TRACY DUDLEY


Address: 1279 Highway 54 W, Suite 100, Fayetteville, GA 30214-4550
Phone: 7707195710

TRACY DUDLEY (NPI# 1447707427) 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) 1447707427
Entity Type Individual
Full Name TRACY DUDLEY
Credential NP
Practice Address 1279 Highway 54 W
Suite 100
Fayetteville
GA 30214-4550
Practice Telephone 7707195710
Practice Fax Number 6788174360
Mailing Telephone 7707195710
Mailing Fax Number 6788174360
Enumeration Date 2016-09-07
Last Update Date 2016-10-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
180892 GA Physician Assistants & Advanced Practice Nursing Providers

Other Providers TRACY DUDLEY

NPI Name Taxonomy Address Enumeration
1518336387 Tracy Dudley Licensed Practical Nurse 764 Harding Ave, Jamestown, NY 14701 2015-09-22

Office Location

Street Address 1279 HIGHWAY 54 W
SUITE 100
City FAYETTEVILLE
State GA
Zip Code 30214-4550

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629062153 Michlene Broadney Obstetrics & Gynecology 1279 Highway 54 W, Suite 220, Fayetteville, GA 30214-4552 2005-09-12
1902267123 Marjani Jean-philippe Advanced Practice Midwife 1279 Highway 54 W, Suite 220, Fayetteville, GA 30214-4550 2016-03-16
1922382274 Jakki Nicole Robinson Nurse Practitioner 1279 Highway 54 W, Suite 220, Fayetteville, GA 30214-4550 2011-10-05
1275855504 Lindsey L Witt Nurse Practitioner 1279 Highway 54 W, Suite 220, Fayetteville, GA 30214-4552 2010-03-01
1093950685 Georgia Cancer Specialists I PC Internal Medicine 1279 Highway 54 W, Suite 210, Fayetteville, GA 30214-4550 2008-12-10
1861668337 Nicole L Sroka Surgery 1279 Highway 54 W, Suite 210, Fayetteville, GA 30214-4550 2008-05-05
1144491937 Memorie Morgan Nichols Physician Assistant 1279 Highway 54 W, Suite 210, Fayetteville, GA 30214-4550 2008-03-19
1740473735 Mitzie-ann Davis Obstetrics & Gynecology 1279 Highway 54 W, Suite 100, Fayetteville, GA 30214-4550 2007-08-22
1790985653 Kristie Yancy Dyson Obstetrics & Gynecology 1279 Highway 54 W, Suite 220, Fayetteville, GA 30214-4552 2007-07-19
1902007321 Shirley Williams Nurse Practitioner 1279 Highway 54 W, Suite 220, Fayetteville, GA 30214-4550 2007-05-31
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548872468 Phyllis Kelly Wood Nurse Practitioner 217 Banks Rd, Suite 31, Fayetteville, GA 30214 2020-08-21
1073139317 Tyisha Salter Scott Counselor 110 Habersham Drive, Suite 142, Fayetteville, GA 30214 2020-06-23
1194341412 Camille Franncine Bolton Physical Therapist 500 Floy Farr Parkway, Suite 303, Fayetteville, GA 30214 2020-06-23
1205465895 Gillian Vaughan Heard Physician Assistant 1275 Ga-54 #201, Fayetteville, GA 30214 2020-04-06
1881234557 Peach Fits,inc Mastectomy Fitter 285 Glynn Street South, Suites 102 and 104, Fayetteville, GA 30214 2020-01-10
1255981072 Delta Healthcare Providers Clinic/Center 1275 W Lanier Ave, #200, Fayetteville, GA 30214 2019-09-13
1861965592 Hierarchy for Wellness Specialist 805 S Glynn St Bldg 127 142, Fayetteville, GA 30214 2019-01-04
1356810634 Fayette Dental Group PC Clinic/Center 720 W Lanier Ave, Fayetteville, GA 30214 2018-11-16
1891263299 Mattie Mae Farmer Clark Specialist/Technologist, Other Piedmont Fayette Hospital, 1255 Highway 54 West, Fayetteville, GA 30214 2018-11-05
1093293607 Allyson Holland Pharmacist 880 Highway 85 South, Fayetteville, GA 30214 2018-08-06
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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
1528674181 Maggie Mullican Nurse Practitioner 7084 S Pleasant Ridge Dr, Fayetteville, AR 72704-5447 2020-09-18
1720690167 Stephen Arthur Lepak Nurse Practitioner 6871 Appleton Dr, Fayetteville, PA 17222-9383 2020-08-18
1750990255 Towauna Daya Nurse Practitioner 1338 Redwine Rd, Fayetteville, GA 30215-2509 2020-07-30
1316555642 Constance Ofundem Takang Nurse Practitioner 110 Emerald Lake Ct, Fayetteville, GA 30215-7747 2020-07-22
1851916472 Breanna Mills Nurse Practitioner 2623 N Fire Fly Catch Dr, Fayetteville, AR 72704-6313 2020-06-09
1922621069 Laura Sarai Perez Nurse Practitioner 480 Lees Lake Rd, Fayetteville, GA 30214-3106 2020-05-23
1902431125 Crystal Baker English Nurse Practitioner 113 Old Bethel Rd, Fayetteville, TN 37334-6186 2020-03-09
1568092708 Stephanie Elizabeth Fields Nurse Practitioner 1265 Highway 54 Ste 402, Fayetteville, GA 30214-4537 2020-01-15
1437616364 Andrea Teal Bergman Nurse Practitioner Physicians Medical Walk In Care, 2893 Huntsville Hwy, Fayetteville, TN 37334-6729 2019-02-27
1639634447 Arica Adams-gro'ce Nurse Practitioner 4028 Lifestyle Rd, Fayetteville, NC 28312-9335 2019-02-06
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Competitor

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City FAYETTEVILLE
Zip Code 30214

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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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