DR. HARRIET CROCKETT-WOODS (NPI# 1497161715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497161715 |
Entity Type | Individual |
Full Name | DR. HARRIET CROCKETT-WOODS |
Other Name | DR. HARRIET CHANTAY CROCKETT |
Credential | D.O. |
Practice Address |
777 Hemlock St Macon GA 31201-2102 |
Mailing Address |
10545 Willow View Cir Johns Creek GA 30022-6551 |
Practice Telephone | 4786331000 |
Mailing Telephone | 6623471930 |
Enumeration Date | 2014-07-08 |
Last Update Date | 2018-09-26 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | UO3950 | FL | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
1800 Se Tiffany Ave, Port Saint Lucie, FL 349527521 | 7723981990 |
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 |
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Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316288202 | Chapin Henley | General Practice | 4522 Old Club Rd, Macon, GA 31210-4722 | 2013-03-03 |
1730329889 | Wesley D Ulrich | General Practice | 376 Rogers Ave, Macon, GA 31204-2506 | 2009-03-03 |
1073723680 | Miller Family Practice, LLC. | General Practice | 1818 Forsyth Street, Suite 200, Macon, GA 31201-1636 | 2007-05-23 |
1154426088 | Kathy P Wilcox | General Practice | 4000 Vineville Ave, Macon, GA 31210-5038 | 2006-09-14 |
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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.