GREGGORY THEOTIS KENT (NPI# 1700425568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700425568 |
Entity Type | Individual |
Full Name | GREGGORY THEOTIS KENT |
Credential | SFIDC |
Practice Address |
223 E Grady Ave Lyons GA 30436-1509 |
Practice Telephone | 0000000000 |
Enumeration Date | 2019-12-26 |
Last Update Date | 2019-12-26 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 171000000X | Military Health Care Provider | Other Service Providers |
Street Address |
223 E GRADY AVE |
City | LYONS |
State | GA |
Zip Code | 30436-1509 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003172388 | Nurses Plus, Inc | Clinic/Center | 262 Johnson Corner Rd, Lyons, GA 30436 | 2012-04-11 |
1073818969 | Accuquest Hearing Center | Hearing Aid Equipment | 115 Oxley Drive, Lyons, GA 30436 | 2011-01-24 |
1750374336 | Catherine W Reavis | Nurse Practitioner | 110 R T Stanley Sr Pl, Lyons, GA 30436 | 2005-08-29 |
1033262829 | Kathleen R Dunham-bridges | Nurse Practitioner | 110 R T Stanley Sr Place, Lyons, GA 30436 | 2007-01-18 |
1629009501 | Susan F Mclendon | Registered Nurse | 110 R T Stanley Sr Pl, Lyons, GA 30436 | 2006-07-06 |
1457344046 | Brandy W Sikes | Physician Assistant | 110 R T Stanley Sr Pl, Lyons, GA 30436 | 2005-08-30 |
1881625457 | Hazel E Mead | Registered Nurse | 714 Nw Broad Street, Lyons, GA 30436-0008 | 2006-07-05 |
1649202607 | Toombs County Board of Health | Public Health or Welfare | 714 Nw Broad Street, Lyons, GA 30436-0008 | 2006-07-07 |
1831112879 | Toombs County Wellness Center | Public Health or Welfare | 714 Nw Broad Street, Lyons, GA 30436-0308 | 2006-07-25 |
1548345036 | Donald J Payne Dmd PC | Dentist | 668 Nw Broad St, Lyons, GA 30436-0899 | 2006-10-25 |
Find all providers in zip 30436 |
Taxonomy Code | 171000000X |
Grouping | Other Service Providers |
Classification | Military Health Care Provider |
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |
Notes: [7/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083142947 | Integrative Cap Health Practices | Military Health Care Provider | 770 Old Roswell Pl Ste G400, Roswell, GA 30076-8635 | 2017-05-23 |
1972037323 | Alicia Anderson | Military Health Care Provider | 621 Mcgruder St. Ne, Atlanta, GA 30312 | 2017-04-12 |
1508227141 | Compassion Community PCh LLC | Military Health Care Provider | 1942 Appling Harlem Rd, Appling, GA 30802-3723 | 2016-03-09 |
1982063749 | Mallori Tittle | Military Health Care Provider | 6254 Warm Springs Rd Apt G6, Columbus, GA 31909-9152 | 2016-02-22 |
1902243876 | Victor D Parker IIi | Military Health Care Provider | 78th Medical Group Sghc, 655 Seventh Street, Robins Afb, GA 31098 | 2013-05-31 |
1235575325 | Gerardo Julian Soracco | Military Health Care Provider | 4415 Northside Chase Nw, Atlanta, GA 30327-3567 | 2013-05-15 |
1790023406 | Donna Sue Muller | Military Health Care Provider | 2715 Cosmos Dr Ne, Atlanta, GA 30345-1307 | 2013-01-30 |
1316298144 | Sandra Diane Tyree | Military Health Care Provider | 6490 Clyattstone Rd, Hahira, GA 31632-3112 | 2012-09-19 |
1558643536 | Eleanor S. Lee | Military Health Care Provider | 4211 Misty Morning Way, #2319, Gainesville, GA 30506-4347 | 2011-09-15 |
1073754891 | James Mercer Archer | Military Health Care Provider | 2450 Ruger Dr Ne, Marietta, GA 30066-1422 | 2009-03-09 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on GREGGORY THEOTIS KENT.
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.