TERESA GARVIN WILDER (NPI# 1477585446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477585446 |
Entity Type | Individual |
Full Name | TERESA GARVIN WILDER |
Other Name | TERESA ROBIN GARVIN |
Credential | NP-C |
Practice Address |
777 Hemlock St Macon GA 31201-2102 |
Practice Telephone | 4787654132 |
Practice Fax Number | 4787654171 |
Mailing Telephone | 4787654132 |
Mailing Fax Number | 4787654171 |
Enumeration Date | 2006-07-07 |
Last Update Date | 2014-11-10 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LN0005X |
Nurse Practitioner Specialization: Neonatal, Critical Care |
RN060359 | GA | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 904870559A | 05 |
Street Address |
777 HEMLOCK ST |
City | MACON |
State | GA |
Zip Code | 31201-2102 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467452375 | Sandra E Moore | Pediatrics | 777 Hemlock St, Msc 83, Macon, GA 31201-2102 | 2005-07-21 |
1740881796 | Daquanda Arnett | Registered Nurse | 777 Hemlock St, Macon, GA 31201-2102 | 2020-11-05 |
1538770383 | Laquanna Foster | Nurse Practitioner | 777 Hemlock St, Macon, GA 31201-2102 | 2020-08-14 |
1669081113 | Sabrina L. Singleton | Anesthesiologist Assistant | 777 Hemlock St, Macon, GA 31201-2102 | 2020-07-29 |
1528686003 | Jonathan Michael Clopton | Nurse Practitioner | 777 Hemlock St, Macon, GA 31201-2102 | 2020-07-10 |
1194348623 | Samay Bhushan | Student in an Organized Health Care Education/Training Program | 777 Hemlock St, Macon, GA 31201-2102 | 2020-05-19 |
1184247785 | Andrew Tyler Barnes | Student in an Organized Health Care Education/Training Program | 777 Hemlock St, Macon, GA 31201-2102 | 2020-05-19 |
1922627108 | Gwenda Faye Canady | Registered Nurse | 777 Hemlock St, Macon, GA 31201-2102 | 2020-04-08 |
1376172536 | Hannah Batten | Student in an Organized Health Care Education/Training Program | 777 Hemlock St, Macon, GA 31201-2102 | 2020-04-08 |
1225667587 | Michael T Stevens | Student in an Organized Health Care Education/Training Program | 777 Hemlock St, Macon, GA 31201-2102 | 2020-04-07 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639666340 | Yasameen Emad Muzahim | Internal Medicine | 777 Hemlock Street, Msc 165, Macon, GA 31201 | 2018-04-18 |
1952819419 | Putnam Dialysis LLC | Clinic/Center | 657 Hemlock Street, Suite 200, Macon, GA 31201 | 2018-01-18 |
1730604331 | Graham Arthur Mercier | Surgery | 169 Ashley Ave., Room 202 Main Hospital Msc 333, Charleston, SC 31201 | 2017-08-04 |
1376075705 | Diamond Jude | Internal Medicine | 777 Hemlock Street Msc #104, Macon, GA 31201 | 2017-04-03 |
1174055263 | Carol Roobin Bashuk | Hearing Instrument Specialist | 634 First Street, Macon, GA 31201 | 2017-03-29 |
1144752411 | Hubert Pare | Student in an Organized Health Care Education/Training Program | 777 Hemlock Street, Msc# 165, Macon, GA 31201 | 2017-03-28 |
1548613789 | Michael Daugherty | Counselor | 1873 Hardeman Ave, Suite 1, Macon, GA 31201 | 2016-07-22 |
1316317993 | 4front Healthcare of Middle Georgia, LLC | Hospice Care, Community Based | 682 1st St, Macon, GA 31201 | 2015-09-25 |
1881073054 | Andrew Lee Drahos | Surgery | 777 Hemlock St # 140, Macon, GA 31201 | 2015-05-21 |
1720474158 | April Nicole Colley | Nurse Practitioner | 1014 Forsyth Street, Macon, GA 31201 | 2015-04-13 |
Find all providers in zip 31201 |
Taxonomy Code | 363LN0005X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Neonatal, Critical Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578527479 | Rebecca Lynn Turner | Nurse Practitioner | Children's Hospital Navicent Health, 777 Hemlock Street, Macon, GA 31201 | 2006-04-17 |
1669968137 | Cheri Denise Robison | Nurse Practitioner | 777 Hemlock St, Macon, GA 31201-2102 | 2018-07-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902357866 | Carla Zimmerly | Nurse Practitioner | 1711 Tullie Circle, Atlanta, GA 30329 | 2016-10-17 |
1851709844 | Scott Anthony Sides | Nurse Practitioner | 88 Hardy St, Chatsworth, GA 30705-3231 | 2014-07-23 |
1659641058 | Christy Marie Gardner | Nurse Practitioner | 1120 15th St # 6033, Augusta, GA 30912-0004 | 2012-01-03 |
1932721461 | Ashley Murry | Nurse Practitioner | 1711 Tullie Cir Ne, Atlanta, GA 30329-2305 | 2020-05-06 |
1881227940 | Ingried Albisu | Nurse Practitioner | 1405 Clifton Rd Ne, Atlanta, GA 30322-1060 | 2020-02-18 |
1407400427 | Rachel Mae Perlman | Nurse Practitioner | 1584 Tullie Cir Ne, Atlanta, GA 30329-2311 | 2019-07-29 |
1730660093 | Virginia Tittle Kee | Nurse Practitioner | 11 Upper Riverdale Rd Sw, Riverdale, GA 30274-2615 | 2018-08-24 |
1669962684 | Hilary Antley Jones | Nurse Practitioner | 1711 Tullie Cir Ne, Atlanta, GA 30329-2305 | 2018-05-15 |
1295238723 | Thuy Thu-thi Nguyen | Nurse Practitioner | 1120 15th St # 6033, Augusta, GA 30912-1067 | 2018-03-12 |
1255832994 | Alisha Benson Weathers | Nurse Practitioner | 1200 Memorial Dr, Dalton, GA 30720-2529 | 2018-02-27 |
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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.