GRACE MADRAZO TAN (NPI# 1841547924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841547924 |
| Entity Type | Individual |
| Full Name | GRACE MADRAZO TAN |
| Credential | NP-C |
| Practice Address |
103 Ga Highway 27 E Americus GA 31709-3800 |
| Practice Telephone | 2299248082 |
| Practice Fax Number | 2299248009 |
| Mailing Telephone | 2299248082 |
| Mailing Fax Number | 2299248009 |
| Enumeration Date | 2012-08-08 |
| Last Update Date | 2012-08-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN180141 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770776197 | Grace Tan | Optometrist | 834 Fort Salonga Rd Ste D, Northport, NY 11768-3157 | 2007-08-20 |
| 1619389020 | Grace Tan | Otolaryngology | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2014-05-20 |
| 1558642041 | Grace M Tan | Pharmacist | 5935 W Addison St, Chicago, IL 60634-4214 | 2011-08-29 |
| 1699923292 | Grace Valencia Tan | Nurse Practitioner | 7400 Merton Minter St, San Antonio, TX 78229-4404 | 2008-09-08 |
| 1083830574 | Grace Rodriguez Tan | Physical Therapist | 7242 Chelsea Harbour Dr, Orlando, FL 32829-7820 | 2007-04-17 |
| 1104866367 | Grace Bee-tin Tan | Family Medicine | 7737 Southwest Fwy, Suite 400, Houston, TX 77074-1807 | 2006-06-07 |
| Street Address |
103 GA HIGHWAY 27 E |
| City | AMERICUS |
| State | GA |
| Zip Code | 31709-3800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295773687 | Nelson Tan Madrazo | Pediatrics | 103 Ga Highway 27 E, Americus, GA 31709-3800 | 2006-06-04 |
| 1457905168 | Lekha Udharam Adiani | Nurse Practitioner | 103 Ga Highway 27 E, Americus, GA 31709-3800 | 2019-07-31 |
| 1114474673 | Trent Joseph Peachey | Nurse Practitioner | 103 Ga Highway 27 E, Americus, GA 31709-3800 | 2016-09-01 |
| 1245680487 | Gail Miranda Ricker | Nurse Practitioner | 103 Ga Highway 27 E, Americus, GA 31709-3800 | 2016-06-19 |
| 1700251303 | Aldrany Peak | Nurse Practitioner | 103 Ga Highway 27 E, Americus, GA 31709-3800 | 2015-12-08 |
| 1689945644 | Leah D Webb | Nurse Practitioner | 103 Ga Highway 27 E, Americus, GA 31709-3800 | 2012-01-23 |
| 1144400664 | Sumter Pediatrics LLC | Pediatrics | 103 Ga Highway 27 E, Americus, GA 31709-3800 | 2007-11-13 |
| 1982756987 | Nelson T. Madrazo | Pediatrics | 103 Ga Highway 27 E, Americus, GA 31709-3800 | 2007-01-18 |
| 1811040629 | Antonio Garcia Remollino | Pediatrics | 103 Ga Highway 27 E, Americus, GA 31709-3800 | 2007-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073113668 | Sherita Patricia Green | Non-emergency Medical Transport (VAN) | 397 Brady Road, Americus, GA 31709 | 2020-10-31 |
| 1679199723 | Alitha Lannette Hawkins | Licensed Practical Nurse | 415 Tripp St, Americus, GA 31709 | 2020-06-24 |
| 1346710076 | Julie Howell Horn | Nurse Practitioner | 199a Southland Rd., Americus, GA 31709 | 2018-11-26 |
| 1831667948 | Heather Marie Pickle | Nurse Practitioner | 915 Elmo Street, Americus, GA 31709 | 2018-11-06 |
| 1114442100 | Thunderbolt Trailers, Inc. | Durable Medical Equipment & Medical Supplies | 128 E Forsyth St Unit 6542, Americus, GA 31709 | 2017-08-10 |
| 1083137384 | Lannelle German Wilson | Social Worker | 100 Heads Avenue, Americus, GA 31709 | 2017-07-19 |
| 1386173706 | April Owen | Behavioral Analyst | 302 E Furlow, Americus, GA 31709 | 2017-06-08 |
| 1396274726 | Dionna Shaunta Johnson | Case Manager/Care Coordinator | 211 North Jackson Street, Americus, GA 31709 | 2017-06-08 |
| 1972049377 | Lionel Brown | Nurse Anesthetist, Certified Registered | 211 Elliott, Americus, GA 31709 | 2017-01-10 |
| 1528426400 | Pamela Gordon | Counselor | 411 North Jackson Street, Americus, GA 31709 | 2016-02-05 |
| Find all providers in zip 31709 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619514999 | Rachel R Sifford | Nurse Practitioner | 126 Us Highway 280 W, Americus, GA 31719-8645 | 2019-12-05 |
| 1104478890 | Cheryl Tharp | Nurse Practitioner | 169 Pine Level Rd, Americus, GA 31719-9221 | 2019-07-12 |
| 1346710076 | Julie Howell Horn | Nurse Practitioner | 199a Southland Rd., Americus, GA 31709 | 2018-11-26 |
| 1629566989 | Jagrutiben Patel | Nurse Practitioner | 172 Ga Highway 49 N, Americus, GA 31709-8004 | 2018-04-23 |
| 1477073989 | Justin Stubbs | Nurse Practitioner | 132 Us Highway 280 W, Americus, GA 31719-8645 | 2017-06-26 |
| 1750730578 | Stephanie Sutton Riddle | Nurse Practitioner | 316 Judy Ln, Americus, GA 31709-4461 | 2016-06-13 |
| 1932510757 | Anita Elliott | Nurse Practitioner | 101 Mayo St, Suite B, Americus, GA 31709-3695 | 2014-05-14 |
| 1639441744 | Hometown Healthcare, LLC | Nurse Practitioner | 1035 E Forsyth St, Americus, GA 31709-3721 | 2012-02-04 |
| 1013149574 | Candace Evelyn Usry | Nurse Practitioner | 120 Highway 280 West, Suite C, Americus, GA 31719 | 2009-08-18 |
| 1982802013 | Annie Denise Statham | Nurse Practitioner | 800 Ga. Southwestern State University Drive, Americus, GA 31709 | 2007-07-10 |
| Find all providers in AMERICUS | ||||
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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.