GEORGIA LEE KETCHUM (NPI# 1659690881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659690881 |
| Entity Type | Individual |
| Full Name | GEORGIA LEE KETCHUM |
| Credential | M.D. |
| Practice Address |
2191 E Johnson Ave Inpatient Psychiatry Pensacola FL 32514-6029 |
| Practice Telephone | 8504943953 |
| Practice Fax Number | 8504943960 |
| Mailing Telephone | 8504943953 |
| Mailing Fax Number | 8504943960 |
| Enumeration Date | 2010-05-27 |
| Last Update Date | 2014-07-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
ME120147 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
2191 E JOHNSON AVE INPATIENT PSYCHIATRY |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32514-6029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295720431 | Kenneth D Ragan | Psychiatry & Neurology | 2191 E Johnson Ave, Pensacola, FL 32514-6029 | 2005-09-14 |
| 1710305107 | Anna Catherine Reynolds | Nurse Practitioner | 2191 E Johnson Ave, Pensacola, FL 32514-6029 | 2014-04-02 |
| 1891030813 | Patricia Michel-garrison | Psychiatry & Neurology | 2191 E Johnson Ave, Pensacola, FL 32514-6029 | 2012-12-03 |
| 1649346586 | John C Hayes | Psychiatry & Neurology | 2191 E Johnson Ave, Pensacola, FL 32514-6029 | 2006-11-24 |
| 1518064583 | Bascom Kyle Bradshaw | Preventive Medicine | 2191 E Johnson Ave, Pensacola, FL 32514-6029 | 2006-09-20 |
| 1730282070 | Christopher M Davidson | Psychiatry & Neurology | 2191 E Johnson Ave, Inpatient Psychiatry, Pensacola, FL 32514-6029 | 2006-09-05 |
| 1588659395 | Raul Jimenez | Psychiatry & Neurology | 2191 E Johnson Ave, Pensacola, FL 32514-6029 | 2005-09-19 |
| 1053306878 | Susan W Lightfoot | Counselor | 2191 E Johnson Ave, Pensacola, FL 32514-6029 | 2005-09-19 |
| 1801881040 | John C Fetzer | Psychiatry & Neurology | 2191 E Johnson Ave, Pensacola, FL 32514-6029 | 2005-09-14 |
| 1841285079 | Thomas E Myer | Psychologist | 2191 E Johnson Ave, Pensacola, FL 32514-6029 | 2005-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568920643 | Cameron Rae Mackey | Student in an Organized Health Care Education/Training Program | 9091 Aiway Dr, Apt 622, Pensacola, FL 32514 | 2019-03-07 |
| 1083182612 | B & B of Pensacola LLC | Home Health | 2024 E Olive Rd, Pensacola, FL 32514 | 2018-11-13 |
| 1902398423 | Chana Levy | Developmental Therapist | 10080 Hillview Dr # 387b, Pensacola, FL 32514 | 2018-05-31 |
| 1629407663 | James Daniel Langston | Registered Nurse | 8383 North Davie Highway, Pensacola, FL 32514 | 2013-11-08 |
| 1174956197 | Valerie Kuloba | Pharmacist | 9251 University Parkway, Pensacola, FL 32514 | 2013-08-13 |
| 1548550924 | Pamela Lynn Trammel | Nurse Practitioner | 8383 North Davis Hywy, West Florida Hospital, Pensacola, FL 32514 | 2011-04-19 |
| 1659609378 | Michael Smith | Physical Therapy Assistant | 10100 Hillveiw Dr., Pensacola, FL 32514 | 2009-11-19 |
| 1154582906 | Karen Buchanan Bailey | Dentist | 2322 Copter Road, Pensacola, FL 32514 | 2008-06-24 |
| 1811181985 | Sandra Paquingan Kloman | Registered Nurse | 9400 University Parkway #10c, Medical Professional Agency, Pensacola, FL 32514 | 2007-08-31 |
| 1083826523 | Renfroe Spinal Center LLC | Chiropractor | 1421 East Nine Mile Rd, Pensacola, FL 32514 | 2007-05-04 |
| Find all providers in zip 32514 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487846259 | Gulf Breeze Psychiatric Services | Psychiatry & Neurology | 1221 East Desoto St, Pensacola, FL 32501 | 2007-08-15 |
| 1063619526 | Anita Marie Nusbaum | Psychiatry & Neurology | 6425 N. Pensacola Boulevard, Pensacola, FL 32503 | 2007-06-28 |
| 1962559708 | Audrey E Michal | Psychiatry & Neurology | 914 Bay Blvd, Pensacola, FL 32503-6806 | 2007-01-04 |
| 1174691364 | Jan A. Salzberg | Psychiatry & Neurology | 6425 Pensacola Blvd Ste 1-3, Pensacola, FL 32505-1701 | 2006-12-04 |
| 1821188038 | Douglas Holmes Fraser | Psychiatry & Neurology | The Anchor Clinic LLC, 229 S Baylen St Ste 2, Pensacola, FL 32502 | 2006-10-16 |
| 1538269121 | Cris William Jagar | Psychiatry & Neurology | 890 South Palafox Street, Suite 300, Pensacola, FL 32502 | 2006-09-23 |
| 1417993692 | Francisco E Ramos-acosta | Psychiatry & Neurology | 600 East Government Street, Pensacola, FL 32502 | 2006-06-22 |
| 1124063474 | Michael P Conrad | Psychiatry & Neurology | 1221 E Desoto St, Pensacola, FL 32501-3337 | 2006-06-19 |
| 1376504118 | James L Igleburger | Psychiatry & Neurology | 890 South Park Palafox Street, Suite 300, Pensacola, FL 32502 | 2006-03-31 |
| 1770578585 | Yira Van Der Linde | Psychiatry & Neurology | 1221 E De Soto St, Pensacola, FL 32501-3337 | 2005-09-19 |
| Find all providers in PENSACOLA | ||||
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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.