CLAUDETTE BRIDGE (NPI# 1639625627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639625627 |
Entity Type | Individual |
Full Name | CLAUDETTE BRIDGE |
Practice Address |
1240 Eagles Landing Pkwy Suite 110 Stockbridge GA 30281-5170 |
Practice Telephone | 7703893855 |
Practice Fax Number | 7704748078 |
Mailing Telephone | 7703893855 |
Mailing Fax Number | 7704748078 |
Enumeration Date | 2016-08-30 |
Last Update Date | 2016-08-30 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN208180 | GA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1240 EAGLES LANDING PKWY SUITE 110 |
City | STOCKBRIDGE |
State | GA |
Zip Code | 30281-5170 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255331674 | George Kevin Perdue | Physical Medicine & Rehabilitation | 1240 Eagles Landing Pkwy, Suite 300, Stockbridge, GA 30281 | 2005-07-28 |
1386108751 | Noah Bradsher | Specialist/Technologist | 1240 Eagles Landing Pkwy, Stockbridge, GA 30281-5170 | 2019-01-30 |
1932649902 | Rebekah Worley | Physician Assistant | 1240 Eagles Landing Pkwy, Suite 110, Stockbridge, GA 30281-5170 | 2017-02-24 |
1649623380 | Eagles Landing Family Practice, LLC | Family Medicine | 1240 Eagles Landing Pkwy, Suite 110, Stockbridge, GA 30281-5170 | 2016-07-18 |
1447637459 | Chereny Woodard | Specialist | 1240 Eagles Landing Pkwy, Suite 300, Stockbridge, GA 30281-5170 | 2015-04-28 |
1225420938 | Nguyen Ngoc Thi Vu | Physician Assistant | 1240 Eagles Landing Pkwy, Suite 110, Stockbridge, GA 30281-5170 | 2015-03-04 |
1841699402 | Daniel Shuichi Brown | Physician Assistant | 1240 Eagles Landing Pkwy, Suite 300, Stockbridge, GA 30281-5116 | 2014-08-20 |
1720494404 | Krysten Malcolm | Physical Therapist | 1240 Eagles Landing Pkwy, Suite 300, Stockbridge, GA 30281-5116 | 2014-07-02 |
1538590625 | Lucy Murray | Physician Assistant | 1240 Eagles Landing Pkwy, Suite 300, Stockbridge, GA 30281-5170 | 2013-11-27 |
1982988028 | Herretta Lachell Pickens | Nurse Practitioner | 1240 Eagles Landing Pkwy, Suite 300, Stockbridge, GA 30281-5170 | 2011-10-07 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164039095 | Colette Alls | Social Worker | 447 Lakeshore Dr, Stockbridge, GA 30281 | 2020-09-24 |
1982216800 | Pediatric and Family Behavioral Health of Georgia | Counselor | 1004 Ulster Court, Stockbridge, GA 30281 | 2020-08-21 |
1518577659 | Qunique Taveka Toxey | Behavior Technician | 115 N Park Trail, Suite 123, Stockbridge, GA 30281 | 2020-08-04 |
1497377675 | Melanie Harvey | Pharmacist | 4467 North Henry Boulevard, Stockbridge, GA 30281 | 2020-05-11 |
1114550571 | Cecile Maria Dunkley Layne | Counselor | 255 Corporte Drive, Stockbridge, GA 30281 | 2020-02-13 |
1306407143 | Palliative Care of Georgia. LLC | Home Health | 275 Corporate Center Court Ste C, Stockbridge, GA 30281 | 2019-06-24 |
1154883791 | Aaliyah Nura Fardan-alexander | Nurse's Aide | 105 Singletree, Stockbridge, GA 30281 | 2019-04-02 |
1306306261 | Prosthetic Care, Inc. | Prosthetic/Orthotic Supplier | 150 County Club Drive, Suite 200, Stockbridge, GA 30281 | 2019-03-25 |
1356814172 | Kristina Louissaint | Nurse Practitioner | 650 Country Club Dr, Stockbridge, GA 30281 | 2019-01-03 |
1942789284 | Cameren Barnes | Physical Therapist | 5473 N Henry Blvd, Stockbridge, GA 30281 | 2018-08-08 |
Find all providers in zip 30281 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548877749 | Danyell Joelle Guyton | Nurse Practitioner | 215 Ballard Cir, Stockbridge, GA 30281-9605 | 2020-09-30 |
1043844830 | Tricia Jarrell Morris | Nurse Practitioner | 547 Winter View Way, Stockbridge, GA 30281-7799 | 2020-03-02 |
1831759778 | Stephanie Mcelreath | Nurse Practitioner | 350 Country Club Dr Ste D, Stockbridge, GA 30281-9084 | 2019-06-13 |
1396201885 | Dominique K Bethea | Nurse Practitioner | 550 Eagles Landing Pkwy Ste 110, Stockbridge, GA 30281-9083 | 2019-02-20 |
1285109678 | Alecia Kimberly Liburd | Nurse Practitioner | 380 Timber Top Dr, Stockbridge, GA 30281-1176 | 2018-10-11 |
1376037507 | Katrina Burns Bell | Nurse Practitioner | 201 Copperwood Ct, Stockbridge, GA 30281-1593 | 2018-06-20 |
1780178426 | Caroline Staines | Nurse Practitioner | 325 Viceroy Curv, Stockbridge, GA 30281-7780 | 2018-06-16 |
1033611439 | Sandra Thomas | Nurse Practitioner | 950 Eagles Landing Pkwy # 210, Stockbridge, GA 30281-7343 | 2018-03-02 |
1275046617 | Tammy T Tran | Nurse Practitioner | 1012 Lake Oconee Ct, Stockbridge, GA 30281-5973 | 2017-11-08 |
1023532231 | Shanae Mapp | Nurse Practitioner | 831 Fairways Ct, Stockbridge, GA 30281 | 2017-07-29 |
Find all providers in STOCKBRIDGE |
City | STOCKBRIDGE |
Zip Code | 30281 |
Please comment or provide details below to improve the information on CLAUDETTE BRIDGE.
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.