DR. DTAWAHN SEXTON


Address: 504 Seymour St, Valdosta, GA 31602-1814
Phone: 2295062204

DR. DTAWAHN SEXTON (NPI# 1568905107) 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) 1568905107
Entity Type Individual
Full Name DR. DTAWAHN SEXTON
Credential DNP, FNP-BC, RN
Practice Address 504 Seymour St
Valdosta
GA 31602-1814
Practice Telephone 2295062204
Mailing Telephone 2295062204
Enumeration Date 2016-11-30
Last Update Date 2016-11-30
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse RN216522 GA Nursing Service Providers
Y 363LF0000X Nurse Practitioner
Specialization: Family
2016024386 GA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 504 SEYMOUR ST
City VALDOSTA
State GA
Zip Code 31602-1814

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1477198117 Amber Michele Baugh Behavior Technician 2236 Bemiss Road, Valdosta, GA 31602 2019-11-15
1528611365 Nishaben T. Patel Nurse Practitioner 3120 North Oak Street Extension, Suite B, Valdosta, GA 31602 2019-07-22
1427615871 Blair Elizabeth Tomlinson Nurse Practitioner 2124 Lakeshore Drive, Valdosta, GA 31602 2019-05-21
1346704152 Mildred Itaska Borowski Counselor 3790 North Highway 41, Suite A, Valdosta, GA 31602 2019-01-25
1962991703 Southern Healthcare Alliance, LLC Physical Medicine & Rehabilitation 101-f W. Northside Drive, Valdosta, GA 31602 2018-05-08
1336636646 Kaitlyn Thrift Behavioral Analyst 2225 Bemiss Road Suite D, Valdosta, GA 31602 2018-04-23
1407379845 Lindsey Marie Richardson Dentist 103 W. Cranford Ave, Valdosta, GA 31602 2017-07-18
1962922427 Taylor Nicole Fiveash Nurse Practitioner 101 W Northisde Dr, Bldg G, Valdosta, GA 31602 2017-06-26
1720520646 Southern Sleepers Anesthesia LLC Nurse Anesthetist, Certified Registered 4120-b N. Valdosta Road, Valdosta, GA 31602 2016-11-09
1134670557 Cataract and Laser Surgery Center of South Georgia, P.C. Clinic/Center 4120-b N. Valdosta Rd., Valdosta, GA 31602 2016-10-20
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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
1962017368 Katrina Terrell Horne Nurse Practitioner 15 Pinetree Cir, Valdosta, GA 31601-6256 2020-09-11
1669009585 Cindy Renee James Nurse Practitioner 2517 Bemiss Rd Ste F, Valdosta, GA 31602-1900 2020-03-23
1629602776 Jennifer Lynn Cason Nurse Practitioner 406 Northside Dr Ste M, Valdosta, GA 31602-1853 2020-02-27
1528611365 Nishaben T. Patel Nurse Practitioner 3120 North Oak Street Extension, Suite B, Valdosta, GA 31602 2019-07-22
1427615871 Blair Elizabeth Tomlinson Nurse Practitioner 2124 Lakeshore Drive, Valdosta, GA 31602 2019-05-21
1447715529 Amanda Brunetto Nurse Practitioner 2418 N Oak St Ste J, Valdosta, GA 31602-2575 2019-02-04
1639640436 Brad Jay Jones Nurse Practitioner 470 Lazy River Dr, Valdosta, GA 31602-8245 2018-12-06
1396215703 James Robert Garrett Nurse Practitioner 3790 Old Us Highway 41 N Ste B, Valdosta, GA 31602-6866 2018-11-28
1508350661 Iulian Vuc Nurse Practitioner 2922 N Oak St Ste A, Valdosta, GA 31602-1885 2018-06-21
1346732617 Catherine Mashburn Price Nurse Practitioner 3116 N Oak Street Ext Ste B, Valdosta, GA 31602-1007 2018-06-03
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Competitor

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City VALDOSTA
Zip Code 31602

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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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