DR. JEFFREY A WILSON-REESE (NPI# 1548588825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548588825 |
Entity Type | Individual |
Full Name | DR. JEFFREY A WILSON-REESE |
Credential | PSY.D. |
Practice Address |
4600 Fulton Mill Rd Central S.p. Mental Health Dept. Macon GA 31208-2500 |
Mailing Address |
299 Jule Ingram Rd Ne Milledgeville GA 31061-7962 |
Practice Telephone | 4784722943 |
Enumeration Date | 2010-05-11 |
Last Update Date | 2010-05-11 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY001959 | GA | Behavioral Health & Social Service Providers |
Street Address |
4600 FULTON MILL RD CENTRAL S.P. MENTAL HEALTH DEPT. |
City | MACON |
State | GA |
Zip Code | 31208-2500 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528122496 | Eni Nwabueze | Internal Medicine | 4600 Fulton Mill Rd, Macon, GA 31208-2500 | 2006-12-21 |
1083124515 | Leon,jr. Howard | Dentist | 4600 Fulton Mill Rd, Macon, GA 31208-2500 | 2017-10-11 |
1982812475 | Stephen Kwaku Opoku | Psychiatry & Neurology | 4600 Fulton Mill Rd, Macon, GA 31208-2501 | 2007-05-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093967317 | Bonita Ann Mitchell | Massage Therapist | 235 Ruby Dr., Creative Movement Workshop, Macon, GA 31208 | 2008-10-17 |
1033164728 | Allison Nicole Battles | Dietitian, Registered | Coliseum Medical Center, 350 Hospital Drive, Macon, GA 31208 | 2006-05-23 |
1528152543 | David Lee Beall | Nurse Anesthetist, Certified Registered | 777 Hemlock St, Macon, GA 31208 | 2006-10-03 |
1578516605 | Jacqueline Rose Chestnut | Dietitian, Registered | 350 Hospital Dr, Coliseum Medical Center, Macon, GA 31208 | 2006-05-18 |
1275893257 | Chintan P. Patel | Pediatrics | 400 Charter Blvd, Coliseum North Side Hospital, Macon, GA 31208-4831 | 2012-05-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376143941 | Wanda Welch | Spec/Tech, Health Info | 2720 Sheraton Dr Ste 170, Macon, GA 31204-6806 | 2020-10-31 |
1093315848 | Tracy Tarvers | Nurse Practitioner | 129 Wolf Creek Dr N, Macon, GA 31210-9002 | 2020-10-30 |
1346840451 | Emily Lauren Brooks | Registered Nurse | 104 Ellis Way, Macon, GA 31216-6278 | 2020-10-28 |
1538768296 | Ga Diagnostic Providers | Clinic/Center | 5400 Riverside Dr Ste 202, Macon, GA 31210-0818 | 2020-10-22 |
1134728447 | Daniela Morgan Ragins | Registered Nurse | 4287 Vinson Ave, Macon, GA 31206-4055 | 2020-10-19 |
1659979086 | Mvp Physio Dr. | Clinic/Center | 123 Umiya Nagar Cir, Macon, GA 31206-5401 | 2020-10-16 |
1225636392 | Courtney Hampton | Counselor | 1800 Wesleyan Dr Apt 95, Macon, GA 31210-1075 | 2020-10-12 |
1578160560 | Ida Mayaka | Nurse Practitioner | 210 Autumn Trace Ct, Macon, GA 31210-8025 | 2020-10-03 |
1821604158 | Tekeria Gallemore | Nurse Practitioner | 204 Rockingham Pl, Macon, GA 31217-2615 | 2020-09-22 |
1801402714 | Top Dog Solutions LLC | Otolaryngology | 4295 Interstate Dr Ste B, Macon, GA 31210-6815 | 2020-09-17 |
Find all providers in MACON |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174864979 | Kenwana Michelle Vanderbilt | Psychologist | Macon Outpatient Clinic- 5398 Thomaston Rd., Suite B, Macon, GA 31220 | 2013-03-05 |
1073833638 | Michael R Johns Psyd | Psychologist | 3678 Vineville Ave, Macon, GA 31204-1868 | 2010-06-07 |
1710024385 | Melissa Hicks | Psychologist | 6601 Zebulon Rd, Macon, GA 31220-7606 | 2007-01-31 |
1174679062 | Stacey Smoot Owen | Psychologist | 5398 Thomaston Rd, Suite B, Macon, GA 31220-8110 | 2007-01-25 |
1902969363 | Jal Psychological Services | Psychologist | 3626 Vineville Ave, Macon, GA 31204-1853 | 2006-12-18 |
1801983325 | Steven Alan Hobbs | Psychologist | 655 1st St, Macon, GA 31201-2852 | 2006-10-06 |
1063420875 | Mark J. Prigatano | Psychologist | 146 Pierce Ave, Macon, GA 31204-2871 | 2006-08-04 |
1407488968 | Christina Lynn Charette | Psychologist | 4931 Riverside Dr # 400a, Macon, GA 31210-1156 | 2020-02-12 |
1801319447 | Neha Khorana | Psychologist | 250 Martin Luther King Jr Blvd, Macon, GA 31201-3490 | 2017-07-25 |
1154602910 | Dinah K Ayna | Psychologist | 250 Martin Luther King Jr Blvd, Macon, GA 31201-3490 | 2011-09-07 |
Find all providers in MACON |
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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.