MR. JOHN ACHIBUEM CHITOH (NPI# 1497036842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497036842 |
Entity Type | Individual |
Full Name | MR. JOHN ACHIBUEM CHITOH |
Credential | FNP |
Practice Address |
125 Mcdonald Ave Cuthbert GA 39840-5829 |
Mailing Address |
2750 Owens Ave Sw Marietta GA 30064-4280 |
Practice Telephone | 2297323721 |
Mailing Telephone | 7704399744 |
Enumeration Date | 2011-08-30 |
Last Update Date | 2011-08-30 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN197564 | GA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
125 MCDONALD AVE |
City | CUTHBERT |
State | GA |
Zip Code | 39840-5829 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245233832 | Emmanuel Ndaya Ozimba | Family Medicine | 125 Mcdonald Ave, Cuthbert, GA 39840-5829 | 2005-05-27 |
1417501750 | Stephanie Stille Heleski | Nurse Practitioner | 125 Mcdonald Ave, Cuthbert, GA 39840-5829 | 2019-07-25 |
1275060212 | Careconnect Health, Inc. | Clinic/Center | 125 Mcdonald Ave, Cuthbert, GA 39840-5829 | 2017-05-22 |
1427205459 | John G Bates | Family Medicine | 125 Mcdonald Ave, Cuthbert, GA 39840-5829 | 2008-08-21 |
1285624452 | Hospital Authority of Randolph County | Clinic/Center | 125 Mcdonald Ave, Cuthbert, GA 39840-5829 | 2005-10-27 |
1396749149 | Hospital Authority of Randolph County | Clinic/Center | 125 Mcdonald Ave, Cuthbert, GA 39840-5829 | 2005-06-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366867533 | Rashema Vandetta Warren | Case Manager/Care Coordinator | 90 Villa Nova Street, New Horizons, Cuthbert, GA 39840 | 2014-02-25 |
1417378415 | Temperess Johnson | Adult Companion | 72 Cleborne Street, Cuthbert, GA 39840 | 2013-12-18 |
1730500976 | Mary Gibbs | Case Manager/Care Coordinator | 72 Clebourne Street, Cuthbert, GA 39840 | 2013-12-13 |
1023448917 | Katie Wright | Counselor | 72 Clebourne St, Cuthbert, GA 39840 | 2013-11-14 |
1588952048 | Michael Carr Jr. | Dentist | 84 Court Street, Cuthbert, GA 39840 | 2011-07-19 |
1518286764 | Lisa Ann Hardwick | Occupational Therapy Assistant | 2058 Hghway 82, Cuthbuert, GA 39840 | 2010-05-27 |
1952630154 | Naomi S Jenkins | Counselor | 264 Lumpkin Street, Cuthbert, GA 39840 | 2009-12-17 |
1467647875 | Mental Retardation Waiver Program | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 119 Claborn St., Cuthbert, GA 39840 | 2007-09-10 |
1376614073 | Randolph County Coutny School System | Local Education Agency (LEA) | 3451 Ga Hwy 266, Cuthbert, GA 39840 | 2006-11-13 |
1437632890 | Gary Nell Glover | Community Health Worker | 72 Clebourne Street, Cuthbert, GA 39840 | 2018-09-12 |
Find all providers in zip 39840 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417501750 | Stephanie Stille Heleski | Nurse Practitioner | 125 Mcdonald Ave, Cuthbert, GA 39840-5829 | 2019-07-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780285486 | Aprn Mobile Clinic LLC | Nurse Practitioner | 1361 Highwoods Pass, Grovetown, GA 30813-3994 | 2020-11-08 |
1093316820 | Odyne Rose Lacossiere-dorvilus | Nurse Practitioner | 30 Myrtlewood Dr, Savannah, GA 31405-1024 | 2020-11-06 |
1104427061 | Tya Wright | Nurse Practitioner | 1450 Newnan Crossing Blvd E Apt 13205, Newnan, GA 30265-0027 | 2020-11-05 |
1235730409 | Cheryl Lynn Williams | Nurse Practitioner | 282 Somerset Dr, Dallas, GA 30132-9761 | 2020-11-04 |
1033710298 | Karen F Frazier | Nurse Practitioner | 6610 Crest Wood Ln, Douglasville, GA 30135-9046 | 2020-11-04 |
1619578986 | Marjorie Sewannyana | Nurse Practitioner | 553 Camano Way, Mcdonough, GA 30253-8377 | 2020-11-03 |
1639770027 | Markesha Leshea Groomes | Nurse Practitioner | 209 N. Cuthbert, Colquitt, GA 39837-3515 | 2020-11-03 |
1265033625 | Ashley Thomas | Nurse Practitioner | 3750 Venture Dr Ste E4, Duluth, GA 30096-1863 | 2020-11-03 |
1558962894 | Anna Marie Kodama | Nurse Practitioner | 462 Furys Ferry Rd # C, Augusta, GA 30907-9506 | 2020-11-03 |
1093315848 | Tracy Tarvers | Nurse Practitioner | 129 Wolf Creek Dr N, Macon, GA 31210-9002 | 2020-10-30 |
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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.