KATHLEEN GEARHART (NPI# 1699164061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699164061 |
| Entity Type | Individual |
| Full Name | KATHLEEN GEARHART |
| Credential | PNP |
| Practice Address |
6095 Professional Pkwy Suite 100 Douglasville GA 30134-5607 |
| Practice Telephone | 7709202255 |
| Practice Fax Number | 7709209963 |
| Mailing Telephone | 7709202255 |
| Mailing Fax Number | 7709209963 |
| Enumeration Date | 2015-01-22 |
| Last Update Date | 2016-08-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
RN201546 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700899077 | Kathleen Gearhart | Physical Therapist | 3409 N Central Expy, Ste 200, Plano, TX 75023-6924 | 2006-08-15 |
| Street Address |
6095 PROFESSIONAL PKWY SUITE 100 |
| City | DOUGLASVILLE |
| State | GA |
| Zip Code | 30134-5607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316936305 | Asher B Galloway | Obstetrics & Gynecology | 6095 Professional Pkwy, Suite A210, Douglasville, GA 30134-5607 | 2005-10-21 |
| 1356631758 | Yassmin Ahmed Yousef | Pediatrics | 6095 Professional Pkwy, Suite 100, Douglasville, GA 30134-5607 | 2011-04-19 |
| 1912203050 | Wellstar Medical Group, LLC | Pediatrics | 6095 Professional Pkwy, Suite 100, Douglasville, GA 30134-5607 | 2011-02-08 |
| 1083910046 | Wellstar Medical Group, LLC | Obstetrics & Gynecology | 6095 Professional Pkwy, Suite A-210, Douglasville, GA 30134-5607 | 2011-02-08 |
| 1790004042 | Denise L Adams | Registered Nurse | 6095 Professional Pkwy, Suite 100, Douglasville, GA 30134-5607 | 2010-05-26 |
| 1487886511 | Open Mri of Georgia, Inc | Radiology | 6095 Professional Pkwy, Suite 101b, Douglasville, GA 30134-5607 | 2009-08-24 |
| 1366672107 | Shannon Leigh Colvin | Advanced Practice Midwife | 6095 Professional Pkwy, Suite A210, Douglasville, GA 30134-5607 | 2009-07-14 |
| 1942482310 | Arbor Place Family Medicine | Internal Medicine | 6095 Professional Pkwy, Bldg B Suite 200, Douglasville, GA 30134-5607 | 2007-11-28 |
| 1972705598 | Kay E Thompson | Registered Nurse | 6095 Professional Pkwy, Suite 100, Douglasville, GA 30134-5607 | 2007-06-05 |
| 1396965547 | Rafiq M. El Hammali | Internal Medicine | 6095 Professional Pkwy, Suite B205, Douglasville, GA 30134-5607 | 2007-04-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851915631 | Lilian Pereira | Nurse Practitioner | Bethesda Medical Group, LLC, 9280 Hwy 5 - Suite D, Douglasville, GA 30134 | 2020-06-08 |
| 1548822901 | Sweet Resolve LLC | Nurse Practitioner | 4318 Ridge Rd, Ste 111 Pmb 1017, Douglasville, GA 30134 | 2019-07-05 |
| 1598328791 | Straight Street Life Center Inc | Case Manager/Care Coordinator | 12461 Veterans Memorial, Douglasville, GA 30134 | 2019-04-15 |
| 1174014930 | Caitlin Waldrip | Chiropractor | 8326a Office Park Dr., Douglasville, GA 30134 | 2018-05-28 |
| 1861901050 | Michelle Denise Winston | Licensed Practical Nurse | 6497 E Strickland, Douglasville, GA 30134 | 2017-09-20 |
| 1518335843 | Willis Anthony Rogers | Durable Medical Equipment & Medical Supplies | 7094 Rose Lake Circle, Douglasville, GA 30134 | 2015-09-03 |
| 1497135131 | Patricia Warren | Social Worker | 8317 Office Park Drive Ste.#e, Douglasville, GA 30134 | 2015-06-08 |
| 1457747321 | Kidz Rock Therapy Services, LLC | Occupational Therapist | 6732 West Spring Street, Douglasville, GA 30134 | 2015-04-08 |
| 1386068476 | Naa Y Oden | Psychologist | 4813 Ridge Rd Ste 111-639, Douglasville, GA 30134 | 2014-02-10 |
| 1467893271 | American Ems | Ambulance | 7240 Bankhead Hwy, Douglasville, GA 30134 | 2013-07-09 |
| Find all providers in zip 30134 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093125361 | Monica Ibanez | Nurse Practitioner | 9280 Highway 5, Suite A, Douglasville, GA 30134-1501 | 2014-05-07 |
| 1992059505 | Jenna Nabors Mcdonald | Nurse Practitioner | 9280 Highway 5, Suite A, Douglasville, GA 30134-1501 | 2012-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565811 | Rebecca Danielle Wegman | Nurse Practitioner | 5445 Meridian Mark Rd Ste 380, Atlanta, GA 30342-4755 | 2020-10-09 |
| 1629675657 | Casey Cullins | Nurse Practitioner | 980 Johnson Fy Rd Ne Ste 680, Atlanta, GA 30342-1608 | 2020-10-02 |
| 1336755289 | Taylor Bishop | Nurse Practitioner | 51 Hidden Lake Ct, Savannah, GA 31419-1664 | 2020-09-16 |
| 1942815717 | Valerie Renee' Grenald | Nurse Practitioner | Augusta University Health, Augusta, GA 30912-0001 | 2020-09-09 |
| 1538798095 | Brittany Nicole Heitkamp | Nurse Practitioner | 5461 Meridian Mark Rd Ste 540, Atlanta, GA 30342-3283 | 2020-04-06 |
| 1629606421 | Anna Elizabeth Patton | Nurse Practitioner | 12 Sammy Mcghee Blvd Ste 102, Jasper, GA 30143-7712 | 2020-03-29 |
| 1093342131 | Lindsay Pare | Nurse Practitioner | 2225 Twin Lakes Dr, Atlanta, GA 30339-4123 | 2020-03-26 |
| 1215564976 | Stephanie Laurel Toole | Nurse Practitioner | 625 Big Shanty Rd Nw, Kennesaw, GA 30144-3646 | 2020-03-24 |
| 1740816487 | Aleksa Rozman | Nurse Practitioner | 1121 Johnson Ferry Rd Ste 220, Marietta, GA 30068-2763 | 2020-03-13 |
| 1912530866 | Rebecca L Brigola | Nurse Practitioner | 4120 Five Forks Trickum Rd Sw Ste 102, Lilburn, GA 30047-8975 | 2020-02-19 |
| Find all providers with the same taxonomy | ||||
| City | DOUGLASVILLE |
| Zip Code | 30134 |
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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.