryam A Muhammad Nurse Practitioner 2388 Reeves Creek Rd, Jonesboro, GA 30236-7229 2020-07-06
1346864121 Joy Brew Nurse Practitioner 8399 Members Dr, Jonesboro, GA 30236-4271 2020-06-08
1053932806 Sabrina Nannettee Bowen Nurse Practitioner 5800 C W Post Rd, Jonesboro, AR 72401-9602 2020-05-04
1265993182 Sara Ruth Johnson Nurse Practitioner 701 Windover Rd Ste 400, Jonesboro, AR 72401-6065 2019-03-26
1366927956 Yolanda Louise Davis Nurse Practitioner 1706 Heather Ridge Dr, Jonesboro, AR 72401-3748 2018-09-28
1457867475 Eucharia Udoka Obi Nurse Practitioner 9051 Jenni Cir, Jonesboro, GA 30238-6800 2017-12-28
1346752151 Chanel Dominque Bullock Nurse Practitioner 1150 E Matthews Ave Ste 203, Jonesboro, AR 72401 2017-11-02
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Competitor

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City JONESBORO
Zip Code 30236

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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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