DR. DAVID RUSTIN EVATT (NPI# 1639691181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639691181 |
| Entity Type | Individual |
| Full Name | DR. DAVID RUSTIN EVATT |
| Other Name | DR. RUSTIN EVATT |
| Credential | PHARMD |
| Practice Address |
195 Tom Hill Sr Blvd Macon GA 31210-1816 |
| Mailing Address |
128 Lynnview Ct Mcdonough GA 30252-5756 |
| Practice Telephone | 4787576526 |
| Mailing Telephone | 4789540781 |
| Enumeration Date | 2017-07-15 |
| Last Update Date | 2017-07-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RPH029912 | GA | Pharmacy Service Providers |
| Street Address |
195 TOM HILL SR BLVD |
| City | MACON |
| State | GA |
| Zip Code | 31210-1816 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528305695 | Hollie Elizabeth Hightower | Pharmacist | 195 Tom Hill Sr Blvd, Macon, GA 31210-1816 | 2013-01-09 |
| 1497108104 | Lauren Raulerson | Pharmacist | 195 Tom Hill Sr Blvd, Macon, GA 31210-1816 | 2016-07-18 |
| 1558609172 | Crystal Sadler Wood | Pharmacist | 195 Tom Hill Sr Blvd, Macon, GA 31210-1816 | 2013-01-17 |
| 1154360113 | Publix Super Markets Inc | Pharmacy | 195 Tom Hill Sr Blvd, Macon, GA 31210-1816 | 2006-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033743455 | Dana Elizabeth Toth | Nurse Practitioner | 5300 Bowman Rd, Macon, GA 31210 | 2020-02-25 |
| 1871124735 | Jessica Bello | Nurse Practitioner | 5300 Bowman Road, Macon, GA 31210 | 2020-01-30 |
| 1225505787 | Rebekah Hollinshead | Occupational Therapist | Therapy Specialists of Georgia, 4116 Arkwright Road, Macon, GA 31210 | 2018-11-01 |
| 1346744943 | Ace Medical Transport LLC. | Ambulance | 728 Gay Dr, Macon, GA 31210 | 2018-03-20 |
| 1972965226 | Omar Faruk Ahmad | Family Medicine | 3400 Riverside Drvie, Macon, GA 31210 | 2016-03-25 |
| 1083074868 | Macon Dentist Office, PC | Dentist | 206 Tom Hill Sr Blvd, Suite 106, Macon, GA 31210 | 2016-03-07 |
| 1992176952 | Kerisia Wasztyl | Marriage & Family Therapist | 4691 Pine Valley Dr, Macon, GA 31210 | 2015-10-15 |
| 1073905444 | Eunice Malave De Leon | Social Worker | 174 Spring St, Macon, GA 31210 | 2015-02-23 |
| 1396141545 | Axis Surgery Center LLC | Clinic/Center | 230 Sheraton Blvd, Ste B, Macon, GA 31210 | 2014-11-17 |
| 1073914115 | Monique Rechelle Delay Moore | Community/Behavioral Health | 646 Millrun Court, Macon, GA 31210 | 2014-09-09 |
| Find all providers in zip 31210 | ||||
| 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 |
|---|---|---|---|---|
| 1417421785 | Clara H Vinh | Pharmacist | 513 Litchfield Dr, Macon, GA 31220-7620 | 2019-01-19 |
| 1558837443 | Kenneth Edo Amayo | Pharmacist | 399 Plantation Way Apt 2420, Macon, GA 31210-9314 | 2018-10-17 |
| 1952706343 | Matthew Wayne Frazier | Pharmacist | 4260 Log Cabin Dr, Macon, GA 31204 | 2014-10-28 |
| 1669875258 | Jennifer Niemeier | Pharmacist | 2587 Nancelon Cir N, Macon, GA 31204-1743 | 2014-09-26 |
| 1306245592 | Pasquale Pietrefesa | Pharmacist | 423 Panorama Pl, Macon, GA 31220-2652 | 2014-08-14 |
| 1194133009 | Patricia Howard | Pharmacist | 156 Tom Hill Senior Blvd, Macon, GA 31210-8014 | 2014-07-24 |
| 1215270442 | Savanah Renee Derossett | Pharmacist | 3990 Riverside Park Blvd, 1108, Macon, GA 31210-1054 | 2013-04-06 |
| 1528305695 | Hollie Elizabeth Hightower | Pharmacist | 195 Tom Hill Sr Blvd, Macon, GA 31210-1816 | 2013-01-09 |
| 1952696585 | Shelita L Baker | Pharmacist | 4685 Presidential Pkwy, T-1379, Macon, GA 31206-8712 | 2011-06-11 |
| 1215236021 | Eleonor S Constantino | Pharmacist | 892 Pierce Ave, Macon, GA 31204-1531 | 2011-03-18 |
| Find all providers in MACON | ||||
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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.