MR. THERON E HAWKINS (NPI# 1699817098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699817098 |
| Entity Type | Individual |
| Full Name | MR. THERON E HAWKINS |
| Credential | NP |
| Practice Address |
1240 Jesse Jewell Pkwy Se Suite 500 Gainesville GA 30501-3862 |
| Practice Telephone | 7705369864 |
| Practice Fax Number | 7702975012 |
| Mailing Telephone | 7705369864 |
| Mailing Fax Number | 7702975012 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2009-05-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | RN101168 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | WELLCARE | 473153 | 01 |
| GA | AMERIGROUP | 01240267 | 01 |
| GA | 000885475F | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730510256 | Theron Hawkins | In Home Supportive Care | 11401 Saint James Ct, Northport, AL 35475-4430 | 2013-12-09 |
| 1851345201 | Theron D Hawkins | Physician Assistant | 703 Virginia St, Dunedin, FL 34698-6615 | 2006-05-20 |
| Street Address |
1240 JESSE JEWELL PKWY SE SUITE 500 |
| City | GAINESVILLE |
| State | GA |
| Zip Code | 30501-3862 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609879881 | C. Shane Bussler | Internal Medicine | 1240 Jesse Jewell Pkwy Se, Ste 500, Gainesville, GA 30501-3861 | 2005-05-23 |
| 1346780251 | Ashley Wilkins | Physician Assistant | 1240 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3862 | 2017-02-27 |
| 1962948422 | Charlsie A Thomas | Physician Assistant | 1240 Jesse Jewell Pkwy Se, Suite 500, Gainesville, GA 30501-3862 | 2017-01-09 |
| 1780128272 | Lauren H Darnell | Nurse Practitioner | 1240 Jesse Jewell Pkwy Se, Suite 500, Gainesville, GA 30501-3862 | 2016-12-19 |
| 1912452061 | Kristina Stefanova James | Nurse Practitioner | 1240 Jesse Jewell Pkwy Se, Suite 400, Gainesville, GA 30501-3862 | 2016-08-18 |
| 1124486238 | Brandon Lee Morrow | Physician Assistant | 1240 Jesse Jewell Pkwy Se, Ste 300, Gainesville, GA 30501-3862 | 2016-02-03 |
| 1427413962 | Sherry Hope Flanagan | Nurse Practitioner | 1240 Jesse Jewell Pkwy Se, Suite 500, Gainesville, GA 30501-3862 | 2015-12-29 |
| 1457757593 | Colleen Mccoy | Physician Assistant | 1240 Jesse Jewell Pkwy Se, Gainesville, GA 30501 | 2014-11-18 |
| 1689009953 | Ernie Loza Aldaco | Registered Nurse | 1240 Jesse Jewell Pkwy Se, Suite 300, Gainesville, GA 30501-3862 | 2013-09-05 |
| 1871838375 | Laura J Johansen | Physical Therapist | 1240 Jesse Jewell Pkwy Se, Suite 500, Gainesville, GA 30501-3862 | 2012-12-10 |
| 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 | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801412242 | Candace K Hall | Nurse Practitioner | 6810 Mandalay Ct, Gainesville, VA 20155-4493 | 2020-06-22 |
| 1164072591 | Mary Katherine Bridges | Nurse Practitioner | 316 Foothills Pkwy Ne, Gainesville, GA 30501-3839 | 2019-09-17 |
| 1124676622 | Desislava Cooper | Nurse Practitioner | 1143 Nw 89th Dr, Gainesville, FL 32606-7116 | 2019-08-28 |
| 1053883223 | Lisa Annette Wisemen | Nurse Practitioner | 3611 Sw 34th St Apt 46, Gainesville, FL 32608-2577 | 2018-12-27 |
| 1235600362 | Marie Lyse Dufresne-dixon | Nurse Practitioner | 1515 Sw Archer Rd Apt C27, Gainesville, FL 32608-1134 | 2018-12-16 |
| 1427551506 | Melinda Holder Phillips | Nurse Practitioner | 1600sw Archer Rd, Gainesville, FL 32610-0001 | 2018-03-14 |
| 1669992921 | Amanda Kaye Elizabeth Croft | Nurse Practitioner | Po Box 100186, Gainesville, FL 32610-0186 | 2017-06-27 |
| 1033642210 | Dironada Gross Strange | Nurse Practitioner | Po Box 100108, Gainesville, FL 32610-0001 | 2017-04-05 |
| 1124565031 | Shannon Eileen Katilus Makovic | Nurse Practitioner | Department of Pediatrics Neonatology, Box 100296, Gainesville, FL 32610-0296 | 2017-01-30 |
| 1770997306 | Jordan Knowlton | Nurse Practitioner | 1600 Sw Archer Rd # 100371, Gainesville, FL 32610-3003 | 2014-06-11 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 30501 |
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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.