CHRISTOPHER BLAKE ENNIS


Address: 200 S Enota Dr Ne Ste 100, Gainesville, GA 30501-3466
Phone: 7705342020

CHRISTOPHER BLAKE ENNIS (NPI# 1740739853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1740739853
Entity Type Individual
Full Name CHRISTOPHER BLAKE ENNIS
Credential ACNPC-AG
Practice Address 200 S Enota Dr Ne Ste 100
Gainesville
GA 30501-3466
Mailing Address Po Box 742616
Atlanta
GA 30374-2616
Practice Telephone 7705342020
Practice Fax Number 7705348025
Mailing Telephone 7702198420
Enumeration Date 2016-09-30
Last Update Date 2020-10-06
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
RN201532 GA Physician Assistants & Advanced Practice Nursing Providers

Other Providers CHRISTOPHER ENNIS

NPI Name Taxonomy Address Enumeration
1023561875 Christopher R Ennis Chiropractor 1515 Hanes Mall Blvd, Winston Salem, NC 27103-1358 2016-07-28

Office Location

Street Address 200 S ENOTA DR NE STE 100
City GAINESVILLE
State GA
Zip Code 30501-3466

Providers in the same location

NPI Name Taxonomy Address Enumeration
1679572069 Sudhakara Babu Chennareddy Internal Medicine 200 S Enota Dr Ne Ste 100, Gainesville, GA 30501-3466 2005-07-18
1437530326 Shelley A. Robertson Nurse Practitioner 200 S Enota Dr Ne Ste 100, Gainesville, GA 30501-3466 2015-06-16
1801288337 Rachel E Lebolo Nurse Practitioner 200 S Enota Dr Ne Ste 100, Gainesville, GA 30501-3466 2015-02-20
1043631096 Heather Michelle Tillery Nurse Practitioner 200 S Enota Dr Ne Ste 100, Gainesville, GA 30501-3466 2013-12-18
1851721161 Elizabeth Illing Nurse Practitioner 200 S Enota Dr Ne Ste 100, Gainesville, GA 30501 2013-11-22
1558687384 Ugochukwu Onyibo Egolum Internal Medicine 200 S Enota Dr Ne Ste 100, Gainesville, GA 30501-3466 2010-04-19
1386872729 Vedang J Bhavsar Internal Medicine 200 S Enota Dr Ne Ste 100, Gainesville, GA 30501-3466 2009-06-24
1740431295 Santhi Adigopula Internal Medicine 200 S Enota Dr Ne Ste 100, Gainesville, GA 30501-3466 2008-10-02
1578727038 Ioannis Parastatidis Internal Medicine 200 S Enota Dr Ne Ste 100, Gainesville, GA 30501-3466 2008-07-14
1013197995 Nitya Sthalekar Internal Medicine 200 S Enota Dr Ne Ste 100, Gainesville, GA 30501-3466 2007-11-08
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619468899 Mca Medical Consulting & More, Pllc Nurse Practitioner 5083 Nw 22nd St, Gainesville, FL 32605-5475 2018-05-23
1174139026 Corey Barron Nurse Practitioner 743 Spring St Ne, Gainesville, GA 30501-3715 2020-09-16
1588293716 Deanna Steele Defoor Nurse Practitioner 2150 Limestone Pkwy Ste 222, Gainesville, GA 30501-2567 2020-04-08
1801445903 Robin Suzanne Brown Nurse Practitioner 743 Spring St Ne, Gainesville, GA 30501-3715 2019-09-11
1538714332 Tracee Roberson Williams Nurse Practitioner 2004 Mowry Rd, Uf Institue On Aging; Department of Aging and Geriatric, Gainesville, FL 32603 2019-08-08
1194382994 Shelia H Bradshaw Nurse Practitioner 743 Spring St Ne, Gainesville, GA 30501-3715 2019-05-28
1437610631 Anna Komoto Nurse Practitioner 743 Spring St Ne, Gainesville, GA 30501-3715 2019-03-29
1467920157 Tina T Chaphe Nurse Practitioner 743 Spring St Ne, Gainesville, GA 30501-3715 2018-11-12
1497239461 Samantha L Privett Nurse Practitioner 743 Spring St Ne, Gainesville, GA 30501-3715 2018-09-17
1114408366 Starr C Weather Nurse Practitioner 743 Spring St Ne, Gainesville, GA 30501 2018-08-26
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Competitor

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City GAINESVILLE
Zip Code 30501

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Dataset Information

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.

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