CALEB PHILLIPS (NPI# 1558973099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1558973099 |
Entity Type | Individual |
Full Name | CALEB PHILLIPS |
Credential | RN |
Practice Address |
175 Gwinnett Dr Lawrenceville GA 30046-8444 |
Mailing Address |
1220 Kirkland Rd Covington GA 30016-2938 |
Practice Telephone | 6782092394 |
Mailing Telephone | 7065811799 |
Enumeration Date | 2020-08-17 |
Last Update Date | 2020-08-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WP0807X |
Registered Nurse Specialization: Psych/Mental Health, Child & Adolescent |
RN293596 | GA | Nursing Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700413911 | Caleb Wayne Phillips | Student in an Organized Health Care Education/Training Program | 900 S Limestone Ctw 304, Lexington, KY 40536-0293 | 2020-03-26 |
1679084214 | Caleb Phillips | Counselor | 1100 Walnut St, Owensboro, KY 42301-2956 | 2017-10-23 |
Street Address |
175 GWINNETT DR |
City | LAWRENCEVILLE |
State | GA |
Zip Code | 30046-8444 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609853860 | View Point Health | Day Training, Developmentally Disabled Services | 175 Gwinnett Dr, Post Office Box 687, Lawrenceville, GA 30046-8444 | 2005-12-29 |
1235739400 | Jennifer Kabiu | Registered Nurse | 175 Gwinnett Dr, Lawrenceville, GA 30046-8444 | 2020-10-27 |
1164021135 | Irene Bautista Lopez | Counselor | 175 Gwinnett Dr, Lawrenceville, GA 30046-8444 | 2020-10-21 |
1720686132 | Kimberly Gamble | Registered Nurse | 175 Gwinnett Dr, Lawrenceville, GA 30046-8444 | 2020-10-16 |
1205443868 | Pablo David Faundez | Counselor | 175 Gwinnett Dr, Lawrenceville, GA 30046-8444 | 2020-09-28 |
1295341717 | Sydney Calloway | Counselor | 175 Gwinnett Dr, Lawrenceville, GA 30046-8444 | 2020-09-21 |
1275149932 | Kenysha Doyen Thompson | Social Worker | 175 Gwinnett Dr, Lawrenceville, GA 30046-8444 | 2020-09-18 |
1457967218 | Taylor Mays | Social Worker | 175 Gwinnett Dr, Lawrenceville, GA 30046-8444 | 2020-09-17 |
1366058299 | Emma Paduraru | Nutritionist | 175 Gwinnett Dr, Lawrenceville, GA 30046-8444 | 2020-09-16 |
1922613330 | Shamikia Mcghee | Counselor | 175 Gwinnett Dr, Lawrenceville, GA 30046-8444 | 2020-09-11 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063023174 | Alpha & Omega Hearing Centers | Hearing Instrument Specialist | Alpha & Omega Hearing Centers, 250 Langley Drive, Suite 1106, Lawrenceville, GA 30046 | 2020-08-12 |
1285259846 | Mesun Health Services, Inc | Clinical Nurse Specialist | 88 Johnson Rd Building # 1-b, Lawrenceville, GA 30046 | 2020-06-10 |
1215550264 | Mesun Health Services, Inc | Skilled Nursing Facility | 88 Johnson Rd. Building #2, Lawrenceville, GA 30046 | 2020-05-26 |
1306499785 | Bryan Acosta | Chiropractor | 471 Scenic Hwy South, Lawrenceville, GA 30046 | 2019-07-24 |
1205308616 | Belle Lumiere Cosmetics LLC | Dermatology | 753 Old Norcross Road, Lawrenceville, GA 30046 | 2018-12-24 |
1548730179 | Alexis Nicole Robinson | Nurse Anesthetist, Certified Registered | 1000 Medical Center Boulevard, Lawrenceville, GA 30046 | 2018-11-27 |
1679060388 | Christopher Puckett | Student in an Organized Health Care Education/Training Program | 665 Duluth Hwy Suite 501, Lawrenceville, GA 30046 | 2018-04-18 |
1457851255 | Advanced Urology Institute of Georgia | Urology | 501 Crown Point Way, Lawrenceville, GA 30046 | 2018-02-19 |
1013447044 | Pharmacy Investments of Lawrenceville, LLC | Pharmacy | 738 Old Norcross Road, Ste A, Lawrenceville, GA 30046 | 2017-06-13 |
1225577000 | Priority Housecalls LLC | Clinic/Center | 225 Scenic Hwy, Ste 200, Lawrenceville, GA 30046 | 2017-02-14 |
Find all providers in zip 30046 |
Taxonomy Code | 163WP0807X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Psych/Mental Health, Child & Adolescent |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386910438 | Thomas L Myers | Registered Nurse | 644 Shannon Way, Lawrenceville, GA 30044-6305 | 2012-03-22 |
1861015844 | Modupe Banjoh | Registered Nurse | 175 Gwinnett Dr, Lawrenceville, GA 30046-8444 | 2020-05-25 |
1467946400 | Harriett Virginia Smith | Registered Nurse | 175 Gwinnett Dr, Lawrenceville, GA 30046-8444 | 2018-06-21 |
1275059214 | Denise Rae Beckler | Registered Nurse | 175 Gwinnett Dr, Lawrenceville, GA 30046-8444 | 2017-08-22 |
1700279296 | Nicole Elizabeth Wells | Registered Nurse | 175 Gwinnett Dr, Lawrenceville, GA 30046-8444 | 2015-03-09 |
1356733414 | Pamla Howell | Registered Nurse | 175 Gwinnett Dr, 251, Lawrenceville, GA 30046-8444 | 2015-02-26 |
1417357484 | Nashieka Douglas | Registered Nurse | 175 Gwinnett Dr, Lawrenceville, GA 30046 | 2014-08-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851877013 | Aurelia Linda Bryant-moody | Registered Nurse | 2012 Eastview Pkwy Ste 400, Conyers, GA 30013-5701 | 2018-07-11 |
1902349145 | Erica Steed | Registered Nurse | 3270 Cape Cir, Alpharetta, GA 30009-3772 | 2016-11-21 |
1821344557 | Nellie Idara Samuel | Registered Nurse | 2400 Northside Xing, Macon, GA 31210-2252 | 2012-07-31 |
1720340078 | Linda D Ilesanmi | Registered Nurse | 4045 George Busbee Pkwy Nw, Kennesaw, GA 30144-4894 | 2012-06-12 |
1073889143 | Maureen U Anyaoha | Registered Nurse | 1410 Paddocks Way, Powder Springs, GA 30127-5500 | 2012-03-22 |
1780959106 | Barbara Elaine Hill-coatney | Registered Nurse | 1358 Thomas Rd, Decatur, GA 30030-4621 | 2012-03-19 |
1740554799 | Lanalynne Ann Kurtzworth | Registered Nurse | 35 Beranda Cir, Douglasville, GA 30134-4626 | 2012-03-07 |
1659668622 | Willie C Onyilo | Registered Nurse | 3126 Esplanade Cir Sw, Atlanta, GA 30311-4221 | 2011-06-29 |
1124314232 | Philomen Anabelle Mcfee | Registered Nurse | 225 Johnson Rd, 45e, Forest Park, GA 30297-2861 | 2011-06-27 |
1801182928 | Lakisha Symone Sutton | Registered Nurse | 1724 Druid Oaks Ne, Atlanta, GA 30329-3283 | 2011-06-27 |
Find all providers with the same taxonomy |
City | LAWRENCEVILLE |
Zip Code | 30046 |
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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.