RHONDA TISDALE (NPI# 1508315102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508315102 |
| Entity Type | Individual |
| Full Name | RHONDA TISDALE |
| Credential | NP-BC |
| Practice Address |
1751 Newnan Crossing Blvd E Newnan GA 30265-1517 |
| Mailing Address |
1751 Newnan Crossing Blvd E. Newnan GA 30265 |
| Practice Telephone | (678) 423-5854 |
| Mailing Telephone | (678) 423-5854 |
| Enumeration Date | 2016-09-25 |
| Last Update Date | 2017-06-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN217347 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1751 NEWNAN CROSSING BLVD E |
| City | NEWNAN |
| State | GA |
| Zip Code | 30265-1517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710040225 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 1751 Newnan Crossing Blvd E, Newnan, GA 30265-1517 | 2006-12-18 |
| 1083213904 | Jin Hyuk Seo | Pharmacy | 1751 Newnan Crossing Blvd E, Newnan, GA 30265-1517 | 2020-10-21 |
| 1386268423 | John Benjamin Williams | Pharmacist | 1751 Newnan Crossing Blvd E, Newnan, GA 30265-1517 | 2020-06-04 |
| 1588295372 | Christina Tyree | Pharmacist | 1751 Newnan Crossing Blvd E, Newnan, GA 30265-1517 | 2020-01-30 |
| 1508391889 | Kristen Michelle Waddell | Nurse Practitioner | 1751 Newnan Crossing Blvd E, Newnan, GA 30265-1517 | 2017-04-25 |
| 1508300690 | Emily Battaglia | Nurse Practitioner | 1751 Newnan Crossing Blvd E, Newnan, GA 30265-1517 | 2016-12-08 |
| 1811389869 | Shante Nicole Young | Nurse Practitioner | 1751 Newnan Crossing Blvd E, Newnan, GA 30265-1517 | 2015-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265041537 | Shiva Bazargan | Pharmacist | 3116 Sr 34 West, Newnan, GA 30265 | 2020-07-23 |
| 1992322549 | Doctorsbeyond Inc. | Clinic/Center | 277 Skyview Court, Newnan, GA 30265 | 2020-06-30 |
| 1225652936 | Jerrica Conyers | Nurse Practitioner | 1635 Highwat 34 East Suite C, Newnan, GA 30265 | 2020-05-29 |
| 1982234688 | Morgan Elizabeth Bross | Physician Assistant | 1825 Ga- 34, Newnan, GA 30265 | 2020-01-22 |
| 1013553379 | Hopebridge LLC | Behavior Technician | 2147 Newnan Crossing Boulevard East, Newnan, GA 30265 | 2019-11-21 |
| 1518528116 | Stepping Stones Psychiatric Care LLC | Nurse Practitioner | 3025 Sharpsburg Mccullum Rd, Building B Suite 103, Newnan, GA 30265 | 2019-06-25 |
| 1356823363 | Stephen William Jacon | Specialist/Technologist | 29 Muirfield Court, Newnan, GA 30265 | 2018-09-05 |
| 1881176832 | Blueprint Psychiatry, LLC | Psychiatry & Neurology | 1601 Highway 34 E Ste A, Newnan, GA 30265 | 2018-09-05 |
| 1548790769 | Timothy Collins | Physical Therapist | 1755 Ga-34, Suite 1300, Rehab Department, Newnan, GA 30265 | 2017-06-20 |
| 1497289748 | Edible Health & Wellness,llc | Clinic/Center | 90f Glenda Trace Pmb 318, Newnan, GA 30265 | 2017-04-13 |
| Find all providers in zip 30265 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427061 | Tya Wright | Nurse Practitioner | 1450 Newnan Crossing Blvd E Apt 13205, Newnan, GA 30265-0027 | 2020-11-05 |
| 1679173116 | Michelle Verone Johnson - Monteith | Nurse Practitioner | 329 Granite Way, Newnan, GA 30265-6065 | 2020-10-26 |
| 1205445335 | Christy Lynne Duffey | Nurse Practitioner | 40 Brightling Ln, Newnan, GA 30265-5626 | 2020-07-24 |
| 1285268094 | Julie L Boyce | Nurse Practitioner | 35 Ashley Woods Dr, Newnan, GA 30263-5462 | 2020-03-02 |
| 1720622921 | Peggy Darlene Troyer | Nurse Practitioner | 1320 Moore Rd, Newnan, GA 30263-5221 | 2019-10-30 |
| 1427511260 | Johnny Glenn Mulliniks | Nurse Practitioner | 371 Newnan Crossing Byp Ste 103, Newnan, GA 30265-3888 | 2019-04-09 |
| 1346737582 | Crista Jonte' Ivory | Nurse Practitioner | 772 Greison Trl Ste H, Newnan, GA 30263-1498 | 2018-04-13 |
| 1679071260 | Dana M. Sellers | Nurse Practitioner | 54 Harris Ct, Newnan, GA 30263-4663 | 2018-01-29 |
| 1477095552 | Nicole P Irwin | Nurse Practitioner | 309 Briandwood Dr, Newnan, GA 30265-6279 | 2016-11-07 |
| 1821540048 | The Little Clinic of Georgia LLC | Nurse Practitioner | 1751 Newnan Crossings Boulavard East, Newnan, GA 30265 | 2016-11-04 |
| Find all providers in NEWNAN | ||||
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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.