REBECCA BOGLE (NPI# 1750946901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750946901 |
| Entity Type | Individual |
| Full Name | REBECCA BOGLE |
| Practice Address |
311 Juniper Ln Macon GA 31220-7642 |
| Practice Telephone | 4787330504 |
| Mailing Telephone | 4787330504 |
| Enumeration Date | 2019-05-03 |
| Last Update Date | 2019-05-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Street Address |
311 JUNIPER LN |
| City | MACON |
| State | GA |
| Zip Code | 31220-7642 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174864979 | Kenwana Michelle Vanderbilt | Psychologist | Macon Outpatient Clinic- 5398 Thomaston Rd., Suite B, Macon, GA 31220 | 2013-03-05 |
| 1720287345 | Lynda Jean Logan | Registered Nurse | 5398 Thomaston Road Suite B, Macon, GA 31220 | 2007-07-13 |
| 1811085434 | Timmi Hagan | Dentist | 4196 Cavalier Dr, Macon, GA 31220 | 2006-10-10 |
| 1154375756 | Lois Jane Macdonnell | Psychiatry & Neurology | 5566 Thomaston Rd, Macon, GA 31220 | 2006-05-19 |
| 1508129438 | Venyette Thomas | Nurse Practitioner | 6381 Zebulon Rd, Macon, GA 31220 | 2012-06-15 |
| 1710260575 | Vijay H Patel | Pharmacist | 1280 Gray Hwy, Macon, GA 31220 | 2011-09-27 |
| 1023065638 | Dublin Vamc | Clinic/Center | 5566 Thomaston Rd, Macon, GA 31220 | 2006-05-28 |
| 1386847614 | Georgia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 6381 Zebulon Rd, Macon, GA 31220-2601 | 2007-06-06 |
| 1588128581 | Samuel Scott Collier | Nurse Practitioner | 6381 Zebulon Rd, Macon, GA 31220-2601 | 2019-01-24 |
| 1841652310 | Christopher Hayes | Nurse Practitioner | 6381 Zebulon Rd, Macon, GA 31220-2601 | 2016-03-24 |
| Find all providers in zip 31220 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245861434 | Erika Jones Thomas | Home Health | 5120 Nisbet Dr, Macon, GA 31206-4724 | 2020-01-28 |
| 1528604857 | Southern Home Care Services, Inc. | Home Health | 105 Preston Ct Ste B, Macon, GA 31210-5769 | 2019-11-21 |
| 1366085466 | Abundant Care Services, LLC | Home Health | 125 Plantation Centre Dr S Ste 500b, Macon, GA 31210-2087 | 2019-10-21 |
| 1093291668 | Tyler Rashad Thomas | Home Health | 351 Amanda Dr, Macon, GA 31216-6387 | 2018-07-17 |
| 1003337718 | Shantha Tyhessia Jones | Home Health | 2453 Shea Drive, Macon, GA 31206 | 2017-07-03 |
| 1619497757 | First Choice Home Health & Behavioral Services LLC | Home Health | 4038 Suzanne Dr, Macon, GA 31204-3738 | 2017-06-20 |
| 1841664695 | 1st Source Healthcare | Home Health | 534 Ivy Brook Way, Macon, GA 31210-4049 | 2015-11-17 |
| 1780058537 | Abundant Health Care Agency | Home Health | 109 Madison North Dr, Macon, GA 31220-7627 | 2015-11-17 |
| 1639545098 | Tranquillity Home Care, LLC | Home Health | 154 Mcgee St, Macon, GA 31204-2308 | 2015-08-19 |
| 1871913145 | Amazing Grace Home Care Services, Inc | Home Health | 2449 Vineville Ave Ste 7, Macon, GA 31204-2955 | 2014-04-24 |
| Find all providers in MACON | ||||
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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.