KRYSTA HARTLEY (NPI# 1437795408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437795408 |
| Entity Type | Individual |
| Full Name | KRYSTA HARTLEY |
| Credential | PA-C |
| Practice Address |
208 Scranton Connector Ste 117 Brunswick GA 31525-0560 |
| Mailing Address |
204 Oak Pointe Dr Richmond Hill GA 31324-5313 |
| Practice Telephone | 9125745958 |
| Mailing Telephone | 8145041336 |
| Enumeration Date | 2019-11-25 |
| Last Update Date | 2019-11-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
9551 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
208 SCRANTON CONNECTOR STE 117 |
| City | BRUNSWICK |
| State | GA |
| Zip Code | 31525-0560 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316996671 | Avanelle V Jack | Internal Medicine | 208 Scranton Connector Ste 117, Brunswick, GA 31525-0560 | 2006-05-06 |
| 1023571411 | Brunswick Urgent Care, LLC | Nurse Practitioner | 208 Scranton Connector Ste 117, Brunswick, GA 31525-0560 | 2019-04-11 |
| 1013468883 | Kacey Miller | Physician Assistant | 208 Scranton Connector Ste 117, Brunswick, GA 31525-0560 | 2016-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063905990 | Jonathon Wesley Capps | Physician Assistant | 1111 Glynco Pkwy Bldg 1, Ste 10, Brunswick, GA 31525 | 2018-06-14 |
| 1366993628 | Hands Down Muscle Restoration, Inc | Homeopath | 1212 Chapel Crossing Road, Brunswick, GA 31525 | 2016-10-20 |
| 1619424173 | Jebediah S Christy Dds - Brunswick Pllc | Dentist | 11455 Canal Crossing, Brunswick, GA 31525 | 2016-09-01 |
| 1831545508 | Heller Family Medicine, LLC | General Practice | 208 Scranton Connector Ste 120, Brunswick, GA 31525 | 2016-05-11 |
| 1437525391 | Natisha Danielle Hill | Occupational Therapy Assistant | 138 Wingefield Commons Drive, Brunswick, GA 31525 | 2015-08-14 |
| 1811269632 | Solar Family Practice | Family Medicine | 122 Scranton Connector, Suite 112, Brunswick, GA 31525 | 2012-02-09 |
| 1700187895 | Chetan Patel | Pharmacist | 12 Woodfall Ct, Brunswick, GA 31525 | 2010-11-05 |
| 1194914275 | Dialysis of Golden Isles, LLC | Clinic/Center | 475 Gateway Center Blvd, Brunswick, GA 31525 | 2007-10-15 |
| 1902939325 | Gateway Behavioral Health Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 111 Frazier Street, Brunswick, GA 31525 | 2007-03-14 |
| 1609909498 | Gateway Behavioral Health Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 115 Frazier Road, Brunswick, GA 31525 | 2007-03-13 |
| Find all providers in zip 31525 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144374497 | Jennifer Teeter | Physician Assistant | 610 Ninth Avenue, Brunswick, MD 21716 | 2007-01-23 |
| 1740255389 | Nathaniel David Lewis | Physician Assistant | 145 Royal Dr, Brunswick, GA 31523-6278 | 2006-02-17 |
| 1598189805 | Southeast Lung & Critical Care Specialists, PC | Physician Assistant | 122 Scranton Connector, Suite #112, Brunswick, GA 31525-0533 | 2014-02-06 |
| 1487967162 | Kristen Casey | Physician Assistant | 329 Maine St Ste A200, Brunswick, ME 04011-3310 | 2010-07-22 |
| 1609002534 | Shannon M Beheler | Physician Assistant | 610 9th Ave, Brunswick, MD 21716-1828 | 2009-06-05 |
| 1215177522 | Laura Rachel Bishop | Physician Assistant | 1111 Glynco Pkwy, Suite 300, Brunswick, GA 31525-7921 | 2009-02-26 |
| 1104064278 | Elizabeth Y Fletcher | Physician Assistant | 1111 Glynco Pkwy, Suite 500, Brunswick, GA 31525-7921 | 2009-01-28 |
| 1316051030 | Deborah Lynn Zito | Physician Assistant | 2500 Starling St, Brunswick, GA 31520-4219 | 2006-08-18 |
| 1043225634 | Angela S Latham | Physician Assistant | 2705 Wildwood Dr, Brunswick, GA 31520-4346 | 2006-07-30 |
| 1851342356 | Nancy J Warner | Physician Assistant | 2500 Starling St, Suite 504, Brunswick, GA 31520-4265 | 2006-05-12 |
| Find all providers in BRUNSWICK | ||||
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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.