MS. ANGIE MICHELLE VINES


Address: 2000 10th Ave, Suite 410, Columbus, GA 31901-3700
Phone: 7066534615

MS. ANGIE MICHELLE VINES (NPI# 1649559998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649559998
Entity Type Individual
Full Name MS. ANGIE MICHELLE VINES
Credential NP-C
Practice Address 2000 10th Ave
Suite 410
Columbus
GA 31901-3700
Practice Telephone 7066534615
Practice Fax Number 7066534618
Mailing Telephone 7066534615
Enumeration Date 2011-08-04
Last Update Date 2014-12-01
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
RN214290 GA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2000 10TH AVE
SUITE 410
City COLUMBUS
State GA
Zip Code 31901-3700

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NPI Name Taxonomy Address Enumeration
1134126378 Robert M Harris Orthopaedic Surgery 2000 10th Ave, Suite 270, Columbus, GA 31901-3700 2005-07-01
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1043678923 Claire Wright Thompson Nurse Practitioner 2000 10th Ave, Suite 100, Columbus, GA 31901-3700 2016-02-05
1275935918 Sarah Kathryn Hester Hall Nurse Practitioner 2000 10th Ave, Suite 400, Columbus, GA 31901-3700 2014-09-25
1477983013 Hughston Clinic PC Durable Medical Equipment & Medical Supplies 2000 10th Ave, Suite 270, Columbus, GA 31901 2013-11-18
1760816102 Wendy Wall Nurse Practitioner 2000 10th Ave, Suite 380, Columbus, GA 31901-3700 2013-08-21
1851650816 Abhilasha Pandey Family Medicine 2000 10th Ave, Columbus, GA 31901-3700 2012-05-11
1275803108 Sean Patrick Kelly Nurse Practitioner 2000 10th Ave, Suite 270, Columbus, GA 31901-3700 2012-01-10
1023388071 Kashmira D Parekh Md P C Preferred Provider Organization 2000 10th Ave, Suite 210, Columbus, GA 31901-3700 2012-01-09
1346528536 Brittany Wheeler Renfroe Physician Assistant 2000 10th Ave, Suite 320, Columbus, GA 31901-3700 2011-07-22
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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Competitor

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City COLUMBUS
Zip Code 31901

Improve Information

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Dataset Information

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.

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