REBECCA CAMPBELL HENDERSON (NPI# 1760032494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760032494 |
| Entity Type | Individual |
| Full Name | REBECCA CAMPBELL HENDERSON |
| Other Name | REBECCA CAMPBELL SMITH |
| Credential | MSN, FNP-C |
| Practice Address |
1614 Virginia Pine Cir Sw Lilburn GA 30047-5670 |
| Practice Telephone | 4047972783 |
| Mailing Telephone | 4047972783 |
| Enumeration Date | 2019-09-15 |
| Last Update Date | 2019-09-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | RN215973 | GA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376169078 | Rebecca Sue Henderson | Respiratory Therapist, Certified | 415 W Wilshire Blvd Ste A, Oklahoma City, OK 73116-7702 | 2020-06-18 |
| 1932472602 | Rebecca Henderson | Counselor | 100 E Ferguson St Ste 608, Tyler, TX 75702-5756 | 2012-02-10 |
| 1528560414 | Rebecca Dykes Henderson | Nurse Practitioner | 1508 Tombras Ave, East Ridge, TN 37412-2720 | 2018-03-06 |
| 1508223769 | Rebecca Henderson | Dental Hygienist | 1 Memorial Medical Dr, Greenville, SC 29605-4407 | 2016-01-19 |
| 1124404991 | Rebecca Henderson | Occupational Therapist | 4440 Carver Woods Dr, Blue Ash, OH 45242-5529 | 2015-08-04 |
| 1639496458 | Rebecca Myer Henderson | Internal Medicine | 1381 Westgate Center Dr, Winston Salem, NC 27103-2934 | 2010-05-03 |
| 1316195985 | Rebecca Henderson | Social Worker | 130 Boylston St, Boston, MA 02116-4608 | 2008-09-08 |
| 1508909771 | Rebecca Carr Henderson | Social Worker | 535 S 2nd Ave, Covina, CA 91723-3013 | 2007-02-15 |
| Street Address |
1614 VIRGINIA PINE CIR SW |
| City | LILBURN |
| State | GA |
| Zip Code | 30047-5670 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750861217 | Latrina S Walden | Nurse Practitioner | 887 Ryan Lane, Lilburn, GA 30047 | 2018-08-15 |
| 1811483928 | Olivia Oyegunle | Optometrist | 4153 Lawrenceville Hwy Nw Ste 5, Lilburn, GA 30047 | 2018-07-02 |
| 1932619285 | Mpm Creative, LLC | Speech-Language Pathologist | 1560 Hewatt Rd, Lilburn, GA 30047 | 2017-10-01 |
| 1528515186 | Smith Dental Care of Lilburn, Inc. | Dentist | 3100 Five Forks Trickham Rd Suite 201, Lilburn, GA 30047 | 2016-09-01 |
| 1891143244 | Choices Behavioral Alternatives | Counselor | 4037 Darling Court, Suite B, Lilburn, GA 30047 | 2016-05-26 |
| 1235595687 | Georgia Dental Associates | Clinic/Center | 3100 Five Forks Trickum Road Suite 201, Lilburn, GA 30047 | 2016-01-14 |
| 1912382144 | Sangeetha Asokan | Dentist | 609, Beaver Ruin Road, Tebo Dental for Kids, Lilburn, GA 30047 | 2015-07-29 |
| 1467836403 | Pamela Neal | Registered Nurse | 3315 Landingview Ct, Lilburn, GA 30047 | 2015-07-18 |
| 1699172452 | Josie Kou, Kulah Curran | Registered Nurse | 3708 Tamer Ln, Lilburn, GA 30047 | 2014-11-21 |
| 1184039380 | Cheryl Lee | Chiropractor | 5014 Stone Mountain Hwy, Suite C, Lilburn, GA 30047 | 2014-06-25 |
| Find all providers in zip 30047 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740751221 | Lifebrite Physician Group LLC | Family Medicine | 3970 Five Forks Trickum Rd Sw Ste A, Lilburn, GA 30047-2339 | 2018-12-10 |
| 1215391016 | Aakar Thaker | Family Medicine | 3993 Lawrenceville Hwy Nw Ste 140, Lilburn, GA 30047-2873 | 2016-04-07 |
| 1417139403 | G Craig Heigerick Do PC | Family Medicine | Suite 5, 4153 Lawrenceville Hwy, Lilburn, GA 30047-2854 | 2007-11-30 |
| 1487715298 | Glenn Craig Heigerick | Family Medicine | 615 Beaver Ruin Rd Nw, Suite B, Lilburn, GA 30047-3401 | 2006-12-13 |
| 1962451849 | Padmini Gunadeva | Family Medicine | 455 Beaver Ruin Rd Nw, Lilburn, GA 30047-3413 | 2006-05-09 |
| 1821051970 | Harvey Jay Schecter | Family Medicine | 976 Killian Hill Rd Sw, Suite A, Lilburn, GA 30047-3102 | 2006-04-10 |
| 1609861830 | Scott T Keller | Family Medicine | 4120 Five Forks Trickum Rd Sw, Suite 105, Lilburn, GA 30047-3130 | 2005-09-14 |
| 1750373023 | Kirpich Joseph | Family Medicine | 449 Pleasant Hill Rd Nw Ste 104, Lilburn, GA 30047-2770 | 2005-08-22 |
| 1720698426 | Open Hands Medical Center, LLC | Family Medicine | 1003 Oak Rd Sw Ste B, Lilburn, GA 30047-1826 | 2020-08-06 |
| 1508417361 | Joslin John | Family Medicine | 4025 Lawrenceville Hwy Nw, Lilburn, GA 30047-3013 | 2019-09-24 |
| Find all providers in LILBURN | ||||
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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.