ANNA MARIE KODAMA


Address: 462 Furys Ferry Rd # C, Augusta, GA 30907-9506
Phone: 7068680319

ANNA MARIE KODAMA (NPI# 1558962894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558962894
Entity Type Individual
Full Name ANNA MARIE KODAMA
Credential NP-C
Practice Address 462 Furys Ferry Rd # C
Augusta
GA 30907-9506
Mailing Address 4852 Tanner Oaks Dr
Evans
GA 30809-5130
Practice Telephone 7068680319
Mailing Telephone 7066915665
Enumeration Date 2020-11-03
Last Update Date 2020-11-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
RN222944 GA Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
4852 Tanner Oaks Dr, Evans, GA 308095130 7066915665

Office Location

Street Address 462 FURYS FERRY RD # C
City AUGUSTA
State GA
Zip Code 30907-9506

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1275158156 Mary Cameron Elizabeth Robert Dentist 3226 Washington Rd, Augusta, GA 30907 2020-06-16
1841760451 Debra E Gibbs Dental Hygienist 523 Crystal Creek West, Martinez, GA 30907 2018-11-27
1083183651 Leslie Yvonne Watkins Massage Therapist 3450 River Watch Parkway, Suite 100, Martinez, GA 30907 2018-11-13
1124594718 Kimberly A Delaigle Nurse Practitioner 3475 Riverwatch Parkway, Suite 310, Martinez, GA 30907 2018-10-22
1366960825 Catherine Lane Hopkins Speech-Language Pathologist 435 Cambridge Circle, Martinez, GA 30907 2017-09-05
1518485143 Challenging Perspectives Clinic/Center 3710 Executive Center Dr Suite B, Martinez, GA 30907 2017-09-04
1386168490 Carlene Elizabeth Lemcke Speech-Language Pathologist 3580 Riverwatch Parkway, Martinez, GA 30907 2017-07-31
1619499357 Orchid Archer Registered Nurse 702 Riverbend Drive, Martinez, GA 30907 2017-07-14
1437679339 Mediator Senior Care, LLC In Home Supportive Care 4143 Columbia Rd., Suite B, Martinez, GA 30907 2017-06-21
1518407907 Augusta Smilecare PC Dentist 4200 Columbia Road, Martinez, GA 30907 2017-03-03
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1588262372 Taylor Safford Nurse Practitioner 1348 Walton Way Ste 4100, Augusta, GA 30901-5107 2020-10-13
1831719269 Tanaysa Green Nurse Practitioner 1702 Holly Hill Rd, Augusta, GA 30904-5050 2020-04-27
1699395749 Mary Elizabeth Dalis Nurse Practitioner 1025 Redbird Rd, Augusta, GA 30904-3181 2020-04-18
1316585185 Rebecca Williford Nurse Practitioner 1220 George C Wilson Dr, Augusta, GA 30909-4501 2019-12-12
1699322370 Ashley Staten Nurse Practitioner 2739 Huntcliffe Dr, Augusta, GA 30909-0662 2019-08-19
1053978205 Keneka V Allen Nurse Practitioner 6229 Key West Dr, Augusta, GA 30909-6745 2019-05-23
1487210589 Jason Schunk Nurse Practitioner S7645 Morning Crest Dr, Augusta, WI 54722-7579 2019-05-14
1740754308 Patricia Lynn Blevins Nurse Practitioner 300 E Hospital Dr, Augusta, GA 30905 2019-01-17
1174097190 Yuri Kang Nurse Practitioner Augusta University Medical Center 1120 15th Street, Augusta, GA 30912-0359 2019-01-12
1831661347 Lyudmila Milanina Reed Nurse Practitioner 1350 Walton Way Ste 5700, Augusta, GA 30901-2629 2018-12-21
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Competitor

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City AUGUSTA
Zip Code 30907

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Dataset Information

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.

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