KELLY DIANE MCCARLEY (NPI# 1649753773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649753773 |
Entity Type | Individual |
Full Name | KELLY DIANE MCCARLEY |
Practice Address |
1908 Tarver Dr Blakely GA 39823-1540 |
Practice Telephone | 2293080460 |
Mailing Telephone | 2293080460 |
Enumeration Date | 2018-09-14 |
Last Update Date | 2018-09-14 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
RN219753 | GA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1908 TARVER DR |
City | BLAKELY |
State | GA |
Zip Code | 39823-1540 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679922546 | Donna Lashawn Mells-mccoy | Social Worker | 89 Balcom Ave, Blakely, GA 39823 | 2016-06-10 |
1063562221 | Self Discovery Counseling and Consulting Inc | Counselor | 116 South Main St., Blakely, GA 39823 | 2007-01-11 |
1619046786 | Eckerd Youth Alternatives Inc | Psychiatric Residential Treatment Facility | 313 E Tu Nake Place, Blakely, GA 39823 | 2006-11-06 |
1780607754 | Primary Care of Southwest Georgia, Inc. | Nurse Practitioner | 360 College Street, Blakely, GA 39823 | 2006-07-25 |
1588014807 | Dave Stewart | Family Medicine | 360 College St, Blakely, GA 39823 | 2016-06-17 |
1497805063 | Miller County Hospital and Miller Nursing Home | Clinic/Center | 11045 Columbia St, Blakely, GA 39823 | 2007-01-12 |
1437345006 | Ralph Boyd Phillips Jr. | Chiropractor | 12221 Columbia Road, Blakely, GA 39823-0231 | 2007-09-18 |
1437585635 | Marrian Alexander | Nurse Practitioner | 1924 Tarver Dr, Blakely, GA 39823-1540 | 2013-09-19 |
1508403049 | Rachel Lewis | Specialist/Technologist | 326 Tom Sawyer Dr, Blakely, GA 39823-1559 | 2019-12-03 |
1508177825 | Charles Paschal Brooks Jr. | Dentist | 13762 Magnolia St, Blakely, GA 39823-1875 | 2010-07-01 |
Find all providers in zip 39823 |
Taxonomy Code | 363LG0600X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Gerontology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235746009 | Jummai Folashade Akinrinmade | Nurse Practitioner | 5290 Hidden Valley Ln, Cumming, GA 30028-7024 | 2020-09-25 |
1396350997 | Ellen Allen | Nurse Practitioner | 8040 Highway 54, Sharpsburg, GA 30277-2112 | 2020-09-10 |
1588277867 | Saleta Anica Brogdon | Nurse Practitioner | 10 Muirfield Dr, Covington, GA 30016-6536 | 2020-08-26 |
1043828106 | Shonkeisha Byrd | Nurse Practitioner | 1160 Great River Pkwy, Lawrenceville, GA 30045-7015 | 2020-07-15 |
1558982272 | Irene Kamau | Nurse Practitioner | 3605 Glenbarrett Ln Ne, Marietta, GA 30066-8509 | 2020-05-05 |
1891324133 | Branette Young | Nurse Practitioner | 1120 Lehavre Ct, Hampton, GA 30228-3022 | 2020-04-08 |
1851938559 | Sandra Holloway | Nurse Practitioner | 607 Bethany St, Sparks, GA 31647-7139 | 2019-12-02 |
1013550508 | Monica Smart Mills | Nurse Practitioner | 8315 Champion Trl, Fairburn, GA 30213-4739 | 2019-10-28 |
1063053478 | Emily Elizabeth Adams | Nurse Practitioner | 887 W Marietta St Nw, Atlanta, GA 30318-5252 | 2019-10-07 |
1922661800 | Dorcus Healthcare Services LLC | Nurse Practitioner | 105 Greystone Dr, Guyton, GA 31312-5548 | 2019-04-17 |
Find all providers with the same taxonomy |
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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.