CHARLEY WHITMIRE (NPI# 1821632605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821632605 |
| Entity Type | Individual |
| Full Name | CHARLEY WHITMIRE |
| Credential | NP |
| Practice Address |
1400 Northside Forsyth Dr Cumming GA 30041-7668 |
| Mailing Address |
9030 Ponderosa Trl Gainesville GA 30506-5910 |
| Practice Telephone | 7702923000 |
| Mailing Telephone | 7063449291 |
| Enumeration Date | 2019-11-04 |
| Last Update Date | 2019-11-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | RN231678 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1400 NORTHSIDE FORSYTH DR |
| City | CUMMING |
| State | GA |
| Zip Code | 30041-7668 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639178486 | Joel A. Hoffman | Specialist | 1400 Northside Forsyth Dr, Suite 240, Cumming, GA 30041-7668 | 2005-07-14 |
| 1144832585 | Linda Lilian Adhiambo | Nurse Practitioner | 1400 Northside Forsyth Dr, Cumming, GA 30041-7668 | 2020-08-18 |
| 1437601549 | Deborah A Martin, Md, Facs | Surgery | 1400 Northside Forsyth Dr, Suite 340, Cumming, GA 30041-7668 | 2016-10-25 |
| 1528422649 | Amanda Yassin | Pharmacist | 1400 Northside Forsyth Dr, Cumming, GA 30041-7668 | 2016-04-06 |
| 1255733812 | Kimberly Neadow | Nurse Practitioner | 1400 Northside Forsyth Dr, Ste 310, Cumming, GA 30041-7668 | 2014-09-25 |
| 1962843557 | Monica Patterson | Audiologist | 1400 Northside Forsyth Dr, Suite 240, Cumming, GA 30041-7668 | 2013-07-11 |
| 1225477300 | Mandi Charles | Registered Nurse | 1400 Northside Forsyth Dr, Suite 390, Cumming, GA 30041-7668 | 2013-06-21 |
| 1306107982 | Ebony L Sims | Pharmacist | 1400 Northside Forsyth Dr, Cumming, GA 30041-7668 | 2012-05-31 |
| 1538428834 | C Colleen Benson | Audiologist | 1400 Northside Forsyth Dr, Ste 240, Cumming, GA 30041-7668 | 2012-05-08 |
| 1063729754 | Amy Lynn Burnham | Physician Assistant | 1400 Northside Forsyth Dr, Suite 200, Cumming, GA 30041-7668 | 2010-09-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962036905 | Annie Kyungjin Han | Nurse Practitioner | 1505 Northside Forsyth Drive, Suite 2500, Cumming, GA 30041 | 2020-02-28 |
| 1295388197 | Pamela Edler | Pharmacist | 1200 Northside Forsyth Drive, Pharmacy Department, Cumming, GA 30041 | 2019-07-19 |
| 1720557127 | Dr. Tiffany Lamonde LLC | Physical Therapist | 1445 Haw Creek Circle, Suite 503, Cumming, GA 30041 | 2018-11-15 |
| 1487140893 | Bhbd LLC | Chiropractor | 425 Peachtree Parkway, Suite 315, Cumming, GA 30041 | 2018-07-09 |
| 1891219861 | Anna Gawrys | Pharmacist | 1525 Marketplace Blvd, Cumming, GA 30041 | 2017-08-01 |
| 1679029219 | Square One Dental LLC | Clinic/Center | 3510 Rowe Lane, Cumming, GA 30041 | 2016-09-01 |
| 1720441454 | Pavilion Psychological Services LLC | Psychologist | 1445 Haw Creek Corners Circle East, Suite 501, Cumming, GA 30041 | 2016-03-31 |
| 1346606506 | American Health Imaging of Ga, LLC | Clinic/Center | 1050 Haw Creek Pkwy, Suite 100, Cumming, GA 30041 | 2016-01-04 |
| 1013311307 | Stephen Hartle | Physician Assistant | 2576 Peachtree Pkwy, Suite 100, Cumming, GA 30041 | 2014-10-15 |
| 1063828408 | Stephanie Evans Wellborn | Physician Assistant | 1800 Northside Forsyth Dr Ste 450, Cumming, GA 30041 | 2014-07-07 |
| Find all providers in zip 30041 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881200293 | Cherry Garcia Fernandez | Nurse Practitioner | 3325 Amhurst Ct, Cumming, GA 30041-7329 | 2020-09-21 |
| 1508359548 | Anna Choi | Nurse Practitioner | 2575 Peachtree Pkwy Ste 301, Cumming, GA 30041-7563 | 2018-06-13 |
| 1497267132 | Amisha Patel | Nurse Practitioner | 960 Sanders Rd Ste 700, Cumming, GA 30041-6058 | 2017-11-03 |
| 1275072886 | Megan Kinney | Nurse Practitioner | 4730 Ansley Ln, Cumming, GA 30040-5260 | 2017-02-15 |
| 1700141470 | Michael Douglas Scott | Nurse Practitioner | 308 Oakwood Dr, Cumming, GA 30040-2140 | 2012-07-09 |
| 1366053431 | Jeri Wells Lloyd | Nurse Practitioner | 1200 Northside Forsyth Dr, Cumming, GA 30041-7659 | 2020-08-12 |
| 1386277036 | Alpana Bala Jayadevan | Nurse Practitioner | 3970 Deputy Bill Cantrell Memorial Road, Suite 203, Cumming, GA 30040 | 2020-02-20 |
| 1003469677 | Megan Irene Bueltel | Nurse Practitioner | 1400 Northside Forsyth Dr Ste 240, Cumming, GA 30041-6017 | 2019-07-22 |
| 1366942906 | Laura Patricia Martinez | Nurse Practitioner | 1200 Northside Forsyth Dr, Cumming, GA 30041-7659 | 2018-02-20 |
| 1396274072 | Travis Woodley | Nurse Practitioner | 3970 Deputy Bill Cantrell Memorial Rd, Cumming, GA 30040 | 2017-06-07 |
| Find all providers in CUMMING | ||||
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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.