CMG FAMILY WELLNESS CENTER (NPI# 1710309703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710309703 |
| Entity Type | Organization |
| Organization Name | CMG FAMILY WELLNESS CENTER |
| Practice Address |
198 E Jefferson St Franklin IN 46131-2323 |
| Mailing Address |
6948 Windsor Ave. Bervyn IL 60402-3335 |
| Practice Telephone | 7083937538 |
| Mailing Telephone | 7083937533 |
| Mailing Fax Number | 7083940911 |
| Enumeration Date | 2014-01-10 |
| Last Update Date | 2014-01-10 |
| Authorized Official Name | GEORGIANNE PANGALLO (FNP) |
| Authorized Official Telephone | 7083937533 |
| Authorized Official Credential | FNP-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
198 E JEFFERSON ST |
| City | FRANKLIN |
| State | IN |
| Zip Code | 46131-2323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558360230 | Georgianne Pangallo | Nurse Practitioner | 198 E Jefferson St, Franklin, IN 46131-2323 | 2005-07-15 |
| 1609128586 | Carrie Lynn Sullivan | Nurse Practitioner | 198 E Jefferson St, Franklin, IN 46131-2323 | 2012-10-03 |
| 1316930050 | Niall Richard Atkinson | Nurse Practitioner | 198 E Jefferson St, Franklin, IN 46131-2323 | 2005-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134607161 | Eric P. Lefave | Student in an Organized Health Care Education/Training Program | 101 Branigin Rd, Franklin, IN 46131 | 2018-08-01 |
| 1821512500 | Cameron Greene | Specialist/Technologist | 198 Cemetery Hill Rd., Franklin, IN 46131 | 2017-08-03 |
| 1912421694 | Lauryn Kendyl Darnall | Specialist/Technologist | 1041 West Jefferson St. Apt 2, Franklin, IN 46131 | 2017-08-03 |
| 1124578893 | Chantel Paul | Specialist/Technologist | 1709 Traditions Ct, Franklin, IN 46131 | 2016-10-06 |
| 1710386834 | Rhonda A. Thorne Miller | Occupational Therapist | Accord Children's Therapy, 1176 N Main St., Franklin, IN 46131 | 2014-08-14 |
| 1124466131 | Addiction Care Interventions Inc | Community/Behavioral Health | 550 E. Jefferson Ave., Suite 101, Franklin, IN 46131 | 2013-06-12 |
| 1821361718 | Diane M Christensen | Occupational Therapist | 1125 West Jefferson St, Franklin, IN 46131 | 2012-02-23 |
| 1902189764 | Kenneth Paul Reeves | Pharmacist | 20 N. Morton St., Franklin, IN 46131 | 2011-09-27 |
| 1780993402 | Amanda Marie Dininger | Optometrist | 460 N Morton St Ste D, Franklin, IN 46131 | 2010-09-29 |
| 1922293448 | Assisted Living Concepts Inc | Assisted Living Facility | 1435 Christian Blvd, Franklin, IN 46131 | 2007-09-07 |
| Find all providers in zip 46131 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275029928 | Stacy Townsend | Nurse Practitioner | 333 Conover Dr Ste E, Franklin, OH 45005-1900 | 2018-07-05 |
| 1811427545 | Ashley Mary Heinly | Nurse Practitioner | 200 Cool Springs Blvd, Franklin, TN 37067-2677 | 2017-06-15 |
| 1164973665 | Beverly Lynn Bragg | Nurse Practitioner | 1125 W Jefferson St, Franklin, IN 46131-2140 | 2016-10-19 |
| 1508243718 | Ellen Ehleben | Nurse Practitioner | 4588 Carothers Pkwy, Franklin, TN 37067-6577 | 2015-04-27 |
| 1245668102 | Samuel Paris | Nurse Practitioner | 1113 Murfreesboro Rd, Suite 319, Franklin, TN 37064-1306 | 2013-10-30 |
| 1366701716 | Mary Lauren Pfieffer | Nurse Practitioner | 740 Cool Springs Blvd, Suite 110, Franklin, TN 37067-6448 | 2012-05-04 |
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| 1558905554 | Amy Hueston | Nurse Practitioner | 313 S Berkley Rd, Kokomo, IN 46901-5114 | 2019-11-01 |
| 1891338166 | Jayme Lantz | Nurse Practitioner | 20085 Turquoise Ln, Goshen, IN 46528-6294 | 2019-10-19 |
| 1033761770 | Workplace Health Services | Nurse Practitioner | 1632 W. In-28, Frankfort, IN 46041 | 2019-07-12 |
| 1164984597 | Care At Home LLC | Nurse Practitioner | 717 Washington Park Blvd, Michigan City, IN 46360-2056 | 2019-04-04 |
| 1255815379 | Amanda Kay Goins | Nurse Practitioner | 3919 W Jefferson Blvd Ste B, Fort Wayne, IN 46804-6811 | 2018-09-25 |
| 1972084267 | Kelly Sue Ann Peasley | Nurse Practitioner | 2101 Jackson St Ste 8, Anderson, IN 46016-4341 | 2018-08-24 |
| 1891271466 | Hilton Health Housecall LLC | Nurse Practitioner | 4340 Trace Wood Dr, Indianapolis, IN 46254-6238 | 2018-07-17 |
| Find all providers with the same taxonomy | ||||
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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.