LUCY MARLENA PERKERSON (NPI# 1447518212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447518212 |
Entity Type | Individual |
Full Name | LUCY MARLENA PERKERSON |
Credential | RN |
Practice Address |
122 Gordon Commercial Dr Ste C Lagrange GA 30240-5754 |
Practice Telephone | 7066721118 |
Practice Fax Number | 7066721918 |
Mailing Telephone | 7066721118 |
Mailing Fax Number | 7066721918 |
Enumeration Date | 2012-04-30 |
Last Update Date | 2012-04-30 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WA2000X |
Registered Nurse Specialization: Administrator |
RN148540 | GA | Nursing Service Providers |
Street Address |
122 GORDON COMMERCIAL DR STE C |
City | LAGRANGE |
State | GA |
Zip Code | 30240-5754 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083938492 | Melissa Ann Johnson | Counselor | 122 Gordon Commercial Dr Ste C, Lagrange, GA 30240-5754 | 2010-03-15 |
1689282220 | Sherjuana Davis | Social Worker | 122 Gordon Commercial Dr Ste C, Lagrange, GA 30240-5754 | 2020-07-20 |
1821636846 | Katie Kinsey | Case Manager/Care Coordinator | 122 Gordon Commercial Dr Ste C, Lagrange, GA 30240-5754 | 2019-12-20 |
1104464296 | Christopher Blake Glaze | Counselor | 122 Gordon Commercial Dr Ste C, Lagrange, GA 30240-5754 | 2019-12-19 |
1134767361 | Forrest Johnson | Case Manager/Care Coordinator | 122 Gordon Commercial Dr Ste C, Lagrange, GA 30240-5754 | 2019-12-18 |
1033755475 | Zenetta Michelle Harris | Licensed Practical Nurse | 122 Gordon Commercial Dr Ste C, Lagrange, GA 30240-5754 | 2019-11-20 |
1760023915 | Mariana Garcia | Case Manager/Care Coordinator | 122 Gordon Commercial Dr Ste C, Lagrange, GA 30240-5754 | 2019-09-30 |
1134770274 | Jennie Laplant | Counselor | 122 Gordon Commercial Dr Ste C, Lagrange, GA 30240-5754 | 2019-09-20 |
1427608652 | Robin Wilson | Licensed Practical Nurse | 122 Gordon Commercial Dr Ste C, Lagrange, GA 30240-5754 | 2019-09-19 |
1912555103 | Sophia Vaughn | Contractor | 122 Gordon Commercial Dr Ste C, Lagrange, GA 30240-5754 | 2019-08-30 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598223844 | Urgencare, LLC | Clinic/Center | 2169 West Point Road, Suite 105, Lagrange, GA 30240 | 2019-03-06 |
1679075527 | Georgia Pain and Spine Care, Inc | Pain Medicine | 303 Smith St Fl 2, Lagrange, GA 30240 | 2018-03-07 |
1629463500 | Quoc Vinh Ngo | Emergency Medicine | Wellstar West Georgia Medical Center, 1504 Vernon Road, Lagrange, GA 30240 | 2015-03-30 |
1770913964 | Dell H Lawson | Counselor | 300 Medical Dr. Ste 705., Lagrange, GA 30240 | 2013-11-25 |
1629418793 | Mortar & Pestle, LLC | Pharmacy | 205 Vernon Street, Lagrange, GA 30240 | 2013-07-03 |
1336582329 | Weredeselam Menna Olango | Psychiatry & Neurology | 303 Medical Dr Ste 401, Lagrange, GA 30240 | 2013-04-10 |
1720333743 | Mortar and Pestle, LLC | Pharmacy | 300 Mooty Bridge Road, Lagrange, GA 30240 | 2012-07-16 |
1366768459 | Karin Taylor | Physical Medicine & Rehabilitation | 1600 Vernon Rd Ste A, Lagrange, GA 30240 | 2010-04-14 |
1871819458 | Kathryn J Hill | Counselor | 100 Smith St Ste 1, Lagrange, GA 30240 | 2010-04-08 |
1285802751 | Air Evac Ems, Inc. | Ambulance | 455 Aerotron Pkwy, Lagrange, GA 30240 | 2008-02-18 |
Find all providers in zip 30240 |
Taxonomy Code | 163WA2000X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Administrator |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699381327 | Jamaria A Bryant | Registered Nurse | 2050 Roswell Rd Ste 312, Marietta, GA 30062-3811 | 2020-09-17 |
1063052470 | Kimberly Michel Davis | Registered Nurse | 4560 Atwater Ct Ste 105-2, Buford, GA 30518-3497 | 2020-01-14 |
1043879075 | Latavia Howard | Registered Nurse | 495 Lory Ln, Grovetown, GA 30813-6104 | 2019-06-12 |
1336678317 | Lisa Dove Blakely | Registered Nurse | 1659 Woodbridge Ln Ne, Atlanta, GA 30329-3536 | 2017-06-05 |
1194257931 | Cheryl Davis | Registered Nurse | 118 S Madison St, Suite 4, Thomasville, GA 31792-5495 | 2017-03-31 |
1366815383 | Mary Azuh | Registered Nurse | 1069 Lakefield Walk, Marietta, GA 30064-5758 | 2015-11-12 |
1720462575 | Kimily Singleton | Registered Nurse | 821 Pavilion Ct Ste G, Mcdonough, GA 30253-5223 | 2015-07-10 |
1891126561 | Constance English | Registered Nurse | 1332 Donald Lee Hollowell Pkwy Nw, Atlanta, GA 30318-5143 | 2013-12-06 |
1750633251 | Karen D Stack | Registered Nurse | 2793 Clairmont Rd Ne, Suite 213, Atlanta, GA 30329-2700 | 2012-10-08 |
1447523139 | Donna B Walden | Registered Nurse | 161 Finncannon Dr, Ellijay, GA 30536-4773 | 2012-02-11 |
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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.