MRS. ROBIN RENEE CHILDRESS-RODRIGUEZ


Address: 690 Dallas Hwy, Ste 101, Villa Rica, GA 30180-1264
Phone: 7704590620

MRS. ROBIN RENEE CHILDRESS-RODRIGUEZ (NPI# 1669677498) 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) 1669677498
Entity Type Individual
Full Name MRS. ROBIN RENEE CHILDRESS-RODRIGUEZ
Other Name ROBIN RENEE CHILDRESS
Credential NP
Practice Address 690 Dallas Hwy
Ste 101
Villa Rica
GA 30180-1264
Mailing Address 230 7th St
Pacific Grove
CA 93950-3503
Practice Telephone 7704590620
Practice Fax Number 7704567604
Mailing Telephone 8313736160
Mailing Fax Number 8313729320
Enumeration Date 2007-06-20
Last Update Date 2012-09-13
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
RN141373 GA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 690 DALLAS HWY
STE 101
City VILLA RICA
State GA
Zip Code 30180-1264

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538161492 Bonnie Kristine Boles Internal Medicine 690 Dallas Hwy, Suite 207-a, Villa Rica, GA 30180-1264 2005-08-11
1366797391 Julie Inez Burke Clinical Nurse Specialist 690 Dallas Hwy, Suite 201, Villa Rica, GA 30180-1264 2012-07-16
1104113919 Kaysi Benefield Obstetrics & Gynecology 690 Dallas Hwy, Suite 301, Villa Rica, GA 30180-1264 2011-06-30
1972824712 Tiffany L Stanfill Obstetrics & Gynecology 690 Dallas Hwy, Suite 301, Villa Rica, GA 30180-1264 2010-06-16
1497982656 Linda R Mcdaniel Advanced Practice Midwife 690 Dallas Hwy, Suite 301, Villa Rica, GA 30180-1264 2009-06-16
1346406071 Tmc Internal Medicine of Villa Rica, Inc. Internal Medicine 690 Dallas Hwy, Suite 301, Villa Rica, GA 30180-1264 2008-08-01
1073710646 Amanda Kauffmann Nguyen Pediatrics 690 Dallas Hwy, Suite 206, Villa Rica, GA 30180-1264 2007-06-28
1982724811 Virginia Singer Nurse Practitioner 690 Dallas Hwy, Suite 201, Villa Rica, GA 30180-1264 2007-04-02
1477615862 Carlos Julio Moreno Physician Assistant 690 Dallas Hwy, Suite 101, Villa Rica, GA 30180-1264 2006-12-14
1568563914 Eugene Stanley Hurwitz Allergy & Immunology 690 Dallas Hwy, Suite 101, Villa Rica, GA 30180-1209 2006-09-26
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174161624 Crucible Communication Therapy LLC Speech-Language Pathologist 9765 Walnut Grove Trail, Villa Rica, GA 30180 2019-12-16
1366802845 Medic-pearl, LLC Ambulance 1108 Charter Oak Ct, Villa Rica, GA 30180 2016-02-26
1396138368 Josette Etienne Nurse Practitioner 403 Permian Way Suite A, Villa Rica, GA 30180 2015-03-13
1447690516 Judith L.m. Thigpen Nurse Practitioner 736 Highway 78 West, Minute Clinic, Villa Rica, GA 30180 2013-07-03
1477890168 Wesley Douglas Mckenzie Pharmacist 2500 Mirror Lake Blvd, Villa Rica, GA 30180 2013-01-15
1497005359 Malika Remie Rajendra Optometrist 600 Hwy 61, Villa Rica, GA 30180 2012-09-18
1972876449 Catherine Elaine Tyson Pharmacist 601 Dallas Road, Villa Rica, GA 30180 2012-02-14
1619262433 Villa Rica Rx LLC Pharmacy 222 West Wilson Street, Villa Rica, GA 30180 2011-06-09
1851602874 Jules Chopin Sybert Nurse Practitioner 736 W. Bankhead Hwy, Villa Rica, GA 30180 2010-06-24
1487984019 Lisa Wood Occupational Therapy Assistant 1207 Woods Walk, Villa Rica, GA 30180 2010-01-04
Find all providers in zip 30180

Taxonomy Information

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

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518518810 Np At Your Convenience, LLC Nurse Practitioner 594 Carrollton Villa Rica Hwy # 1018, Villa Rica, GA 30180-4980 2019-09-27
1255819603 Sheryl Ann Dixon Nurse Practitioner 2535 Grayton Loop, Villa Rica, GA 30180-6703 2018-07-29
1619478013 Chrisyana Gedmyr Medcare LLC Nurse Practitioner 403 Permian Way Ste A, Villa Rica, GA 30180-3226 2018-02-22
1952834889 Rhonda Hughley-hall Nurse Practitioner 30 Aberfoyle Way, Villa Rica, GA 30180-3819 2017-04-07
1376936369 Tiffany Corn Henley Nurse Practitioner 154 Templeton Ln, Villa Rica, GA 30180-3620 2015-03-15
1396138368 Josette Etienne Nurse Practitioner 403 Permian Way Suite A, Villa Rica, GA 30180 2015-03-13
1194124677 Steven Releford Nurse Practitioner 262 Industrial Blvd, Villa Rica, GA 30180-1511 2014-08-20
1861810749 Latrese Ann Ellis Nurse Practitioner 9803 Spyglass Dr, Villa Rica, GA 30180-8416 2014-03-28
1447690516 Judith L.m. Thigpen Nurse Practitioner 736 Highway 78 West, Minute Clinic, Villa Rica, GA 30180 2013-07-03
1154660801 Alisha Michelle Schuchman Nurse Practitioner 32 Wood Cir, Villa Rica, GA 30180-7446 2013-01-31
Find all providers in VILLA RICA

Competitor

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City VILLA RICA
Zip Code 30180

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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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