MRS. ANGELA MARIE BREWER (NPI# 1619183340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619183340 |
| Entity Type | Individual |
| Full Name | MRS. ANGELA MARIE BREWER |
| Other Name | MRS. ANGELA MARIE SPAIN |
| Credential | FNP-C |
| Practice Address |
2010 Ocilla Rd Douglas GA 31533-2230 |
| Mailing Address |
1100 Ward Street Ext W Douglas GA 31533-1902 |
| Practice Telephone | 9123842500 |
| Practice Fax Number | 9123836788 |
| Mailing Telephone | 9123841477 |
| Mailing Fax Number | 9123841470 |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2012-07-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN101667 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | GEORGIA LICENSE | RN10167 | 01 |
| GA | CLIA ID | 11D0941435 | 01 |
| GA | WELLCARE OF GEORGIA | 385393 | 01 |
| GA | 715148338A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619180056 | Angela Kay Brewer | Licensed Practical Nurse | 4191 Fredericksburg Ave, Columbus, OH 43228-3502 | 2007-05-08 |
| 1760419295 | Angela P Brewer | Nurse Practitioner | 9333 Park West Blvd Ste 200, Knoxville, TN 37923-4317 | 2006-06-28 |
| 1326609421 | Angela M Brewer | Behavior Technician | 2513 W 2nd St, Marion, IN 46952-3241 | 2019-06-28 |
| 1174093967 | Angela Brewer | Case Manager/Care Coordinator | 411 Court St, Portsmouth, OH 45662-3932 | 2018-12-05 |
| 1295136141 | Angela Brewer | Physical Therapy Assistant | 1450 Claiborne Ave, Shreveport, LA 71103-4204 | 2014-09-10 |
| 1003147992 | Angela C Brewer | Massage Therapist | 16801 Newburgh Rd, Suite 114, Livonia, MI 48154-1606 | 2010-01-18 |
| 1871829275 | Angela Brewer | Counselor | 758 S 1st St, Louisville, KY 40202-2023 | 2009-10-20 |
| Street Address |
2010 OCILLA RD |
| City | DOUGLAS |
| State | GA |
| Zip Code | 31533-2230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447348826 | Bradley Gordon Goldberg | Obstetrics & Gynecology | 2010 Ocilla Rd, Douglas, GA 31533-2230 | 2006-10-10 |
| 1932579273 | Hali Varnedore | Nurse Practitioner | 2010 Ocilla Rd, Douglas, GA 31533-2230 | 2015-09-29 |
| 1689042681 | Cathy Herrington | Nurse Practitioner | 2010 Ocilla Rd, Douglas, GA 31533-2230 | 2015-09-08 |
| 1417295601 | Amanda Bice | Nurse Practitioner | 2010 Ocilla Rd, Douglas, GA 31533-2230 | 2013-01-22 |
| 1720338916 | Crh Physician Practices LLC | Clinic/Center | 2010 Ocilla Rd, Douglas, GA 31533-2230 | 2012-09-14 |
| 1073893616 | Justin Peterson | Obstetrics & Gynecology | 2010 Ocilla Rd, Douglas, GA 31533-2230 | 2011-08-26 |
| 1508938531 | Margaret S. Minchew | Physician Assistant | 2010 Ocilla Rd, Douglas, GA 31533-2230 | 2006-11-14 |
| 1720165947 | Steven Charles Diamond | Obstetrics & Gynecology | 2010 Ocilla Rd, Douglas, GA 31533-2230 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508470964 | Swain Drug Company LLC | Pharmacy | 855 Bowens Mill Rd Sw Suite E, Douglas, GA 31533 | 2020-09-03 |
| 1811528649 | Unison Behavioral Health | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 211 North Street, Douglas, GA 31533 | 2020-01-30 |
| 1952940793 | Teresa Smith | Pharmacist | 901 W Ward St, Douglas, GA 31533 | 2019-12-26 |
| 1447641048 | Jennifer Spivey | Nurse Practitioner | 326 Shirley Avenue, Douglas, GA 31533 | 2015-02-18 |
| 1972914497 | Jessica Lynne Courson | Nurse Practitioner | 903 West Ward Street, Suite B, Douglas, GA 31533 | 2014-05-19 |
| 1063840296 | South Central Primary Care Center | Clinic/Center | 303 Shirley Ave, Ste B, Douglas, GA 31533 | 2013-10-25 |
| 1336411008 | Unison Behavioral Health | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 118 Coweta Avenue South, Douglas, GA 31533 | 2012-01-27 |
| 1346482700 | V and V Clinic | Pediatrics | 1020 West Bryan Street, Douglas, GA 31533 | 2009-04-01 |
| 1063650406 | Jayla Snipes Bullock | Speech-Language Pathologist | 618 Bowens Mill Road Sw, Douglas, GA 31533 | 2009-01-22 |
| 1417112707 | Southern Community Services Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 315 S. Gaskin Ave, Douglas, GA 31533 | 2008-07-25 |
| Find all providers in zip 31533 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013551829 | Taylor Lamar Gibson | Nurse Practitioner | 200 Doctors Dr Ste O, Douglas, GA 31533-2202 | 2019-11-05 |
| 1952879918 | Monica Nichole Roberts | Nurse Practitioner | 210 Peterson Ave S, Douglas, GA 31533-5237 | 2018-11-08 |
| 1770058539 | Carlas Paulk | Nurse Practitioner | 28 Tempa Ln, Douglas, GA 31535-4561 | 2018-10-09 |
| 1053801860 | Brandon Hall | Nurse Practitioner | 903 Ward St W Ste A, Douglas, GA 31533-3536 | 2018-05-16 |
| 1235508920 | Michelle Martinez Jones | Nurse Practitioner | 200 Doctors Dr Ste S, Douglas, GA 31533-2203 | 2015-09-23 |
| 1447641048 | Jennifer Spivey | Nurse Practitioner | 326 Shirley Avenue, Douglas, GA 31533 | 2015-02-18 |
| 1457758609 | Angela Leah Overturf | Nurse Practitioner | 100 East 5th Street, Douglas, AZ 85607 | 2014-12-02 |
| 1063817872 | Amanda Brulte | Nurse Practitioner | 100 Doctors Dr Ste 104, Douglas, GA 31533-2211 | 2014-10-23 |
| 1720481500 | La. Donna Spikes | Nurse Practitioner | 208 Grady Ave S, Douglas, GA 31533-2312 | 2014-10-07 |
| 1972914497 | Jessica Lynne Courson | Nurse Practitioner | 903 West Ward Street, Suite B, Douglas, GA 31533 | 2014-05-19 |
| Find all providers in DOUGLAS | ||||
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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.