KATINA EDWARDS (NPI# 1629429212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629429212 |
| Entity Type | Individual |
| Full Name | KATINA EDWARDS |
| Credential | APRN-PMHNP |
| Practice Address |
1209 Greenbelt Dr Griffin GA 30224-4507 |
| Practice Telephone | 7703588338 |
| Enumeration Date | 2016-06-25 |
| Last Update Date | 2016-06-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
RN195797 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568810117 | Katina Edwards | Registered Nurse | 400 N Pepper Ave, Colton, CA 92324-1801 | 2016-05-24 |
| Street Address |
1209 GREENBELT DR |
| City | GRIFFIN |
| State | GA |
| Zip Code | 30224-4507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811165483 | Mcintosh Trail Csb | Community/Behavioral Health | 1209 Greenbelt Dr, Griffin, GA 30224-4507 | 2008-02-15 |
| 1356974380 | Sheilah Isioma Esuzor-avilez | Specialist/Technologist | 1209 Greenbelt Dr, Griffin, GA 30224-4507 | 2020-02-18 |
| 1124537063 | Andriea Thompson | Registered Nurse | 1209 Greenbelt Dr, Griffin, GA 30224-4507 | 2017-09-22 |
| 1902336373 | Thenjiwe Howell | Registered Nurse | 1209 Greenbelt Dr, Griffin, GA 30224-4507 | 2017-06-18 |
| 1083144455 | Patricia Kent | Registered Nurse | 1209 Greenbelt Dr, Griffin, GA 30224-4507 | 2017-06-18 |
| 1902257942 | Deborah Price | Registered Nurse | 1209 Greenbelt Dr, Griffin, GA 30224-4507 | 2016-06-30 |
| 1699126722 | Monica Stover | Registered Nurse | 1209 Greenbelt Dr, Griffin, GA 30224-4507 | 2016-06-30 |
| 1588015523 | Lisa Swain | Registered Nurse | 1209 Greenbelt Dr, Griffin, GA 30224-4507 | 2016-06-30 |
| 1255782389 | Andrea Smith | Registered Nurse | 1209 Greenbelt Dr, Griffin, GA 30224-4507 | 2016-06-30 |
| 1174974208 | Anitra Thornton | Registered Nurse | 1209 Greenbelt Dr, Griffin, GA 30224-4507 | 2016-06-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346888971 | Latamika Renee Williams | Counselor | 1710 Ga-16 West, #6, Griffin, GA 30224 | 2019-12-13 |
| 1063062651 | Dominique S Paul-thompson | Contractor | 112 Deercreek Parkway, Griffin, GA 30224 | 2019-09-16 |
| 1497303531 | Xiaohui Zhang Brotzge | Physician Assistant | 601 S 8th Street, Griffin, GA 30224 | 2019-09-02 |
| 1548812282 | Andrew Dennis Nesmith | Registered Nurse | 601 South 8th St, Emergency Room, Griffin, GA 30224 | 2019-07-12 |
| 1073009122 | Alicia Skye Ledford | Nurse Practitioner | 619 S 8th St., Suite 200, Griffin, GA 30224 | 2018-07-02 |
| 1649787102 | Judith Fuajong Ngulefac | Nurse Practitioner | 1705 Williamson Rd, Griffin, GA 30224 | 2018-01-05 |
| 1699297077 | Amanda Norman | Speech-Language Pathologist | 106 Garnet Ln, Griffin, GA 30224 | 2017-07-07 |
| 1306214655 | Ruchi P Gandhi | Optometrist | 646 8th Street, Griffin, GA 30224 | 2015-09-03 |
| 1528473881 | Nnenna Ezeilo | Otolaryngology | 619 S 8th St Ste 304, Griffin, GA 30224 | 2014-06-25 |
| 1437436094 | C. B. Reddy Md PC | Preferred Provider Organization | 610 S 8th Street, Suite F, Griffin, GA 30224 | 2011-11-10 |
| Find all providers in zip 30224 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386128320 | Gloria Chine | Nurse Practitioner | 1574 Williamson Rd, Griffin, GA 30224 | 2018-09-15 |
| 1124363874 | Jamie Alice Smith | Nurse Practitioner | 1574 Williamson Rd, Griffin, GA 30224-3931 | 2012-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336740398 | Audline Maria Hodnett | Nurse Practitioner | 4805 W Village Way Se Apt 2208, Smyrna, GA 30080-9227 | 2020-11-05 |
| 1073111845 | George Mackel, Pmhnp-bc, LLC | Nurse Practitioner | 12034 Big Canoe, 400 Shetland Trace, Jasper, GA 30143 | 2020-10-14 |
| 1356958060 | Earl Delk | Nurse Practitioner | 3365 Ridgerock Way, Snellville, GA 30078-4176 | 2020-09-26 |
| 1609482991 | Tammy Haskins Bailey | Nurse Practitioner | 196 Laying Farm Rd Se, Milledgeville, GA 31061-9714 | 2020-09-22 |
| 1861007403 | Caring Clinic LLC | Nurse Practitioner | 114 Wrights Dr, Milledgeville, GA 31061 | 2020-09-10 |
| 1376156364 | Katrina Ransom Clark | Nurse Practitioner | 120 Walker Dr Nw, Milledgeville, GA 31061-9561 | 2020-08-28 |
| 1457963746 | Evelyn Ahiante Dennis | Nurse Practitioner | 3325 Emden Ct, Snellville, GA 30039-6047 | 2020-08-19 |
| 1194335620 | Jennifer Logan | Nurse Practitioner | 424 Scotts Way, Augusta, GA 30909-3135 | 2020-08-10 |
| 1750991592 | Jamie Rae Mccracken | Nurse Practitioner | 2538 Gordon Cir Se, Smyrna, GA 30080-8123 | 2020-08-06 |
| 1285244608 | Amcare Substance Abuse and Addiction Counseling | Nurse Practitioner | 3615 Hutchinson Rd Ste 203, Cumming, GA 30040-0501 | 2020-08-01 |
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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.