KASSIE D. MIDDLEBROOKS (NPI# 1558797514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558797514 |
| Entity Type | Individual |
| Full Name | KASSIE D. MIDDLEBROOKS |
| Credential | MPAS, PA-C |
| Practice Address |
100 Medical Dr Suite 200 Dublin GA 31021-2561 |
| Mailing Address |
Po Box 370 Fortson GA 31808-0370 |
| Practice Telephone | 4782748886 |
| Practice Fax Number | 4782748887 |
| Mailing Fax Number | 7064943008 |
| Enumeration Date | 2013-09-23 |
| Last Update Date | 2020-06-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
100 MEDICAL DR SUITE 200 |
| City | DUBLIN |
| State | GA |
| Zip Code | 31021-2561 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205174182 | Physicians Staffing Solutions | Internal Medicine | 100 Medical Dr, Dublin, GA 31021-2559 | 2013-01-28 |
| 1841595428 | Upward Surgical, LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 100 Medical Dr, Suite 100, Dublin, GA 31021-2559 | 2011-01-13 |
| 1992971287 | Mary Hannah Mccormick | Internal Medicine | 100 Medical Dr, Suite 100, Dublin, GA 31021-2561 | 2008-05-06 |
| 1588845440 | Dustin Phillip Gay | Orthopaedic Surgery | 100 Medical Dr, Suite 200, Dublin, GA 31021-2559 | 2007-11-20 |
| 1083833321 | Jeremy H Richter | Orthopaedic Surgery | 100 Medical Dr, Suite 200, Dublin, GA 31021-2559 | 2007-04-25 |
| 1407923089 | Dublin Multispecialty LLC | Orthopaedic Surgery | 100 Medical Dr, Suite 100 & 200, Dublin, GA 31021 | 2006-11-29 |
| 1902995178 | Vishal Agrawal | Internal Medicine | 100 Medical Dr, Dublin, GA 31021-2559 | 2006-10-12 |
| 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 | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255954988 | Lamson Do Nguyen | Physician Assistant | 8611 Beverly Ln, Dublin, CA 94568-1216 | 2020-05-28 |
| 1508407842 | Rachel De Rosa | Physician Assistant | 7269 Golden Pl, Dublin, OH 43017-2463 | 2019-10-07 |
| 1154894210 | Elizabeth Ann Boehme | Physician Assistant | Dublin Family Medicine, 118 Broad St., Dublin, VA 24084-3211 | 2019-01-10 |
| 1710486485 | Ohio Pa Services, LLC | Physician Assistant | 2783 Martin Rd # 212, Dublin, OH 43017-2096 | 2018-02-07 |
| 1437689361 | Jessica Winta | Physician Assistant | 7554 Dublin Blvd, Dublin, CA 94568-4365 | 2017-06-13 |
| 1376081208 | Stephanie Sin Eng | Physician Assistant | 11823 Kilcullin Ct, Dublin, CA 94568-2352 | 2017-02-11 |
| 1902359383 | Ohio Psychiatric Services LLC. | Physician Assistant | 7446 Barrister Dr, Dublin, OH 43016-7019 | 2016-08-02 |
| 1588017362 | Morgan L Hall | Physician Assistant | 100 Medical Dr Ste 200, Dublin, GA 31021-2561 | 2016-07-18 |
| 1649641523 | Chelsea Blanche Hayman | Physician Assistant | 7281 Sawmill Rd Ste 100, Dublin, OH 43016-9021 | 2015-10-17 |
| 1063827194 | Karla Lyn Grimes | Physician Assistant | 4881 Cougar Trail Rd, Dublin, VA 24084-3918 | 2014-06-27 |
| 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.