ELAINE C MININGER


Address: 401 Bombay Ln, Roswell, GA 30076-5826
Phone: 7706641920

ELAINE C MININGER (NPI# 1811460850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1811460850
Entity Type Individual
Full Name ELAINE C MININGER
Credential NP
Practice Address 401 Bombay Ln
Roswell
GA 30076-5826
Mailing Address 91 Sweet Bay Dr
Sharpsburg
GA 30277-4640
Practice Telephone 7706641920
Mailing Telephone 7704901736
Enumeration Date 2019-01-02
Last Update Date 2019-01-02
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
RN181429 GA Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
91 Sweet Bay Dr, Sharpsburg, GA 302774640 7704901736

Office Location

Street Address 401 BOMBAY LN
City ROSWELL
State GA
Zip Code 30076-5826

Providers in the same location

NPI Name Taxonomy Address Enumeration
1689643512 Joel I Kirson Psychiatry & Neurology 401 Bombay Ln, Roswell, GA 30076-5826 2006-03-14
1912554494 Angela Blanco Mandel Social Worker 401 Bombay Ln, Roswell, GA 30076-5826 2019-08-20
1396212726 Samantha Jane Platta Social Worker 401 Bombay Ln, Roswell, GA 30076-5826 2018-10-24
1659893642 Tony Elliott Counselor 401 Bombay Ln, Roswell, GA 30076-5826 2017-07-11
1407378730 Sheila Woodall Counselor 401 Bombay Ln, Roswell, GA 30076-5826 2017-07-07
1770943185 Maureen Ogbu Nurse Practitioner 401 Bombay Ln, Roswell, GA 30076-5826 2016-02-26
1720472111 Allison Christine Evans Counselor 401 Bombay Ln, Roswell, GA 30076-5826 2015-03-24

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1689275505 Apex Spine and Neurosurgery LLC Neurological Surgery 1295 Hembree Rd Ste 200 Bldg B, Roswell, GA 30076 2020-11-06
1841776689 Scott Gunter Brunson Hearing Instrument Specialist 777 Old Roswell Pl # E100, Roswell, GA 30076 2018-07-16
1861998197 Daniel B Charek Clinical Neuropsychologist 11685 Alpharetta Hwy Ste 170, Roswell, GA 30076 2018-04-04
1427575554 A One Home Care, Inc. In Home Supportive Care 1875 Old Alabama Road, Suite 420, Roswell, GA 30076 2017-08-29
1053836023 Madelon Morgan Counselor 555 Sun Valley Dr Bldg F, Roswell, GA 30076 2017-08-10
1245769637 Family Behavioral Health, LLC Clinic/Center 9275 Martin Rd, Roswell, GA 30076 2017-06-08
1093163750 Ryann Soutar Counselor 702 Macy Dr, Roswell, GA 30076 2016-06-02
1447618707 Concierge Medical Mgmt Group Contractor 760 Old Roswell Rd Ste 117, Roswell, GA 30076 2016-02-02
1063877710 Augustine Young Community/Behavioral Health 427 Royal Creek Dr, Roswell, GA 30076 2015-12-23
1710360441 Currents Massage LLC Massage Therapist 760 Old Roswell Road, Suite 230, Roswell, GA 30076 2015-06-30
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Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962621532 Mid Provider Inc Nurse Practitioner 1230 Worthington Hills Dr, Roswell, GA 30076-1753 2007-04-24
1285119651 Jennifer May Nurse Practitioner 111 W Hobbs St, Roswell, NM 88203-1869 2018-10-01

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1235746009 Jummai Folashade Akinrinmade Nurse Practitioner 5290 Hidden Valley Ln, Cumming, GA 30028-7024 2020-09-25
1396350997 Ellen Allen Nurse Practitioner 8040 Highway 54, Sharpsburg, GA 30277-2112 2020-09-10
1588277867 Saleta Anica Brogdon Nurse Practitioner 10 Muirfield Dr, Covington, GA 30016-6536 2020-08-26
1043828106 Shonkeisha Byrd Nurse Practitioner 1160 Great River Pkwy, Lawrenceville, GA 30045-7015 2020-07-15
1558982272 Irene Kamau Nurse Practitioner 3605 Glenbarrett Ln Ne, Marietta, GA 30066-8509 2020-05-05
1891324133 Branette Young Nurse Practitioner 1120 Lehavre Ct, Hampton, GA 30228-3022 2020-04-08
1851938559 Sandra Holloway Nurse Practitioner 607 Bethany St, Sparks, GA 31647-7139 2019-12-02
1013550508 Monica Smart Mills Nurse Practitioner 8315 Champion Trl, Fairburn, GA 30213-4739 2019-10-28
1063053478 Emily Elizabeth Adams Nurse Practitioner 887 W Marietta St Nw, Atlanta, GA 30318-5252 2019-10-07
1922661800 Dorcus Healthcare Services LLC Nurse Practitioner 105 Greystone Dr, Guyton, GA 31312-5548 2019-04-17
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Competitor

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City ROSWELL
Zip Code 30076

Improve Information

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Dataset Information

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.

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