JON PAUL SKELLY (NPI# 1497113849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497113849 |
| Entity Type | Individual |
| Full Name | JON PAUL SKELLY |
| Credential | CNIM |
| Practice Address |
6298 Veterans Pkwy Suite 5a Columbus GA 31909-6258 |
| Practice Telephone | 7063200927 |
| Practice Fax Number | 7063218167 |
| Mailing Telephone | 7063200927 |
| Mailing Fax Number | 7063218167 |
| Enumeration Date | 2016-01-31 |
| Last Update Date | 2016-01-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 246ZE0500X |
Specialist/Technologist, Other Specialization: EEG |
Technologists, Technicians & Other Technical Service Providers | ||
| Y | 246ZE0600X |
Specialist/Technologist, Other Specialization: Electroneurodiagnostic |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
6298 VETERANS PKWY SUITE 5A |
| City | COLUMBUS |
| State | GA |
| Zip Code | 31909-6258 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356398622 | Jeffrey Robert Fraser | Physical Therapist | 6298 Veterans Pkwy, Suite 5a, Columbus, GA 31909-6258 | 2006-05-30 |
| 1558838359 | Zachary Scott Vanburen | Chiropractor | 6298 Veterans Pkwy, Columbus, GA 31909-6258 | 2018-10-30 |
| 1235662875 | Rebecca Loney | Physical Therapist | 6298 Veterans Pkwy, Suite 5b, Columbus, GA 31909-6258 | 2017-04-11 |
| 1487001053 | Steven Kyle Alexander | Physical Therapist | 6298 Veterans Pkwy, 5a, Columbus, GA 31909-6258 | 2016-05-24 |
| 1376902890 | Elizabeth Ann Young | Specialist/Technologist, Other | 6298 Veterans Pkwy, Suite 5a, Columbus, GA 31909-8068 | 2016-02-11 |
| 1992190169 | Julie King | Physical Therapist | 6298 Veterans Pkwy, Suite 5a, Columbus, GA 31909-6258 | 2015-04-03 |
| 1235483215 | Mark Lott | Pharmacist | 6298 Veterans Pkwy, Suite 2h, Columbus, GA 31909-6258 | 2012-10-30 |
| 1407106198 | Alison Louise Smith | Speech-Language Pathologist | 6298 Veterans Pkwy, Suite 5a, Columbus, GA 31909-6258 | 2012-09-11 |
| 1730457706 | Elizabeth A Spotts | Behavioral Analyst | 6298 Veterans Pkwy, Suite 9b, Columbus, GA 31909-6258 | 2011-12-06 |
| 1811285844 | Brandi Hayes | Behavioral Analyst | 6298 Veterans Pkwy, Suite 9b, Columbus, GA 31909-6258 | 2011-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235747403 | Abundant Heart Healthcare Solution, LLC | Adult Companion | 6361 Talokas Lane, Ste C 140-279, Columbus, GA 31909 | 2020-07-14 |
| 1477185791 | Shandis Denise Phaneuf | Licensed Practical Nurse | 6545 Gregg Dr, Columbus, GA 31909 | 2020-02-05 |
| 1164086203 | Brock Musick | Physical Therapist | 100 First Court, Columbus, GA 31909 | 2019-04-24 |
| 1407340037 | Courtney Patterson | Behavior Technician | 5900 Warm Springs Road, Suite J, Columbus, GA 31909 | 2018-06-18 |
| 1225543515 | Oral & Facial Surgery of East Alabama, LLC | Dentist | 4405 N Stadium Drive, Suite A, Columbus, GA 31909 | 2017-12-08 |
| 1528577368 | Courtney Anne Young | Nurse Practitioner | 2700 Double Churches Rd, Apt 1207, Columbus, GA 31909 | 2017-09-25 |
| 1427573542 | Megan Renee Kwon | Dietitian, Registered | 4343 Warm Springs Road Apt. 110, Columbus, GA 31909 | 2017-08-09 |
| 1942659305 | Stephanie Mcghee | Dental Hygienist | 4835 Turnberry Lane, Columbus, GA 31909 | 2016-06-07 |
| 1770932162 | Tammy Allen | Dental Assistant | 701 Hoff Rd Building 9240, Ft. Benning, GA 31909 | 2016-06-07 |
| 1003265406 | Rhonda Mills | Dental Assistant | 7101 Hoff Rd Building 9240, Ft. Benning, GA 31909 | 2016-06-07 |
| Find all providers in zip 31909 | ||||
| Taxonomy Code | 246ZE0600X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Electroneurodiagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538603204 | Nicole Antman | Specialist/Technologist, Other | 7401 Blackmon Rd, Apt 2801, Columbus, GA 31909-4489 | 2016-12-14 |
| 1760886915 | Meshia Miller | Specialist/Technologist, Other | 7461 Blackmon Rd, Apt 5201, Columbus, GA 31909-8400 | 2014-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619509940 | Sheth Consultants, LLC | Specialist/Technologist, Other | 403 W Ponce De Leon Ave Ste 206, Decatur, GA 30030-2421 | 2020-02-05 |
| 1427696384 | Candis Julie Spivey | Specialist/Technologist, Other | 923 Irwin Rd, Tennille, GA 31089-3861 | 2019-12-11 |
| 1841847274 | John Douglas Redmond | Specialist/Technologist, Other | 7338 Eagle Ct, Midland, GA 31820-4334 | 2019-08-21 |
| 1295382943 | Kimberly Cara Sampson | Specialist/Technologist, Other | 201 Dailey Hill Cir, Ringgold, GA 30736-8157 | 2019-08-19 |
| 1386208254 | Sunwana Walker | Specialist/Technologist, Other | 515 Fairhope St, Augusta, GA 30901-1913 | 2019-04-26 |
| 1053899377 | Johnny Ramos | Specialist/Technologist, Other | 402 Rosewater Dr, Warner Robins, GA 31088-8688 | 2018-07-30 |
| 1821508227 | Molly Brake | Specialist/Technologist, Other | 3535 Peachtree Rd Ne Ste 520-637, Atlanta, GA 30326-3287 | 2017-10-11 |
| 1639608516 | University Neuro, LLC | Specialist/Technologist, Other | 925b Peachtree St Ne Ste 710, Atlanta, GA 30309-3918 | 2017-06-05 |
| 1205377975 | David Kalisz II | Specialist/Technologist, Other | 1880 Beaver Ridge Circle Suite D, Norcross, GA 30071 | 2017-03-15 |
| 1407399793 | Megan Keeton | Specialist/Technologist, Other | 446 Dwarf Grass Ct, Lawrenceville, GA 30045-8185 | 2016-11-18 |
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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.