MS. GUSSIE BACCUS (NPI# 1770050080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770050080 |
Entity Type | Individual |
Full Name | MS. GUSSIE BACCUS |
Credential | RN |
Practice Address |
115 Wellington Trl Covington GA 30016-8629 |
Practice Telephone | 4046459283 |
Mailing Telephone | 4046459283 |
Enumeration Date | 2018-10-25 |
Last Update Date | 2018-10-25 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WG0000X |
Registered Nurse Specialization: General Practice |
RN111211 | GA | Nursing Service Providers |
Street Address |
115 WELLINGTON TRL |
City | COVINGTON |
State | GA |
Zip Code | 30016-8629 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013565605 | Katrina Williams | Case Manager/Care Coordinator | 220 Meadowidge Dr, Covington, GA 30016 | 2019-08-28 |
1407322134 | Mali Rice | Registered Nurse | 105 Syracuse Lane, Covington, GA 30016 | 2018-10-20 |
1619452927 | Angelina Jones | Contractor | 290 Piedmont Circle, Covington, GA 30016 | 2018-10-02 |
1881116721 | Springhill Manor Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 600 Spring Hill Drive, Covington, GA 30016 | 2017-07-12 |
1922538529 | Tisha Owes | Home Health | 110 Trinity Dr, Covington, GA 30016 | 2017-06-15 |
1053868695 | Delhia Assanah IIi | Counselor | 101 Kirkland Road, Covington, GA 30016 | 2016-09-01 |
1760834295 | Resurgens East Surgery Center, LLC | Clinic/Center | 3241 Iris Dr, Suite 100, Covington, GA 30016 | 2016-07-08 |
1528443371 | Latoya N Wright | Counselor | 100 Winnstead Place, Covington, GA 30016 | 2015-07-22 |
1598157307 | Sierra Private Homecare, Inc. | Adult Companion | 75 Cinnamon Oak Circle, Covington, GA 30016 | 2015-03-03 |
1326391079 | Lana Abiola Fraser | Nurse's Aide | 840 Oakhill Road, Covington, GA 30016 | 2012-10-18 |
Find all providers in zip 30016 |
Taxonomy Code | 163WG0000X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104171446 | Yentl Butler | Registered Nurse | 170 Colser Dr, Covington, GA 30016-0984 | 2012-07-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285240069 | Wenqiu Jennings | Registered Nurse | 2090 Breconridge Dr Sw, Marietta, GA 30064-4179 | 2020-09-17 |
1982226502 | Lakesha Armstrong | Registered Nurse | 386 Bakers Ferry Trl, Martinez, GA 30907-4955 | 2020-05-18 |
1881227924 | Margaret Ree Chapman | Registered Nurse | 3931 Highway 78 W Ste B200, Snellville, GA 30039-3907 | 2020-02-18 |
1639712151 | Kristin Pitts | Registered Nurse | 219 Boggs St, Lexington, GA 30648 | 2019-10-28 |
1134762255 | Charmante Cyrius | Registered Nurse | 2668 Westchester Pkwy Se, Conyers, GA 30013-2400 | 2019-10-21 |
1417509191 | Ayodeji Moses Oluloro | Registered Nurse | 3111 Blue Heron Pass, Powder Springs, GA 30127-2399 | 2019-07-12 |
1538725197 | Sherry Bynum Smith | Registered Nurse | 608 Pine Ln, Lawrenceville, GA 30043-4034 | 2019-05-19 |
1750855599 | Tanya D Miller | Registered Nurse | 1724a Old Reynolds St, Waycross, GA 31501-1036 | 2019-01-15 |
1780167452 | Adenike Alaga | Registered Nurse | 3196 Dolostone Way, Dacula, GA 30019 | 2018-09-10 |
1780181834 | Jerakhine N Mills | Registered Nurse | 1810 Mulkey Rd Ste 105, Austell, GA 30106-1132 | 2018-04-06 |
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.