PHYLLIS BIRT (NPI# 1679852438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679852438 |
| Entity Type | Individual |
| Full Name | PHYLLIS BIRT |
| Credential | LPN |
| Practice Address |
915 Interstate Ridge Dr Suite G Gainesville GA 30501-7076 |
| Mailing Address |
4331 Thurmond Tanner Rd Flowery Branch GA 30542-2829 |
| Practice Telephone | 6785135700 |
| Practice Fax Number | 6785135836 |
| Mailing Telephone | 6785135700 |
| Mailing Fax Number | 6785135836 |
| Enumeration Date | 2011-08-11 |
| Last Update Date | 2011-08-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | LPN031752 | GA | Nursing Service Providers |
| Street Address |
915 INTERSTATE RIDGE DR SUITE G |
| City | GAINESVILLE |
| State | GA |
| Zip Code | 30501-7076 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568423655 | Renee Lee-barbacone | Social Worker | 915 Interstate Ridge Dr, Suite G, Gainesville, GA 30501-7076 | 2006-03-29 |
| 1740630318 | Sandra L Ray | Counselor | 915 Interstate Ridge Dr, Suite G, Gainesville, GA 30501-7076 | 2016-06-15 |
| 1912361312 | Wendy Ticas | Social Worker | 915 Interstate Ridge Dr, Suite C, Gainesville, GA 30501-7076 | 2016-04-12 |
| 1912393158 | Deborah L Fujan-pinney | Counselor | 915 Interstate Ridge Dr, G, Gainesville, GA 30501-7076 | 2015-04-14 |
| 1083003974 | Marion Goodloe Smyser | Social Worker | 915 Interstate Ridge Dr, Gainesville, GA 30501-7076 | 2015-01-14 |
| 1689084295 | Patricia M Smith | Counselor | 915 Interstate Ridge Dr, Gainesville, GA 30501-7076 | 2014-05-05 |
| 1790119881 | Stephen W Sorrells | Counselor | 915 Interstate Ridge Dr, Gainesville, GA 30501-7076 | 2013-08-26 |
| 1497983605 | Southern Home Care Services, Inc. | Home Health | 915 Interstate Ridge Dr, Suite A, Gainesville, GA 30501-7076 | 2009-06-25 |
| 1740423227 | Curtis Ben Savage | Counselor | 915 Interstate Ridge Dr, Suite G, Gainesville, GA 30501-7076 | 2009-04-13 |
| 1396988937 | Janet Liles | Counselor | 915 Interstate Ridge Dr, Suite G, Gainesville, GA 30501-7076 | 2009-04-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437782851 | Madison Raye Huth | Physician Assistant | 743 Spring Street Se, Gainesville, GA 30501 | 2020-02-13 |
| 1205487659 | Grace M Walker Brown | Nurse Practitioner | 592 Medical Park Dr., Suite A, Gainesville, GA 30501 | 2019-09-26 |
| 1174086987 | Nayab Ahmed | Student in an Organized Health Care Education/Training Program | 743 Spring Street, Suite 710, Gainesville, GA 30501 | 2019-04-09 |
| 1154881118 | Ryan D Berry | Student in an Organized Health Care Education/Training Program | 734 Spring St Se Ste 710, Gainesville, GA 30501 | 2019-03-24 |
| 1609336304 | Harper E Niver | Student in an Organized Health Care Education/Training Program | 743 Spring St., Suite 710, Gainesville, GA 30501 | 2019-03-20 |
| 1508336173 | Bradee Burrell Aderholt | Nurse Practitioner | 663 Lanier Park Drive, Gainesville, GA 30501 | 2018-11-27 |
| 1578068359 | Soammy Liz Matias | Chiropractor | 961 Green Street, Gainesville, GA 30501 | 2018-03-26 |
| 1811496896 | Matthew Brown | Speech-Language Pathologist | 500 Spring St. Se Suite 101, Gainesville, GA 30501 | 2018-02-06 |
| 1346769825 | Dr. Skeete & Associates of North Georgia, P.C. | Optometrist | 150 Pearl Nix Parkway, Suite D3a, Gainesville, GA 30501 | 2017-09-15 |
| 1932624723 | M & B Imaging, PC | Radiology | 1640 Jesse Jewell Pkwy Se Ste 2, Gainesville, GA 30501 | 2017-08-14 |
| Find all providers in zip 30501 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: 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 |
|---|---|---|---|---|
| 1710526918 | Victoria Lescher | Licensed Practical Nurse | 6 East St, Gainesville, NY 14066-9748 | 2020-01-06 |
| 1568013019 | Ladonna C Browning | Licensed Practical Nurse | 513 Sw 5th St, Gainesville, FL 32601-6653 | 2019-09-26 |
| 1326515545 | Wennona Rene Cooper | Licensed Practical Nurse | 1216 Ne Grand Ave, Gainesville, TX 76240-2811 | 2018-10-25 |
| 1053822981 | Thomas Richard Obrien | Licensed Practical Nurse | 1604 S.e. 3rd Ave., Gainesville, FL 32641 | 2017-10-18 |
| 1982145587 | Kea'asha Anderson | Licensed Practical Nurse | 900 Ne 22nd Ter, Gainesville, FL 32641-4744 | 2017-03-15 |
| 1760928774 | John Bruce | Licensed Practical Nurse | 3927 Darryl Ln, Gainesville, GA 30506-7121 | 2017-01-13 |
| 1366990988 | Arica Lynnette Mcgee | Licensed Practical Nurse | 3015 Ne 17th Ter, Gainesville, FL 32609-3250 | 2016-09-12 |
| 1093107112 | Mary Jacobs | Licensed Practical Nurse | 3810 Ne 14th St, Gainesville, FL 32609-2413 | 2015-02-26 |
| 1629468293 | Michelle Payne | Licensed Practical Nurse | 4005 Nw 21st Ter, Gainesville, FL 32605-1714 | 2015-02-03 |
| 1003212929 | Marie Magdala Petit Homme | Licensed Practical Nurse | 6815 W University Ave Apt 8204, Gainesville, FL 32607-5209 | 2014-11-05 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 30501 |
Please comment or provide details below to improve the information on PHYLLIS BIRT.
| 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.