TAURUS RAFEAL WOMBLE (NPI# 1619510740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619510740 |
| Entity Type | Individual |
| Full Name | TAURUS RAFEAL WOMBLE |
| Credential | NP-C |
| Practice Address |
3950 Austell Rd Austell GA 30106-1121 |
| Mailing Address |
2957 Pebble Ln Snellville GA 30078-2754 |
| Practice Telephone | 4707324000 |
| Mailing Telephone | 4043199664 |
| Enumeration Date | 2019-10-22 |
| Last Update Date | 2019-10-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN222710 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8954 Hospital Dr, Douglasville, GA 301342272 | 7709491500 | |
| 2518 Jimmy Lee Smith Pkwy, Hiram, GA 301412068 | 4706447000 |
| Street Address |
3950 AUSTELL RD |
| City | AUSTELL |
| State | GA |
| Zip Code | 30106-1121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417951369 | Olatunde Idowu | Internal Medicine | 3950 Austell Rd, Box 22, Austell, GA 30106-1121 | 2005-06-09 |
| 1962001834 | Camille Patrice Mckenzie-brown | Nurse Practitioner | 3950 Austell Rd, Austell, GA 30106-1121 | 2020-10-22 |
| 1508487018 | Michelle Taylor Marbury | Pharmacist | 3950 Austell Rd, Austell, GA 30106-1121 | 2020-05-06 |
| 1477174605 | Alexandra Kamman | Physical Therapist | 3950 Austell Rd, Austell, GA 30106-1121 | 2020-04-28 |
| 1023637923 | Lauren Davison Warren | Registered Nurse | 3950 Austell Rd, Austell, GA 30106-1121 | 2020-04-10 |
| 1932730306 | Kerstie Kay Sims | Registered Nurse | 3950 Austell Rd, Austell, GA 30106-1121 | 2020-02-03 |
| 1386288280 | Karen L Taylor | Pharmacist | 3950 Austell Rd, Austell, GA 30106-1121 | 2019-11-04 |
| 1699325951 | Whitney Stafford | Nurse Anesthetist, Certified Registered | 3950 Austell Rd, Austell, GA 30106-1121 | 2019-09-18 |
| 1174177752 | Amanda Mathews Vicznesky | Physician Assistant | 3950 Austell Rd, Austell, GA 30106-1121 | 2019-07-31 |
| 1285296160 | Caroline Alexandra Jones | Physician Assistant | 3950 Austell Rd, Austell, GA 30106-1121 | 2019-07-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073126231 | Courtney Lashune Dorsett | Nurse Practitioner | 1005 Cureton Drive, Austell, Austell, GA 30106 | 2020-08-27 |
| 1184240491 | Brian H Eves | Dietitian, Registered | 3972 Brantley Drive, Austell, GA 30106 | 2020-06-23 |
| 1669014486 | Jesse Mccoy | Registered Nurse | 3950 Austell Rd., Austell, GA 30106 | 2019-10-14 |
| 1427522820 | Envision Optics LLC | Optometrist | 1680 E West Connector, Austell, GA 30106 | 2019-01-18 |
| 1972042380 | Thomas Dental Group | Clinic/Center | 1133 East West Connector, Suite 120, Austell, GA 30106 | 2017-02-17 |
| 1245779792 | Colton Dental Group | Clinic/Center | 2495 East-west Connector, Ste 60, Austell, GA 30106 | 2017-02-16 |
| 1144691684 | Georgia Dental Professionals, PC | Dentist | 780 East West Connector Sw, Suite 108, Austell, GA 30106 | 2015-10-09 |
| 1285013714 | Ikeade Bello Alamu | Nurse Practitioner | 2870 Betula Drive, Austell, GA 30106 | 2015-05-29 |
| 1376922211 | Jessica Williams | Obstetrics & Gynecology | 1700 Hospital South Dr Ste 500, Austell, GA 30106 | 2015-05-26 |
| 1558799593 | Tonya Renee Baldwin | Speech-Language Pathologist | 4229 Brass Trl., Austell, GA 30106 | 2013-10-30 |
| Find all providers in zip 30106 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033726179 | Young Healthcare Associates & Co. | Nurse Practitioner | 1668 Mulkey Rd Ste H, Austell, GA 30106-1163 | 2020-09-23 |
| 1669017273 | Elma Okogba | Nurse Practitioner | 4236 Weavers White Ln, Austell, GA 30106-8255 | 2019-11-07 |
| 1467916882 | Oghaleoghene Kolo | Nurse Practitioner | 3250 Franklin St, Austell, GA 30106-3853 | 2019-01-30 |
| 1831602820 | Onome Oyakhire | Nurse Practitioner | 135 Riverside Pkwy Sw, Austell, GA 30168-7749 | 2017-11-13 |
| 1215484555 | Kelechi Ejimofor | Nurse Practitioner | 1987 Oakbluff Dr, Austell, GA 30106-2932 | 2016-09-02 |
| 1285013714 | Ikeade Bello Alamu | Nurse Practitioner | 2870 Betula Drive, Austell, GA 30106 | 2015-05-29 |
| 1073670709 | Robin Ann Brackett | Nurse Practitioner | 3820 Medical Park Dr., Georgia Lung Associates PC., Austell, GA 30106-1110 | 2007-01-02 |
| 1205819737 | Nuestros Ninos Our Kids Pediatrics PC | Nurse Practitioner | 393 Maxham Rd, Suites A&b, Austell, GA 30168-5539 | 2005-11-29 |
| 1760463517 | Karen Belinda Ivey | Nurse Practitioner | 3999 Austell Rd Ste 901, Austell, GA 30106-1160 | 2005-11-09 |
| 1922646215 | Caroline Digiacomo | Nurse Practitioner | 4460 Austell Rd, Austell, GA 30106-1844 | 2019-12-17 |
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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.