CASSANDRA L WILSON (NPI# 1487831020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487831020 |
| Entity Type | Individual |
| Full Name | CASSANDRA L WILSON |
| Credential | MD |
| Practice Address |
204 E 15th St Alma GA 31510-2908 |
| Practice Telephone | 9126322952 |
| Practice Fax Number | 9126328682 |
| Mailing Telephone | 9126322952 |
| Mailing Fax Number | 9126328682 |
| Enumeration Date | 2008-01-25 |
| Last Update Date | 2020-04-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 62301 | GA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184168940 | Cassandra Wilson | Counselor | 12900 W 110th St, Overland Park, KS 66210-1253 | 2016-12-13 |
| 1386023307 | Cassandra Wilson | Developmental Therapist | 4495 E Giro Rd, Hazleton, IN 47640-9303 | 2015-05-22 |
| 1629419734 | Cassandra Denise Wilson | Counselor | 280 Verbena Dr, East Palo Alto, CA 94303-2522 | 2013-07-17 |
| 1023634441 | Cassandra L Wilson | Social Worker | 500 Madison Ave Ste 510, Toledo, OH 43604-1210 | 2020-06-22 |
| 1811532062 | Cassandra Wilson | Counselor | 6100 Western Pl Ste 908, Fort Worth, TX 76107-4600 | 2019-11-12 |
| 1891273595 | Cassandra Jane Wilson | Behavior Technician | 7150 Campus Dr Ste 160, Colorado Springs, CO 80920-3178 | 2018-08-03 |
| 1831612597 | Cassandra Wilson | Nurse Practitioner | 14121 Parke Long Ct Ste 201, Chantilly, VA 20151-1647 | 2017-07-24 |
| 1184153645 | Cassandra Wilson | Specialist | 10541 Drummond Rd, Philadelphia, PA 19154 | 2017-06-08 |
| 1679004451 | Cassandra Mary Wilson | Psychoanalyst | 16150 Ne 85th St Ste 220, Redmond, WA 98052-3546 | 2017-03-23 |
| 1174955629 | Cassandra Susann Wilson | Counselor | 10828 Gravelly Lake Dr. Sw, Suite 204, Lakewood, WA 98499 | 2013-08-07 |
| Street Address |
204 E 15TH ST |
| City | ALMA |
| State | GA |
| Zip Code | 31510-2908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760433304 | Khaldon A Al Saadi | Surgery | 204 E 15th St, Alma, GA 31510-2908 | 2006-05-16 |
| 1467085217 | Janna Mullis Moody | Nurse Practitioner | 204 E 15th St, Alma, GA 31510-2908 | 2020-02-20 |
| 1952836504 | Crh Physician Practices, LLC | Surgery | 204 E 15th St, Alma, GA 31510-2908 | 2017-04-20 |
| 1558808626 | Sheryl Turner Cox | Nurse Practitioner | 204 E 15th St, Alma, GA 31510-2908 | 2017-01-26 |
| 1518318054 | Neha Kakkar | Internal Medicine | 204 E 15th St, Alma, GA 31510 | 2016-06-27 |
| 1912358755 | Ian Furtado | Family Medicine | 204 E 15th St, Alma, GA 31510-2908 | 2016-06-22 |
| 1093180481 | Kymberly D Anderson | Nurse Practitioner | 204 E 15th St, Alma, GA 31510-2908 | 2015-12-10 |
| 1336560952 | South Georgia Physicians Group, LLC | Surgery | 204 E 15th St, Alma, GA 31510 | 2013-12-27 |
| 1689935306 | South Georgia Primary Care, Inc. | Family Medicine | 204 E 15th St, Alma, GA 31510-2908 | 2012-05-30 |
| 1366769457 | Gabor Kovacs Md, LLC | Specialist | 204 E 15th St, Alma, GA 31510-2908 | 2010-04-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427693407 | Shepard Therapy Center | Occupational Therapist | 139 Ga Highway 32 Byp, Alma, GA 31510 | 2019-11-13 |
| 1760027320 | Sean Shepard | Physical Therapist | 139 Ga Hwy 32 Bypass, Alma, GA 31510 | 2019-11-07 |
| 1043875586 | Tricare Ambulance Service L.L.C. | Ambulance | 172 Pine Hollow Ln, Alma, GA 31510 | 2019-05-09 |
| 1053806299 | Eva Fedd | Counselor | 901 North Pierce St, Alma, GA 31510 | 2018-06-29 |
| 1730570268 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1041 S Us Highway 1, Alma, GA 31510 | 2015-02-05 |
| 1356475644 | Bacon County Family Medicine, LLC | Family Medicine | 205 South Wayne Street, Alma, GA 31510 | 2007-03-16 |
| 1720124043 | Unison Behavioral Health | Day Training, Developmentally Disabled Services | 1835 W 12th Street, Alma, GA 31510 | 2007-01-30 |
| 1891832952 | Unison Behavioral Health | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 123 Quart Douglas Road, Alma, GA 31510 | 2007-01-30 |
| 1992899082 | George Joel Williams Jr. | Dentist | 408 E 16th St, George J Williams Dds, Alma, GA 31510 | 2006-10-03 |
| 1093829343 | Charles E Bagley Mdpc | Family Medicine | 210 E 16th Street, Alma, GA 31510 | 2006-08-17 |
| Find all providers in zip 31510 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982633988 | Francisco Antonio Lossio | Pediatrics | 7320 N Alger Rd, Suite G, Alma, MI 48801-1072 | 2006-07-02 |
| 1902242985 | Lossio Pediatrics, Pllc | Pediatrics | 245 E Warwick Dr, Suite D, Alma, MI 48801-1026 | 2013-05-16 |
| 1114214434 | Yasser Al-jebawi | Pediatrics | 7320 N Alger Rd, Suite G, Alma, MI 48801-1072 | 2011-07-07 |
| 1275777971 | Rachel Burke Glass | Pediatrics | 204 E 15th St, Alma, GA 31510-2908 | 2009-04-24 |
| 1417045006 | Midmichigan Medical Center - Gratiot | Pediatrics | 7320 N Alger Rd, Suite G, Alma, MI 48801-1072 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063025690 | Sas Medical LLC | Pediatrics | 8601 Dunwoody Pl Ste 565, Sandy Springs, GA 30350-2519 | 2020-08-24 |
| 1467063248 | Kindercare Pediatrics of Georgia | Pediatrics | 174 Royal Oak Dr, Guyton, GA 31312-5624 | 2020-08-13 |
| 1649880667 | Grayson Pediatrics Mobile | Pediatrics | 297 Cooper Rd Ste B, Loganville, GA 30052-2518 | 2020-08-04 |
| 1134745953 | Molly C Shields | Pediatrics | Dugas Building Bg 107 1120 15th Street, Augusta, GA 30912-0001 | 2020-06-17 |
| 1033734918 | Lauren Wooten Smith | Pediatrics | Chog Pediatric Residency Program 1120 15th Street, Augusta, GA 30912-0001 | 2020-06-16 |
| 1225667314 | Moyosore Mary Abere | Pediatrics | 104 Bluff Chase, Bonaire, GA 31005-3867 | 2020-04-02 |
| 1447886155 | Natalie Brown Shumate | Pediatrics | 1669 Pleasant Valley Rd Ne, Monroe, GA 30655-6211 | 2020-03-14 |
| 1356988455 | Maura Mchugh Barrett | Pediatrics | 1805 Parke Plaza Cir Ste 103, Stone Mountain, GA 30087-3646 | 2019-12-08 |
| 1629614060 | Kaley Adams | Pediatrics | 227 Torrington Blvd, Thomasville, GA 31757-3904 | 2019-11-20 |
| 1164066791 | Holly Savino | Pediatrics | 603 Old Norcross Rd Ste A, Lawrenceville, GA 30046-4315 | 2019-11-06 |
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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.