JAEKEA COAR (NPI# 1861741100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861741100 |
| Entity Type | Individual |
| Full Name | JAEKEA COAR |
| Credential | MSN,APRN, FNP-C |
| Practice Address |
701 Bluebird Blvd Fort Valley GA 31030-5085 |
| Practice Telephone | 4786542300 |
| Practice Fax Number | 4786542001 |
| Mailing Telephone | 4786542300 |
| Mailing Fax Number | 4786542001 |
| Enumeration Date | 2012-08-31 |
| Last Update Date | 2020-09-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
185308 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
701 BLUEBIRD BLVD |
| City | FORT VALLEY |
| State | GA |
| Zip Code | 31030-5085 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063431716 | Crystal Lynn Brown | Family Medicine | 701 Bluebird Blvd, Fort Valley, GA 31030-5085 | 2006-07-19 |
| 1194066035 | Tameka Deanne Byrd | Family Medicine | 701 Bluebird Blvd, Fort Valley, GA 31030-5085 | 2013-03-01 |
| 1013257633 | Brown Family Practice, LLC | Clinic/Center | 701 Bluebird Blvd, Fort Valley, GA 31030-5085 | 2013-02-19 |
| 1275775314 | The Medical Center of Peach County, Inc | Internal Medicine | 701 Bluebird Blvd, Fort Valley, GA 31030-5085 | 2009-04-06 |
| 1396987582 | Surgical Practice Facility | Surgery | 701 Bluebird Blvd, Fort Valley, GA 31030-5085 | 2009-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801302997 | Careconnect Health, Inc. | Clinic/Center | 209 North Camellia Blvd., Fort Valley, GA 31030 | 2017-12-27 |
| 1902345408 | Latrina Avant | Counselor | 164 Mahoney Lane, Fort Valley, GA 31030 | 2017-02-16 |
| 1447648159 | Five Points Pharmacy, LLC | Pharmacy | 115 Commercial Heights, Fort Valley, GA 31030 | 2015-01-05 |
| 1316208341 | Ulysses L. Marable IIi, Dmd, LLC | Dentist | 1030 Peach Parkway, Ste 9, Fort Valley, GA 31030 | 2012-06-06 |
| 1083901706 | Church Home Rehabilitation and Healthcare, LLC | Skilled Nursing Facility | 2470 Hwy 41 North, Fort Valley, GA 31030 | 2011-07-01 |
| 1295054393 | Melanie Marie Henson | Counselor | 410 East Church Street, Fort Valley, GA 31030 | 2010-05-28 |
| 1538329016 | First Born Outreach Center Inc | Assisted Living Facility | 103 Lavender Street, Fort Valley, GA 31030 | 2008-06-10 |
| 1871507640 | Gayton Health Centre | Optometrist | 440 Taylors Mill Rd, Fort Valley, GA 31030 | 2006-07-28 |
| 1215906136 | Renal Treatment Centers Mid Atlantic Inc | Clinic/Center | 557 Bluebird Blvd, Fort Valley, GA 31030 | 2006-03-14 |
| 1871568550 | Patricia S Winter | Counselor | 700 Mlk Dr, Ft Valley, GA 31030 | 2006-02-17 |
| Find all providers in zip 31030 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295387645 | Gloria Lucille Harden | Nurse Practitioner | 209 N Camellia Blvd, Fort Valley, GA 31030-3368 | 2019-07-15 |
| 1245858562 | Georganne Vogt | Nurse Practitioner | 555 Bluebird Blvd, Fort Valley, GA 31030-5083 | 2020-07-13 |
| 1083264626 | Lori Taylor | Nurse Practitioner | 209 N Camellia Blvd, Fort Valley, GA 31030-3368 | 2019-09-16 |
| 1275189714 | Amanda Rose Westbury | Nurse Practitioner | 209 N Camellia Blvd, Fort Valley, GA 31030-3368 | 2019-08-12 |
| 1124535836 | Alisha Nicole Ashley | Nurse Practitioner | 201 Avera Dr, Fort Valley, GA 31030-5008 | 2018-01-03 |
| 1033527254 | Shannon Slocumb Ethridge | Nurse Practitioner | 555 Bluebird Blvd, Fort Valley, GA 31030-5083 | 2014-07-31 |
| 1801159777 | Cynthia L. Giles, D.o., L.L.C. | Nurse Practitioner | 555 Bluebird Blvd, Fort Valley, GA 31030-5083 | 2012-06-16 |
| 1376858746 | Christina Susanne Johnson | Nurse Practitioner | 201 Avera Dr, Fort Valley, GA 31030-5008 | 2010-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780285486 | Aprn Mobile Clinic LLC | Nurse Practitioner | 1361 Highwoods Pass, Grovetown, GA 30813-3994 | 2020-11-08 |
| 1093316820 | Odyne Rose Lacossiere-dorvilus | Nurse Practitioner | 30 Myrtlewood Dr, Savannah, GA 31405-1024 | 2020-11-06 |
| 1104427061 | Tya Wright | Nurse Practitioner | 1450 Newnan Crossing Blvd E Apt 13205, Newnan, GA 30265-0027 | 2020-11-05 |
| 1235730409 | Cheryl Lynn Williams | Nurse Practitioner | 282 Somerset Dr, Dallas, GA 30132-9761 | 2020-11-04 |
| 1033710298 | Karen F Frazier | Nurse Practitioner | 6610 Crest Wood Ln, Douglasville, GA 30135-9046 | 2020-11-04 |
| 1619578986 | Marjorie Sewannyana | Nurse Practitioner | 553 Camano Way, Mcdonough, GA 30253-8377 | 2020-11-03 |
| 1639770027 | Markesha Leshea Groomes | Nurse Practitioner | 209 N. Cuthbert, Colquitt, GA 39837-3515 | 2020-11-03 |
| 1265033625 | Ashley Thomas | Nurse Practitioner | 3750 Venture Dr Ste E4, Duluth, GA 30096-1863 | 2020-11-03 |
| 1558962894 | Anna Marie Kodama | Nurse Practitioner | 462 Furys Ferry Rd # C, Augusta, GA 30907-9506 | 2020-11-03 |
| 1093315848 | Tracy Tarvers | Nurse Practitioner | 129 Wolf Creek Dr N, Macon, GA 31210-9002 | 2020-10-30 |
| Find all providers with the same taxonomy | ||||
| City | FORT VALLEY |
| Zip Code | 31030 |
Please comment or provide details below to improve the information on JAEKEA COAR.
| 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.