SELISHIA MICHELLE MCFARLANE (NPI# 1558774711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558774711 |
| Entity Type | Individual |
| Full Name | SELISHIA MICHELLE MCFARLANE |
| Other Name | MS. SELISHIA MICHELLE PATRICK |
| Credential | NP |
| Practice Address |
1301 Sigman Rd Ne Ste 170 Conyers GA 30012-3923 |
| Mailing Address |
200 Corporate Blvd Lafayette LA 70508-3870 |
| Practice Telephone | 6788063690 |
| Mailing Telephone | 8008939698 |
| Enumeration Date | 2014-06-05 |
| Last Update Date | 2020-05-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | RN170614 | GA | Allopathic & Osteopathic Physicians |
| N | 363L00000X | Nurse Practitioner | RN170614 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN170614 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
RN170614 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1412 Milstead Ave Ne, Conyers, GA 300123877 | 7709183000 | 7709183104 |
| 2151 W Spring St, Monroe, GA 306553115 | 7702678461 |
| Street Address |
1301 SIGMAN RD NE STE 170 |
| City | CONYERS |
| State | GA |
| Zip Code | 30012-3923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114260833 | Shahzad Ahmed | Internal Medicine | 1301 Sigman Rd Ne Ste 170, Conyers, GA 30012-3923 | 2013-04-01 |
| 1639646961 | Brittany Cook | Nurse Practitioner | 1301 Sigman Rd Ne Ste 170, Conyers, GA 30012-3923 | 2018-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578188306 | The Eye Md | Ophthalmology | 1359 Milstead Road, Suite #103, Conyers, GA 30012 | 2020-06-08 |
| 1043855836 | Maurvet Minto | Counselor | 1175 Green St, Conyers, Conyers, GA 30012 | 2019-11-15 |
| 1770054561 | Sarah Elizabeth Brooks | Physical Medicine & Rehabilitation | 1290 Milstead Ave Ne, Conyers, GA 30012 | 2018-12-06 |
| 1679091276 | Valorie Antoinette Jones | Counselor | 1175 Green St Se, Conyers, GA 30012 | 2017-09-02 |
| 1558886341 | Synergy Radiology, LLC | Radiology | 1501 Milstead Road, Suite 140, Conyers, GA 30012 | 2017-08-14 |
| 1558813295 | Salon Lyon, LLC | Specialist | 1112 West Ave, Se, B, Conyers, GA 30012 | 2016-10-28 |
| 1992252753 | Traci Hunter Bryan | Pharmacist | 1501 Milstead Ave Ne, Suite 110, Conyers, GA 30012 | 2016-09-08 |
| 1316491830 | Hye Rim Kim | Anesthesiologist Assistant | 1380 Milstead Rd Ne, Suite G, Conyers, GA 30012 | 2016-08-12 |
| 1235591397 | David Jeffrey Wasserman | Optometrist | 1192 Dogwood Dr Sw, Conyers, GA 30012 | 2016-03-28 |
| 1174919187 | Anique Archer | Health Educator | 2170 Lester Rd Nw, Conyers, GA 30012 | 2015-04-07 |
| Find all providers in zip 30012 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760082283 | Helen King-cox | Nurse Practitioner | 1650 Honey Creek Cmns Se, Conyers, GA 30013-5831 | 2020-10-26 |
| 1982202644 | Kathy Delaine Reid | Nurse Practitioner | 2324 Wilson Rd Nw, Conyers, GA 30012-2720 | 2020-10-15 |
| 1720606437 | Natalie Shelton | Nurse Practitioner | 1950 Lancaster Dr Se, Conyers, GA 30013-6442 | 2020-07-09 |
| 1013561323 | Assumpta Ogbedeagu | Nurse Practitioner | 2920 Highway 138 Ne, Conyers, GA 30013-1110 | 2019-07-25 |
| 1528611522 | Danyelle M Smith | Nurse Practitioner | 1755 Parker Rd Se Ste A120, Conyers, GA 30094-6665 | 2019-07-18 |
| 1013475110 | Cecelin E Fields | Nurse Practitioner | 1706 Woodstone Cv Se, Conyers, GA 30013-6303 | 2019-03-07 |
| 1851858914 | Moun E. Thomas | Nurse Practitioner | 2405 Hyde Park Ct, Conyers, GA 30013-7434 | 2019-02-25 |
| 1972075919 | Candice Mooyin | Nurse Practitioner | 1506 Klondike Rd Sw Ste 250, Conyers, GA 30094-5173 | 2018-12-31 |
| 1801362140 | Linda M Leiser | Nurse Practitioner | 1066 Plantation Blvd Se, Conyers, GA 30094-4120 | 2018-10-14 |
| 1356822126 | Glory Dioh-esona | Nurse Practitioner | 2340 Deeside Se, Conyers, GA 30013-6470 | 2018-08-28 |
| Find all providers in CONYERS | ||||
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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.