MRS. DEVON BROOKE PATTILLO (NPI# 1760892616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760892616 |
Entity Type | Individual |
Full Name | MRS. DEVON BROOKE PATTILLO |
Credential | PA-C |
Practice Address |
2383 Pate St N Snellville GA 30078-3250 |
Mailing Address |
2979 Wynhaven Oaks Way Lawrenceville GA 30043-1305 |
Practice Telephone | 7709724845 |
Mailing Telephone | 6786540822 |
Enumeration Date | 2014-04-30 |
Last Update Date | 2014-04-30 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
2383 PATE ST N |
City | SNELLVILLE |
State | GA |
Zip Code | 30078-3250 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063488708 | Jennifer B. Sissom | Physician Assistant | 2383 Pate St N, Snellville, GA 30078-3250 | 2006-02-23 |
1669092300 | Kristin Paige Turmel | Physician Assistant | 2383 Pate St N, Snellville, GA 30078-3250 | 2020-04-23 |
1265865414 | Amy Kay Goodman | Physician Assistant | 2383 Pate St N, Snellville, GA 30078-3250 | 2013-08-12 |
1063858363 | Waqas R Shaikh | Dermatology | 2383 Pate St N, Snellville, GA 30078 | 2013-05-14 |
1477596203 | Gwinnett Dermatology PC D/b/a Georgia Dermatology Partners | Dermatology | 2383 Pate St N, Snellville, GA 30078-3250 | 2006-06-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619594561 | Steven Nguyen | Optometrist | 1905 Scenic Hwy S #1130, Snellville, GA 30078 | 2020-06-26 |
1891320776 | Youstina Harkas | Optometrist | 1679 Scenic Hwy S 203, Snellville, GA 30078 | 2020-03-11 |
1578101127 | Jwwt Neuoromonitoring, LLC | Psychiatry & Neurology | 1350 Scenic Highway, Suite 266, Snelville, GA 30078 | 2019-12-13 |
1679119903 | Lashon Poole Wells | Social Worker | 1350 Scenic Highway Ste 266, 1350 Scenic Highway Ste 266, Snellville, GA 30078 | 2019-11-21 |
1427601426 | Aemad Heavenly Joy Senior Homecare & Developmental Disabilities LLC | Registered Nurse | 1350 Scenic Highway Suite #266, Sneville, GA 30078 | 2019-07-18 |
1063975548 | Joanne Mcdougal Patterson | Nurse Practitioner | 1350 Scenic Hwy N Ste 226, Snellville, GA 30078 | 2019-04-10 |
1689144263 | Israel Branford | Physical Therapist | 1575 Scenic Hwy Ste 100, Snellville, GA 30078 | 2018-11-27 |
1902382997 | Brittany Dupree | Dermatology | 2383 Pate Street North, Snellville, GA 30078 | 2018-07-13 |
1134610926 | Reid Weston Popple | Dentist | 2992 Stone Mountain Hwy, A100, Snellville, GA 30078 | 2018-05-29 |
1326550492 | Optimal Healthcare Services LLC | Clinic/Center | 2121 Fountain Dr Ste F, Snellville, GA 30078 | 2017-10-30 |
Find all providers in zip 30078 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710185178 | Dianne Thornley Sheintal | Physician Assistant | 3020 Scenic Hwy S, Snellville, GA 30039-4614 | 2007-07-06 |
1497890073 | Meredith P Magner | Physician Assistant | 2675 Main St W, Snellville, GA 30078-3161 | 2007-02-21 |
1629472881 | Kenneth Obimpeh | Physician Assistant | 2675 Main St W, Snellville, GA 30078-3161 | 2014-10-17 |
1720413685 | Shonda Middleton Waddell | Physician Assistant | 1790 Presidential Cir, Suite C, Snellville, GA 30078-5688 | 2013-09-11 |
1821348350 | Syed S Badaruddin | Physician Assistant | 1700 Tree Ln, Suite 160, Snellville, GA 30078-6782 | 2012-09-12 |
1346590023 | Christie Wells Anderegg | Physician Assistant | 3020 Highway 124, Snellville, GA 30039-4614 | 2012-09-11 |
1578619219 | Mandy C Stout | Physician Assistant | 1700 Tree Ln, Suite 170, Snellville, GA 30078-6782 | 2007-01-26 |
1760578678 | Betsy Garrett Weiss | Physician Assistant | 1800 Tree Ln, Suite 300, Snellville, GA 30078-2016 | 2006-10-05 |
1578587952 | Chris M Carter | Physician Assistant | 1700 Tree Lane, Snellville, GA 30078-6766 | 2006-07-27 |
1902864747 | Katherine A Kennedy | Physician Assistant | 1800 Tree Ln Ste 300, Snellville, GA 30078-6794 | 2006-05-02 |
Find all providers in SNELLVILLE |
City | SNELLVILLE |
Zip Code | 30078 |
Please comment or provide details below to improve the information on MRS. DEVON BROOKE PATTILLO.
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.