MS. CONSUELA MARIA WILLIAMS-HOLLIDAY (NPI# 1780602011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780602011 |
| Entity Type | Individual |
| Full Name | MS. CONSUELA MARIA WILLIAMS-HOLLIDAY |
| Credential | DPM |
| Practice Address |
440 Charter Blvd Ste 2202 Macon GA 31210-0705 |
| Mailing Address |
Po Box 4124 Macon GA 31208-4124 |
| Practice Telephone | 4787414332 |
| Practice Fax Number | 4787414343 |
| Mailing Telephone | 4787414332 |
| Mailing Fax Number | 4787414343 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2020-08-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | POD981 | GA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 436532810B | 05 |
| Street Address |
440 CHARTER BLVD STE 2202 |
| City | MACON |
| State | GA |
| Zip Code | 31210-0705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659713733 | Grace Family Practice | Family Medicine | 440 Charter Blvd, Suite 3303, Macon, GA 31210-4857 | 2013-07-18 |
| 1114296464 | Billie L. Jackson, M.d., LLC | Dermatology | 440 Charter Blvd, Suite 2201, Macon, GA 31210-0724 | 2011-12-15 |
| 1912205477 | John A Wells Md Pa | Surgery | 440 Charter Blvd, Suite 3302, Macon, GA 31210-4857 | 2011-03-08 |
| 1093860280 | Northside Pharmacy, Inc. | Pharmacist | 440 Charter Blvd, Suite 1107, Macon, GA 31210-4857 | 2007-01-25 |
| 1295892495 | The Total Woman Healthcare Center, P.C. | Obstetrics & Gynecology | 440 Charter Blvd, Suite 2202, Macon, GA 31210-4857 | 2007-01-03 |
| 1346311719 | Clinton S. Beverly Md PC | Surgery | 440 Charter Blvd, Suite 3302, Macon, GA 31210-4857 | 2006-11-10 |
| 1235232430 | Billie Luke Jackson | Dermatology | 440 Charter Blvd, Suite 2201, Macon, GA 31210-4857 | 2006-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033743455 | Dana Elizabeth Toth | Nurse Practitioner | 5300 Bowman Rd, Macon, GA 31210 | 2020-02-25 |
| 1871124735 | Jessica Bello | Nurse Practitioner | 5300 Bowman Road, Macon, GA 31210 | 2020-01-30 |
| 1225505787 | Rebekah Hollinshead | Occupational Therapist | Therapy Specialists of Georgia, 4116 Arkwright Road, Macon, GA 31210 | 2018-11-01 |
| 1346744943 | Ace Medical Transport LLC. | Ambulance | 728 Gay Dr, Macon, GA 31210 | 2018-03-20 |
| 1972965226 | Omar Faruk Ahmad | Family Medicine | 3400 Riverside Drvie, Macon, GA 31210 | 2016-03-25 |
| 1083074868 | Macon Dentist Office, PC | Dentist | 206 Tom Hill Sr Blvd, Suite 106, Macon, GA 31210 | 2016-03-07 |
| 1992176952 | Kerisia Wasztyl | Marriage & Family Therapist | 4691 Pine Valley Dr, Macon, GA 31210 | 2015-10-15 |
| 1073905444 | Eunice Malave De Leon | Social Worker | 174 Spring St, Macon, GA 31210 | 2015-02-23 |
| 1396141545 | Axis Surgery Center LLC | Clinic/Center | 230 Sheraton Blvd, Ste B, Macon, GA 31210 | 2014-11-17 |
| 1073914115 | Monique Rechelle Delay Moore | Community/Behavioral Health | 646 Millrun Court, Macon, GA 31210 | 2014-09-09 |
| Find all providers in zip 31210 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700440401 | Pamela Onderko Dpm LLC | Podiatrist | 5223 Riverside Dr Ste 104, Macon, GA 31210-0889 | 2019-04-28 |
| 1083842637 | Irma Wejuli | Podiatrist | 6416 Peake Road, #18, Macon, GA 31210 | 2009-06-22 |
| 1437396447 | Village Podiatry Group, LLC. | Podiatrist | 3556 Riverside Drive, Macon, GA 31210-2509 | 2009-01-13 |
| 1104015189 | Family Foot Clinic | Podiatrist | 1501 N Missouri St, Macon, MO 63552-1969 | 2007-10-16 |
| 1104832484 | Katanga Mccoy | Podiatrist | 940 Pio Nono Ave, Macon, GA 31204-4059 | 2006-07-31 |
| 1154398402 | Roger Peter Theodore | Podiatrist | 841 Mulberry St, Macon, GA 31201 | 2006-03-07 |
| 1114901956 | Joseph Michael Union | Podiatrist | 2180 Vineville Ave, Macon, GA 31204-3124 | 2005-12-05 |
| 1437150117 | Keith Alan Beauchamp | Podiatrist | 106 Butler St, Suite A, Macon, MO 63552-1629 | 2005-08-03 |
| 1366796930 | Village Podiatry Group, LLC | Podiatrist | 770 Pine St, Ste 300, Macon, GA 31201-2173 | 2012-11-05 |
| 1922238047 | S.e. Family Foot & Ankle Center LLC | Podiatrist | 841 Mulberry St, Macon, GA 31201-6756 | 2009-07-23 |
| 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.