PHYLLIS AMANDA CHAFIN (NPI# 1548209901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548209901 |
| Entity Type | Individual |
| Full Name | PHYLLIS AMANDA CHAFIN |
| Credential | NP |
| Practice Address |
1110 Hillcrest Pkwy Dublin GA 31021-3687 |
| Mailing Address |
Po Box 16100 Dublin GA 31040-6100 |
| Practice Telephone | 4782962800 |
| Practice Fax Number | 4782962801 |
| Mailing Telephone | 4789290036 |
| Mailing Fax Number | 4789291744 |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2014-09-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | R057027 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000833148B | 05 | |
| GA | NPI | 1548209901 | 01 |
| Street Address |
1110 HILLCREST PKWY |
| City | DUBLIN |
| State | GA |
| Zip Code | 31021-3687 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396288700 | Top Gun Medical Solutions, LLC | Specialist | 1110 Hillcrest Pkwy, Suite C, Dublin, GA 31021-3687 | 2016-12-02 |
| 1780134411 | Fasttrack Ic Ancillary LLC | Specialist | 1110 Hillcrest Pkwy, Unit #c, Dublin, GA 31021-3687 | 2016-10-05 |
| 1801292776 | Fasttrack Immediate Care of Dublin, LLC | General Practice | 1110 Hillcrest Pkwy, Dublin, GA 31021-3687 | 2014-11-05 |
| 1205265683 | Lanie Welch | Nurse Practitioner | 1110 Hillcrest Pkwy, Dublin, GA 31021-3687 | 2013-11-05 |
| 1578808069 | Hillcrest Surgery Center, LLC | Clinic/Center | 1110 Hillcrest Pkwy, Dublin, GA 31021-3687 | 2012-12-10 |
| 1558525931 | Souza Family Health & Urgent Care Center, LLC | Clinic/Center | 1110 Hillcrest Pkwy, Dublin, GA 31021-3687 | 2008-07-15 |
| 1225070261 | Anthony Yawn | Nurse Practitioner | 1110 Hillcrest Pkwy, Dublin, GA 31021-3687 | 2006-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497213748 | Ronald E. Johnson | Peer Specialist | Carl Vinson Va Medical Center, 1826 Veterans Blvd., Dublin, GA 31021 | 2019-03-06 |
| 1902384811 | Nieka Jackson | Pharmacist | 75 Woodlawn Dr, Apt. C-1, Dublin, GA 31021 | 2018-08-02 |
| 1407341522 | Empower Psychiatry & Weight Loss, LLC | Nurse Practitioner | 112 Rowe St Ste B, Dublin, GA 31021 | 2018-06-30 |
| 1619462207 | Kara Emily Frost | Speech-Language Pathologist | 1406 Bellevue Rd, Dublin, GA 31021 | 2018-06-26 |
| 1376035410 | Owens Speech Services, LLC | Speech-Language Pathologist | 401 Barfield Court, Dublin, GA 31021 | 2018-06-05 |
| 1558878884 | Tattnall Hospital Company, LLC | Neurological Surgery | 242 Industrial Blvd, Dublin, GA 31021 | 2018-01-09 |
| 1376991000 | Eatonton Facility Development Company, LLC | Hospice, Inpatient | 155 Greensboro Rd, Eatonton, GA 31021 | 2016-06-03 |
| 1801261177 | Jones Community Health Center, LLC | Clinic/Center | 115 Shadow Pond, Dublin, GA 31021 | 2015-12-11 |
| 1508237561 | Cancer Center of Middle Georgia | Specialist | 26 Erin Office Park, Dublin, GA 31021 | 2015-10-15 |
| 1922477249 | Mickey Jackson | Non-emergency Medical Transport (VAN) | 610 John Robinson Tl., Dublin, GA 31021 | 2015-09-16 |
| Find all providers in zip 31021 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972100287 | Emily Ann Harper | Nurse Practitioner | 6905 Hospital Dr Ste 200a, Dublin, OH 43016-1690 | 2020-10-08 |
| 1417518598 | Rachel Fetrow | Nurse Practitioner | 7219 Sawmill Rd Ste 105c, Dublin, OH 43016-5002 | 2019-06-27 |
| 1669976205 | Mary Cox | Nurse Practitioner | 108 Baker Rd, Dublin, VA 24084-3327 | 2018-03-20 |
| 1942710652 | Jamie Weaver | Nurse Practitioner | 6810 Perimeter Dr Ste 200a, Dublin, OH 43016-8013 | 2017-10-08 |
| 1467904763 | Monica Guyton | Nurse Practitioner | 721 Blackshear Ferry Rd W, Dublin, GA 31021-0374 | 2016-11-03 |
| 1891169348 | Candace Conley | Nurse Practitioner | 6705 Avery Muirfield Dr., Suite 1a, Dublin, OH 43017 | 2015-11-20 |
| 1962811554 | Rebecca Ferrell Green | Nurse Practitioner | 5275 Alexander Rd Ste A, Dublin, VA 24084-3657 | 2014-08-07 |
| 1295031458 | Stephanie Rae Rhodebeck | Nurse Practitioner | 425 Metro Place Ste 195, Dublin, OH 43017 | 2011-02-07 |
| 1710107792 | Lydia Lai-wa Wu | Nurse Practitioner | 506 Brookwood Dr, Apt. # Q6, Dublin, GA 31021-4917 | 2007-05-01 |
| 1457433583 | Np Care of Ohio, LLC | Nurse Practitioner | 5650 Blazer Pkwy, Suite 100, Dublin, OH 43017-3562 | 2006-10-19 |
| Find all providers in DUBLIN | ||||
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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.