KRISTIN BOST GAFFNEY (NPI# 1457633307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457633307 |
| Entity Type | Individual |
| Full Name | KRISTIN BOST GAFFNEY |
| Credential | PA-C, MSPAS |
| Practice Address |
3707 Largent Way Nw Marietta GA 30064 |
| Mailing Address |
805 Sandy Plains Road Medical Staff Services Marietta GA 30066-6340 |
| Practice Telephone | 6785815729 |
| Practice Fax Number | 6785815719 |
| Enumeration Date | 2011-09-16 |
| Last Update Date | 2019-11-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 0010-04394 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
7932 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
1715 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 1457633307 | 05 | |
| SC | 1742PA | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4645 Augusta Rd, Beech Island, SC 298427265 | 8035939283 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720241318 | Kristin A Gaffney | Internal Medicine | 107 Glen Oak Blvd, Suite 202, Hendersonville, TN 37075 | 2008-07-03 |
| Street Address |
3707 LARGENT WAY NW |
| City | MARIETTA |
| State | GA |
| Zip Code | 30064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063413805 | Sophia L Mcintyre | Family Medicine | 3707 Largent Way Nw, Marietta, GA 30064-5981 | 2005-08-02 |
| 1740578954 | Angela Herrington | Nurse Practitioner | 3707 Largent Way Nw, Marietta, GA 30064-1672 | 2011-07-21 |
| 1538459292 | Eshamumerene Esin | Family Medicine | 3707 Largent Way Nw, Marietta, GA 30064-5981 | 2011-04-14 |
| 1366741068 | Ron Alleyne | Family Medicine | 3707 Largent Way Nw, Marietta, GA 30064-5981 | 2011-03-21 |
| 1164728770 | Wellstar Medical Group, LLC | Family Medicine | 3707 Largent Way Nw, Marietta, GA 30064-1672 | 2011-01-28 |
| 1396791679 | Wellstar West Cobb Medical Center, LLC | Pediatrics | 3707 Largent Way Nw, Marietta, GA 30064-1672 | 2006-05-26 |
| 1881668580 | Daniel N Saade | Pediatrics | 3707 Largent Way Nw, Marietta, GA 30064-1672 | 2006-02-17 |
| 1063401289 | Lori Spitzer Corley | Pediatrics | 3707 Largent Way Nw, Marietta, GA 30064-1672 | 2005-10-20 |
| 1881683001 | Amber Jo Orquia | Family Medicine | 3707 Largent Way Nw, Marietta, GA 30064-1672 | 2005-10-20 |
| 1871582098 | Diane Follmer | Nurse Practitioner | 3707 Largent Way Nw, Marietta, GA 30064-1672 | 2005-10-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043833304 | Chelsey Lewis | Pharmacist | 660 Whitlock Ave Sw, Marietta, GA 30064 | 2020-05-21 |
| 1316428527 | Candice Murray | Nurse Practitioner | 2727 Wynford Ave Sw, Marietta, GA 30064 | 2018-08-25 |
| 1427539741 | Emily Dorsey Drew | Nurse Practitioner | 3911 Mary Eliza Trce Nw Ste 200, Marietta, GA 30064 | 2018-08-24 |
| 1649765017 | Julie K Berger | Counselor | 336 Powder Springs St Suite 206, Marietta, GA 30064 | 2018-06-27 |
| 1689175291 | Anthony Bammer | Clinical Exercise Physiologist | 1001 Whitlock Avenue Nw, Marietta, GA 30064 | 2018-02-28 |
| 1831600725 | Dyniecia Barnes | Specialist | 2575 White Haven Dr Sw, Ste 100 / Salon 121, Marietta, GA 30064 | 2017-10-18 |
| 1588173298 | Michelle Ann Stich | Assistant Behavior Analyst | 376 Powder Springs St Ste 130, Marietta, GA 30064 | 2017-09-26 |
| 1194241976 | Namasine Lolice Dalrymple | Counselor | 1708 Peachtree St, Suite 300, Atlanta, GA 30064 | 2017-08-14 |
| 1245760859 | Michael H Mulkey, Dmd PC | Dentist | 3951 Mary Eliza Trace Nw, Suite 200, Marietta, GA 30064 | 2017-06-15 |
| 1700310893 | West Cobb Dentist Office, PC | Dentist | 3805 Dallas Hwy Sw, Suite 804, Marietta, GA 30064 | 2017-04-14 |
| Find all providers in zip 30064 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518596733 | Rebecca Faye Tsyrlin | Physician Assistant | 2655 Dallas Hwy Sw Ste 340, Marietta, GA 30064-7518 | 2020-04-08 |
| 1447727094 | Klara Lisy | Physician Assistant | 711 Canton Road, Suite 300, Marietta, GA 30060 | 2018-10-31 |
| 1770021958 | Sarah Miller | Physician Assistant | 2550 Windy Hill Rd Se Ste 200, Marietta, GA 30067-8654 | 2017-02-07 |
| 1972925709 | Jawauna Smith | Physician Assistant | 4343 Shallowford Rd Ste B4a, Marietta, GA 30062-5003 | 2014-01-14 |
| 1841611852 | Emily Hannah Johnson | Physician Assistant | 61 Whitcher St Ste 2100, Marietta, GA 30060 | 2013-12-17 |
| 1225464738 | Ashley D Lockhart | Physician Assistant | 400 Matthew St Ste 200, Marietta, OH 45750-1633 | 2013-09-17 |
| 1568593788 | Felicity A Devaughn | Physician Assistant | 790 Church St Ne Ste 510, Marietta, GA 30060-8957 | 2007-03-08 |
| 1346359585 | Alice Fair Franklin | Physician Assistant | 835 Cogburn Ave Nw Ste 100, Marietta, GA 30060-1008 | 2006-08-30 |
| 1013567452 | Megan Nichole Dalton | Physician Assistant | 340 Kennestone Hospital Blvd Ste 100, Marietta, GA 30060-1158 | 2019-09-18 |
| 1356900757 | Megan Marie Johnson | Physician Assistant | 340 Kennestone Hospital Blvd Ste 100, Marietta, GA 30060-1158 | 2019-06-10 |
| Find all providers in MARIETTA | ||||
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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.