COURTLYN CHRISTANNA FUSSELL (NPI# 1598321200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598321200 |
| Entity Type | Individual |
| Full Name | COURTLYN CHRISTANNA FUSSELL |
| Credential | RPH |
| Practice Address |
2201 Hwy 41 N Tifton GA 31794 |
| Practice Telephone | 2293869252 |
| Practice Fax Number | 2293869378 |
| Mailing Telephone | 2293869252 |
| Mailing Fax Number | 2293869378 |
| Enumeration Date | 2019-05-17 |
| Last Update Date | 2019-05-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 030641 | GA | Pharmacy Service Providers |
| Street Address |
2201 HWY 41 N |
| City | TIFTON |
| State | GA |
| Zip Code | 31794 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982234043 | Deloris Lunsford | Licensed Practical Nurse | 903 Washington St., Tifton, GA 31794 | 2020-01-17 |
| 1194383075 | William Jordan Kinnett | Registered Nurse | 1205 Tift Ave N, Tifton, GA 31794 | 2019-06-05 |
| 1376027722 | Martha Gibbs | Nurse Practitioner | Affinity Clinic/west Campus, 2225 Us Hwy 41 North, Tifton, GA 31794 | 2018-09-21 |
| 1427541044 | Rebekah F Cottle | Speech-Language Pathologist | 2227 Highway 41 North, Tifton, GA 31794 | 2018-06-08 |
| 1790280857 | Tift Regional Health System Inc | Ophthalmology | 1803 Old Ocilla Road, Tifton, GA 31794 | 2018-03-29 |
| 1568975431 | Skyler Clark | Pharmacist | 2201 North 12th Street, Tifton, GA 31794 | 2017-11-14 |
| 1538606306 | Imagine Peace Counseling LLC | Counselor | 223 E 2nd Street, Suite B, Tifton, GA 31794 | 2017-01-31 |
| 1073056347 | Jessica Tumbling | Contractor | 219 Savannah Way, Tifton, GA 31794 | 2016-11-18 |
| 1992159503 | Joseph Thomas Seagraves Jr. | Nurse Practitioner | 901 East 18th Street, Tifton, GA 31794 | 2016-04-20 |
| 1396119186 | Rebecca Golden Waldrop | Speech-Language Pathologist | 117 3rd St E, Tifton, GA 31794 | 2015-11-17 |
| Find all providers in zip 31794 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578061263 | Thomas Judson Andrew Ott | Pharmacist | 602 Virginia Ave N, Tifton, GA 31794-4245 | 2018-01-26 |
| 1568975431 | Skyler Clark | Pharmacist | 2201 North 12th Street, Tifton, GA 31794 | 2017-11-14 |
| 1932659497 | Jacob Sauls | Pharmacist | 2814 Wilson Ave N, Tifton, GA 31794-1328 | 2016-10-09 |
| 1548645187 | James Fulp | Pharmacist | 3 Gaston Ave, Tifton, GA 31794-2075 | 2015-07-24 |
| 1467790188 | Zachary James Tomberlin | Pharmacist | 208 Main St S, Tifton, GA 31794-4835 | 2013-01-30 |
| 1306116587 | Tu Thi Ngo | Pharmacist | 620 Virginia Ave N, Tifton, GA 31794-4227 | 2012-01-05 |
| 1134286412 | Daniel C Royal Jr. | Pharmacist | 1620 John Orr Drive, Tifton, GA 31794 | 2007-01-03 |
| 1912063074 | Charlene Fletcher | Pharmacist | 214 18th St E, Suite A, Tifton, GA 31794-3512 | 2006-12-30 |
| 1497794986 | William Iverson Posey | Pharmacist | 302 Main St S, Tifton, GA 31794-4814 | 2006-06-06 |
| 1811597214 | Melanie Pate Gilmore | Pharmacist | 1830 Us Highway 82 W, Tifton, GA 31793-8164 | 2020-10-27 |
| Find all providers in TIFTON | ||||
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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.