MS. KIMBERLY DAWN DYCKMAN (NPI# 1598009557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598009557 |
| Entity Type | Individual |
| Full Name | MS. KIMBERLY DAWN DYCKMAN |
| Credential | PA-C |
| Practice Address |
1100 Northside Forsyth Dr Suite 200 Cumming GA 30041-6012 |
| Mailing Address |
1100 Northside Forsyth Drive St 200 Cumming GA 30041 |
| Practice Telephone | 7708872323 |
| Mailing Telephone | 7708872323 |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2012-11-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 6644 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1100 NORTHSIDE FORSYTH DR SUITE 200 |
| City | CUMMING |
| State | GA |
| Zip Code | 30041-6012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003814716 | John P Gorecki | Neurological Surgery | 1100 Northside Forsyth Dr, Suite 310, Cumming, GA 30041-6012 | 2005-07-07 |
| 1790221273 | James Quick | Pharmacist | 1100 Northside Forsyth Dr, Cumming, GA 30041-6012 | 2017-01-09 |
| 1417402108 | Kanitha K Sar | Nurse Practitioner | 1100 Northside Forsyth Dr, Suite 210, Cumming, GA 30041-6012 | 2016-08-23 |
| 1558712513 | Stephanie Upchurch | Specialist/Technologist, Other | 1100 Northside Forsyth Dr, 420, Cumming, GA 30041-6012 | 2016-06-30 |
| 1407205859 | Sydnie Christine Freeman | Audiologist | 1100 Northside Forsyth Dr, Ste 490, Cumming, GA 30041-6012 | 2016-06-07 |
| 1184070740 | Jacob Summerford | Physician Assistant | 1100 Northside Forsyth Dr, Suite 250, Cumming, GA 30041-6012 | 2016-05-12 |
| 1720459621 | Kellie Cain Henderson | Nurse Practitioner | 1100 Northside Forsyth Dr, Suite 330, Cumming, GA 30041-6012 | 2015-10-18 |
| 1194194548 | Neurosurgery Answer, LLC | Neurological Surgery | 1100 Northside Forsyth Dr, Suite 310, Cumming, GA 30041-6012 | 2015-09-16 |
| 1962806596 | Pretesh Parmar | Physician Assistant | 1100 Northside Forsyth Dr, Suite 340, Cumming, GA 30041-6012 | 2014-10-10 |
| 1205248382 | Tsz Yan Julitta Lam | Physical Therapist | 1100 Northside Forsyth Dr, Suite 340, Cumming, GA 30041-6012 | 2014-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962036905 | Annie Kyungjin Han | Nurse Practitioner | 1505 Northside Forsyth Drive, Suite 2500, Cumming, GA 30041 | 2020-02-28 |
| 1295388197 | Pamela Edler | Pharmacist | 1200 Northside Forsyth Drive, Pharmacy Department, Cumming, GA 30041 | 2019-07-19 |
| 1720557127 | Dr. Tiffany Lamonde LLC | Physical Therapist | 1445 Haw Creek Circle, Suite 503, Cumming, GA 30041 | 2018-11-15 |
| 1487140893 | Bhbd LLC | Chiropractor | 425 Peachtree Parkway, Suite 315, Cumming, GA 30041 | 2018-07-09 |
| 1891219861 | Anna Gawrys | Pharmacist | 1525 Marketplace Blvd, Cumming, GA 30041 | 2017-08-01 |
| 1679029219 | Square One Dental LLC | Clinic/Center | 3510 Rowe Lane, Cumming, GA 30041 | 2016-09-01 |
| 1720441454 | Pavilion Psychological Services LLC | Psychologist | 1445 Haw Creek Corners Circle East, Suite 501, Cumming, GA 30041 | 2016-03-31 |
| 1346606506 | American Health Imaging of Ga, LLC | Clinic/Center | 1050 Haw Creek Pkwy, Suite 100, Cumming, GA 30041 | 2016-01-04 |
| 1013311307 | Stephen Hartle | Physician Assistant | 2576 Peachtree Pkwy, Suite 100, Cumming, GA 30041 | 2014-10-15 |
| 1063828408 | Stephanie Evans Wellborn | Physician Assistant | 1800 Northside Forsyth Dr Ste 450, Cumming, GA 30041 | 2014-07-07 |
| Find all providers in zip 30041 | ||||
| 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 |
|---|---|---|---|---|
| 1770105371 | Stetson Lee Carroll | Physician Assistant | 3955 Copper Leaf Ln, Cumming, GA 30040-4168 | 2020-05-18 |
| 1144865551 | William Phillip Whitlock | Physician Assistant | 6325 Oak Valley Dr, Cumming, GA 30040-6484 | 2019-11-08 |
| 1598320087 | Emily Rebecca Downs | Physician Assistant | 3970 Deputy Bill Cantrell Memorial Road Ste 150, Cumming, GA 30040 | 2019-05-09 |
| 1396206728 | Sydney Lane Kent | Physician Assistant | 4555 Azurite St, Cumming, GA 30040-0650 | 2019-03-28 |
| 1437697893 | Holly Musgrove | Physician Assistant | 1780 Peachtree Pkwy # 302, Cumming, GA 30041-6834 | 2017-02-06 |
| 1386938611 | Amanda Gilleland Appling | Physician Assistant | 3970 Deputy Bill Cantrell Memorial Rd., Ste 203, Cumming, GA 30040 | 2011-06-03 |
| 1578867040 | Holly Marie Shalhoop | Physician Assistant | 1800 Northside Forsyth Dr Ste 370, Cumming, GA 30041-8483 | 2010-12-27 |
| 1326358920 | Stephenie Wing Tsui | Physician Assistant | 1505 Northside Blvd Ste 2800, Cumming, GA 30041-8005 | 2010-10-15 |
| 1396997235 | Wanda G. Buchheit | Physician Assistant | 6825 Turning Leaf Ct, Cumming, GA 30028-4773 | 2008-10-22 |
| 1548395957 | Edward Harley Gaile Sr. | Physician Assistant | 1505 Northside Forsyth Dr, Ste 3600, Cumming, GA 30041 | 2007-02-23 |
| Find all providers in CUMMING | ||||
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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.