NNENNA WATKINS (NPI# 1790332252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790332252 |
| Entity Type | Individual |
| Full Name | NNENNA WATKINS |
| Practice Address |
4915 Manor Dr Stone Mountain GA 30087-4128 |
| Practice Telephone | 8329236626 |
| Enumeration Date | 2019-08-20 |
| Last Update Date | 2019-08-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEPARTMENT OF VA | 00000000 | 01 |
| Street Address |
4915 MANOR DR |
| City | STONE MOUNTAIN |
| State | GA |
| Zip Code | 30087-4128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477176394 | Optimal Choice Telehealth | General Practice | 1227 Rockbidge Rd Sw, Ste 208-354, Stone Mountain, GA 30087 | 2020-05-27 |
| 1245882943 | Lynell Williams | Counselor | 505 Lilburn-stone Mountain Road, Suite 235, Stone Mountain, GA 30087 | 2019-07-12 |
| 1003302688 | Mark Andrew Stevens | Physical Therapist | 1227 Rockbridge Rd Ste 402, Stone Mountain, GA 30087 | 2018-07-06 |
| 1154816825 | Tuan Minh Khong | Physician Assistant | 6301 Southland Rdg, Stone Mountain, GA 30087 | 2018-06-26 |
| 1215429881 | Stephanie Martin | Nurse Practitioner | 2720 S Rockbridge Rd, Stone Mountain, GA 30087 | 2018-05-30 |
| 1578979381 | Edmund Thomas Jr. | Dentist | 2536 Rockbridge Rd Ste 103, Stone Mountain, GA 30087 | 2014-07-02 |
| 1790027688 | Robert Fanning Eaves Jr. | General Practice | 5394 Leatherstocking Lane, Stone Mountain, GA 30087 | 2013-03-19 |
| 1609128917 | Mary Marlene Muse | Lactation Consultant, Non-RN | 510 Navarre Drive, Stone Mountain, GA 30087 | 2012-10-10 |
| 1457680704 | Cleo Evans | Counselor | 5638 Manassas Run, Stone Mountain, GA 30087 | 2009-12-16 |
| 1932348521 | Lawrence Randy Sheber | Dentist | 5500-a Lilburn Stone Mountain Road, Stone Mountain, GA 30087 | 2009-02-05 |
| Find all providers in zip 30087 | ||||
| Taxonomy Code | 3747A0650X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Attendant Care Provider |
| An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811526031 | Malissa Abena Baker | Technician | 4982 Villager Ln, Stone Mountain, GA 30083-3698 | 2020-04-08 |
| 1407403579 | Barbara Rollins | Technician | 6325 Greenock Dr, Stone Mountain, GA 30087-6091 | 2019-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083214183 | Julia Mcenhill | Technician | 10 Evonshire Dr, Sharpsburg, GA 30277-3266 | 2020-10-28 |
| 1497352884 | Ernestine Atwater | Technician | 1962 Twin Falls Rd, Decatur, GA 30032-6070 | 2020-10-08 |
| 1952916207 | Nitza Chea Bishop | Technician | 151 Chulio Rd Se, Rome, GA 30161-8496 | 2020-09-14 |
| 1174137822 | Nettie Pearl Smith | Technician | 2919 Lonesome Rd, Albany, GA 31721-5644 | 2020-09-01 |
| 1255943478 | David Williams Jr. | Technician | 126 Thompson St, Cusseta, GA 31805-3945 | 2020-08-19 |
| 1750992913 | Phyllis Denise Haynes | Technician | 1111 Glenwood Ln, Bogart, GA 30622-2396 | 2020-08-12 |
| 1306464037 | Vickie Moore | Technician | 1639 Breeds Hill Loop, Columbus, GA 31907-7430 | 2020-07-09 |
| 1275150542 | Quindeic Rhones | Technician | 2556 Miles St, Augusta, GA 30906-5326 | 2020-07-02 |
| 1083231476 | Martha Crawford | Technician | 593 Crawford St Se, Dawson, GA 39842-2041 | 2020-07-01 |
| 1356967350 | Gloria Foster | Technician | 8643 Crenshaw Dr, Grovetown, GA 30813-8322 | 2020-06-25 |
| Find all providers with the same taxonomy | ||||
| City | STONE MOUNTAIN |
| Zip Code | 30087 |
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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.