TIMMI HAGAN (NPI# 1811085434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811085434 |
| Entity Type | Individual |
| Full Name | TIMMI HAGAN |
| Credential | DMD |
| Practice Address |
4196 Cavalier Dr Macon GA 31220 |
| Practice Telephone | 4784710441 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 012883 | GA | Dental Providers |
| Street Address |
4196 CAVALIER DR |
| City | MACON |
| State | GA |
| Zip Code | 31220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174864979 | Kenwana Michelle Vanderbilt | Psychologist | Macon Outpatient Clinic- 5398 Thomaston Rd., Suite B, Macon, GA 31220 | 2013-03-05 |
| 1720287345 | Lynda Jean Logan | Registered Nurse | 5398 Thomaston Road Suite B, Macon, GA 31220 | 2007-07-13 |
| 1154375756 | Lois Jane Macdonnell | Psychiatry & Neurology | 5566 Thomaston Rd, Macon, GA 31220 | 2006-05-19 |
| 1508129438 | Venyette Thomas | Nurse Practitioner | 6381 Zebulon Rd, Macon, GA 31220 | 2012-06-15 |
| 1710260575 | Vijay H Patel | Pharmacist | 1280 Gray Hwy, Macon, GA 31220 | 2011-09-27 |
| 1023065638 | Dublin Vamc | Clinic/Center | 5566 Thomaston Rd, Macon, GA 31220 | 2006-05-28 |
| 1386847614 | Georgia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 6381 Zebulon Rd, Macon, GA 31220-2601 | 2007-06-06 |
| 1588128581 | Samuel Scott Collier | Nurse Practitioner | 6381 Zebulon Rd, Macon, GA 31220-2601 | 2019-01-24 |
| 1841652310 | Christopher Hayes | Nurse Practitioner | 6381 Zebulon Rd, Macon, GA 31220-2601 | 2016-03-24 |
| 1598124380 | Jessica Lynn | Nurse Practitioner | 6381 Zebulon Rd, Macon, GA 31220-2601 | 2016-02-22 |
| Find all providers in zip 31220 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598267239 | Folarera Olanike Ajose-adeogun | Dentist | 5005 Riverside Dr Unit A, Macon, GA 31210-1121 | 2018-03-07 |
| 1235683285 | John Felix Mash Jr. | Dentist | 128 Wolf Creek Dr N, Macon, GA 31210-9001 | 2016-08-08 |
| 1134568777 | John Norman Bowman Sr. | Dentist | 760 Tufthunter, Macon, GA 31210 | 2013-06-17 |
| 1801134135 | Valerie W Ambrose | Dentist | 160 Pierce Ave, Macon, GA 31204-2871 | 2013-01-22 |
| 1528314853 | Harvey Steven Zion | Dentist | 3300 Macon Tech Dr, Bldg J, Macon, GA 31206-3628 | 2012-07-24 |
| 1740543776 | Clark General Dentistry Center, P.C. | Dentist | 1918 Forsyth St, Macon, GA 31201-1144 | 2012-06-25 |
| 1134441652 | Loretto Madeleine Grier-cudjoe | Dentist | 1625 Jeffersonville Rd, Macon, GA 31217-4342 | 2010-02-25 |
| 1770741704 | Charles Edward Smaha | Dentist | 151 Pierce Ave, Macon, GA 31204-2821 | 2008-05-27 |
| 1447458856 | Paul Jason Mann | Dentist | 225 North Macon St., Macon, GA 31210 | 2007-07-06 |
| 1447451612 | Larry Edward Landers | Dentist | 155 College St, Suite 2, Macon, GA 31201-7206 | 2007-05-29 |
| 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.