ELSIE-SOLANGE MVOUENG NKOI-MIMBA (NPI# 1568007813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568007813 |
| Entity Type | Individual |
| Full Name | ELSIE-SOLANGE MVOUENG NKOI-MIMBA |
| Credential | NP |
| Practice Address |
820 Saint Sebastian Way Ste 4a Augusta GA 30901-2643 |
| Mailing Address |
Po Box 1705 Augusta GA 30903-1705 |
| Practice Telephone | 7067745995 |
| Practice Fax Number | 7067745996 |
| Mailing Telephone | 7067745995 |
| Mailing Fax Number | 7067745996 |
| Enumeration Date | 2019-11-11 |
| Last Update Date | 2020-10-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | RN231843 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6048 Pierless Ave, Sugar Hill, GA 305187155 | 4047910871 |
| Street Address |
820 SAINT SEBASTIAN WAY STE 4A |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30901-2643 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295880680 | Ian C. Herskowitz | Internal Medicine | 820 Saint Sebastian Way Ste 4a, Augusta, GA 30901 | 2007-01-24 |
| 1932674223 | Krista Dennis | Physician Assistant | 820 Saint Sebastian Way Ste 4a, Augusta, GA 30901-2643 | 2018-10-12 |
| 1508359274 | Hillary Hendley | Physician Assistant | 820 Saint Sebastian Way Ste 4a, Augusta, GA 30901 | 2018-06-07 |
| 1962639823 | Matthew Steven Nicholson | Internal Medicine | 820 Saint Sebastian Way Ste 4a, Augusta, GA 30901-2643 | 2009-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477019925 | Courtney Erin Fairchild | Physician Assistant | 1101 15th Street, Pa-224, Augusta, GA 30901 | 2019-02-20 |
| 1699263921 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1022 Walton Way Spc C, Augusta, GA 30901 | 2018-04-23 |
| 1235684192 | Heather Raborn | Allergy & Immunology | 1350 Walton Way Ste 5100, Augusta, GA 30901 | 2016-08-22 |
| 1457690745 | Rehab Without Walls, Inc. | In Home Supportive Care | 820 St Sebastin Way Se, Augusta, GA 30901 | 2013-02-06 |
| 1861788051 | Christina Weidner Belcher | Physical Therapist | 1246 Pine St, Augusta, GA 30901 | 2011-06-25 |
| 1750695979 | C H Martin Company | Durable Medical Equipment & Medical Supplies | 1456 Walton Way Suite B, Augusta, GA 30901 | 2010-07-29 |
| 1366773905 | Csb of East Central Ga | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4027 Wheeler Rd, Augusta, GA 30901 | 2010-01-21 |
| 1851622484 | Csb of East Central Ga | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1715 Forest Drive, Augusta, GA 30901 | 2010-01-21 |
| 1760615280 | Absolute Family PCh | Point of Service | 2035 Old Savannah Rd., Augusta, GA 30901 | 2009-09-01 |
| 1073740643 | Ryan J Altenburg | Internal Medicine | 820 Saint Sebastian Way Ste 8a, Augusta, GA 30901 | 2009-06-22 |
| Find all providers in zip 30901 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588145106 | Stephanie Madeline Wright | Nurse Practitioner | 1120 15th St # Ad3401, Augusta, GA 30912-0004 | 2018-08-22 |
| 1841732807 | Robert Dean Whigham | Nurse Practitioner | 1510 C and S Dr, Augusta, GA 30909-2804 | 2016-11-08 |
| 1659731313 | Robin Ann Lockhart | Nurse Practitioner | 1120 15th St Ba-9413, Augusta, GA 30912 | 2016-02-24 |
| 1598137481 | Jason E Stephens | Nurse Practitioner | 1224 Augusta West Parkway, Augusta, GA 30909 | 2015-10-30 |
| 1063892644 | Jasneth James | Nurse Practitioner | 3301 Woodville Rd, Augusta, GA 30909-9228 | 2015-06-09 |
| 1932588837 | Audrey Chrisitne Usry | Nurse Practitioner | 1941 Phinizy Rd, Augusta, GA 30906-5173 | 2015-05-26 |
| 1114138013 | Denise Kim Drake | Nurse Practitioner | 3624 J Dewey Gray Cir Ste 110, Augusta, GA 30909-6585 | 2007-05-24 |
| 1710194840 | Au Nursing Associates, Inc. | Nurse Practitioner | 987 Saint Sebastian Way # Ec-1500, Augusta, GA 30912 | 2007-05-17 |
| 1396899167 | Laura J Logue | Nurse Practitioner | 1411 Laney Walker Blvd # An2206, Mcg Cancer Center, Augusta, GA 30912-0002 | 2007-01-22 |
| 1154481448 | Focused Wound Care Associates LLC | Nurse Practitioner | 263 Clay St, Augusta, MO 63332-1018 | 2006-12-09 |
| Find all providers in AUGUSTA | ||||
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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.