JAMIE GORDON (NPI# 1679666861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679666861 |
| Entity Type | Individual |
| Full Name | JAMIE GORDON |
| Credential | CRNA |
| Practice Address |
1200 Memorial Dr Dalton GA 30720-2529 |
| Mailing Address |
1419 Chattanooga Ave Suite 4 Dalton GA 30720-2642 |
| Practice Telephone | 7062594435 |
| Practice Fax Number | 7062262283 |
| Mailing Telephone | 7062594435 |
| Mailing Fax Number | 7062262283 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2015-04-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | RN047297 | GA | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000487341B | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619408036 | Jamie Gordon | Counselor | 2015 S Clarkson St, Denver, CO 80210-4105 | 2017-03-27 |
| 1225187065 | Jamie S. Gordon | Speech-Language Pathologist | 116 Osprey Nest Ct, Blythewood, SC 29016-8024 | 2007-01-10 |
| 1689113433 | Jamie Gordon | Nurse Practitioner | 550 1st Ave, New York, NY 10016-6402 | 2017-02-13 |
| 1578883823 | Jamie Gordon | Counselor | 4325 Washington Rd, Evans, GA 30809-3966 | 2010-06-09 |
| 1194915652 | Jamie Gordon | Counselor | 204 Hampton Dr, Venice, CA 90291-2623 | 2007-07-30 |
| Street Address |
1200 MEMORIAL DR |
| City | DALTON |
| State | GA |
| Zip Code | 30720-2529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710982103 | Paul Crutchfield | Specialist | 1200 Memorial Dr, Dalton, GA 30720-2529 | 2005-06-14 |
| 1891395505 | Molly Van Wert Cooper | Registered Nurse | 1200 Memorial Dr, Dalton, GA 30720-2529 | 2020-10-30 |
| 1922608116 | William Saunders IIi | Nurse Anesthetist, Certified Registered | 1200 Memorial Dr, Dalton, GA 30720-2529 | 2020-10-28 |
| 1114545431 | North Georgia Anesthesia Services PC | Anesthesiology | 1200 Memorial Dr, Dalton, GA 30720-2529 | 2020-07-13 |
| 1326665100 | Lacey Boutwell | Pharmacist | 1200 Memorial Dr, Dalton, GA 30720-2529 | 2020-06-29 |
| 1265061816 | Kiranjit Singh | Student in an Organized Health Care Education/Training Program | 1200 Memorial Dr, Dalton, GA 30720-2529 | 2020-04-06 |
| 1215566864 | Katelyn Amanda Boykin | Student in an Organized Health Care Education/Training Program | 1200 Memorial Dr, Dalton, GA 30720-2529 | 2020-04-06 |
| 1851920409 | Bradley Sackfield | Student in an Organized Health Care Education/Training Program | 1200 Memorial Dr, Dalton, GA 30720-2529 | 2020-04-06 |
| 1619506557 | Kenette St-gourdin | Student in an Organized Health Care Education/Training Program | 1200 Memorial Dr, Dalton, GA 30720-2529 | 2020-04-03 |
| 1699304790 | Tomislav Hrvoje Jagatic | Student in an Organized Health Care Education/Training Program | 1200 Memorial Dr, Dalton, GA 30720-2529 | 2020-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528688421 | Nighat Purnima Kabir | Student in an Organized Health Care Education/Training Program | Hamilton Medical Center, Attn: Residency Program, 1200 Memorial Drive, Dalton, GA 30720 | 2020-04-21 |
| 1720620727 | Elizabeth Nicole Gregory | Behavioral Analyst | 1201 Burleyson Rd., Dalton, GA 30720 | 2019-10-10 |
| 1972161768 | Andrea Nicole Henry | Speech-Language Pathologist | 1201 Burleyson Road, Dalton, Ga. 30720, Dalton, GA 30720 | 2019-06-05 |
| 1275056905 | Cynthia L Wood | Speech-Language Pathologist | 1011 Professional Blvd., Dalton, GA 30720 | 2017-07-25 |
| 1073069225 | Alyssa Sellers Garner | Nurse Practitioner | 1436 Chattanooga Avenue, Dalton, GA 30720 | 2016-08-28 |
| 1588039077 | Katie Walker | Social Worker | 900 Shugart Road, Dalton, GA 30720 | 2015-12-09 |
| 1215310800 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 98 West Walnut Ave, Dalton, GA 30720 | 2015-07-01 |
| 1275969081 | Stacy Kay Whitehead | Nurse Practitioner | 1411 Chattanooga Avenue, Suite 101, Dalton, GA 30720 | 2013-09-25 |
| 1821439985 | Chantal Aneka Raheeda Lewis | Internal Medicine | 1109 Burleyson Rd Ste 103, Dalton, GA 30720 | 2013-07-17 |
| 1174960678 | Homestead Hospice of Northwest Georgia, LLC | Hospice Care, Community Based | 1601 Hickory Street, Dalton, GA 30720 | 2013-05-24 |
| Find all providers in zip 30720 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992319552 | Deirdre Anne Holden | Registered Nurse | 1024 Haven Dr, Dalton, GA 30721-1749 | 2020-09-01 |
| 1659932978 | Taylor Samantha Roberts | Registered Nurse | 1503 Professional Ct # 100, Dalton, GA 30720-2566 | 2019-06-26 |
| 1083162523 | Shirley Ann Kubiak | Registered Nurse | W6440 E Pine St, Dalton, WI 53926-9375 | 2016-09-13 |
| 1346667888 | Angel Sutton | Registered Nurse | 3287 Mount Pleasant Rd Ne, Dalton, GA 30721-7304 | 2014-03-22 |
| 1467538678 | Suzanne Swift | Registered Nurse | 1200 Memorial Blvd, Dalton, GA 30720 | 2006-10-31 |
| 1285603787 | Mary S Manz | Registered Nurse | N 793 Elm Street, Dalton, WI 53926-0002 | 2006-03-16 |
| 1902880891 | Margot C Zeiss | Registered Nurse | N9270 Fenske Rd, Dalton, WI 53926-9611 | 2005-12-03 |
| 1891395505 | Molly Van Wert Cooper | Registered Nurse | 1200 Memorial Dr, Dalton, GA 30720-2529 | 2020-10-30 |
| 1487269130 | Annalee Houston Snyder | Registered Nurse | 1436 Chattanooga Ave, Dalton, GA 30720-2637 | 2020-09-10 |
| 1073158812 | Annsley Katherine Greeson | Registered Nurse | 1200 Memorial Dr, Dalton, GA 30720-2529 | 2019-11-15 |
| Find all providers in DALTON | ||||
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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.