PHILIP SHADLE (NPI# 1861858730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861858730 |
| Entity Type | Individual |
| Full Name | PHILIP SHADLE |
| Practice Address |
413 Spring Ridge Dr Dawsonville GA 30534-6145 |
| Practice Telephone | 6787515340 |
| Mailing Telephone | 6787515340 |
| Enumeration Date | 2016-01-08 |
| Last Update Date | 2016-01-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Street Address |
413 SPRING RIDGE DR |
| City | DAWSONVILLE |
| State | GA |
| Zip Code | 30534-6145 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780175331 | Sharon Redd | Occupational Therapist | 923 Riverbend Rd, Dawsonville, GA 30534 | 2018-05-18 |
| 1588103808 | Hearing Aid Solutions LLC | Hearing Instrument Specialist | 169 Hwy 9, Suite 100, Dawsonville, GA 30534 | 2017-02-20 |
| 1881140598 | Meagan Wilson | Registered Nurse | 6002 Ga 53, Suite 100, Dawsonville, GA 30534 | 2016-09-01 |
| 1265892293 | Interventional Spine and Pain Management Center, PC | Pain Medicine | 6002 Hwy 52 East, Suite 110, Dawsonville, GA 30534 | 2016-03-03 |
| 1174961304 | Meredith Michelle Tatum Hulsey | Physician Assistant | 1080 Lumpkin Campground Road S, Suite 300, Dawsonville, GA 30534 | 2013-06-10 |
| 1932467115 | David Kenneth Woolsey | Chiropractor | 1100 Old Dawson Village Rd, Suite 010, Dawsonville, GA 30534 | 2012-04-25 |
| 1275836769 | Martha Leslie Baker | Counselor | 121 Old Dawson Village Rd E, Building 800, Unit 010, Dawsonville, GA 30534 | 2010-12-06 |
| 1982914073 | James Paul Whitcomb | Pharmacist | 751 Highway 53 East Fred's #1451, Dawsonville, GA 30534 | 2010-10-07 |
| 1801123302 | Sj&j Spine and Pain Group | Pain Medicine | 5959 Highway 53 W, Suite 100b, Dawsonville, GA 30534 | 2009-11-04 |
| 1215260617 | Durall Capital Holdings, LLC | Clinic/Center | 35 Lumpkin Campground Road N, Dawsonville, GA 30534 | 2009-09-16 |
| Find all providers in zip 30534 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730604349 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 204 Dawson Village Way S, Dawsonville, GA 30534-5629 | 2017-08-04 |
| 1871046326 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 145 Forest Blvd Ste 100, Dawsonville, GA 30534-7878 | 2016-08-02 |
| 1346349537 | Eckerd Corporation | Durable Medical Equipment & Medical Supplies | 51 Highway 400 South, Dawsonville, GA 30534-6833 | 2006-09-22 |
| 1265450746 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 156 Power Center Dr, Dawsonville, GA 30534-9416 | 2006-07-17 |
| 1265466007 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 78 Dawson Village Way N, Suite 100, Dawsonville, GA 30534-7168 | 2006-07-10 |
| 1649237389 | Southern Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 462 Memory Ln, Suite 120, Dawsonville, GA 30534-4314 | 2006-04-27 |
| 1922271576 | Goodsons Pharmacy | Durable Medical Equipment & Medical Supplies | 159 Hwy 53 W, Dawsonville, GA 30534 | 2008-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073114427 | Publix Super Markets, Inc | Durable Medical Equipment & Medical Supplies | 3479 Highway 81 East, Mcdonough, GA 30252 | 2020-11-03 |
| 1952901027 | Get - Well Medical Supply | Durable Medical Equipment & Medical Supplies | 5604 Wendy Bagwell Pkwy Ste 322, Hiram, GA 30141-7814 | 2020-10-28 |
| 1407455462 | Extending A Hand Home Care | Durable Medical Equipment & Medical Supplies | 207 Mill Ln, Tennille, GA 31089-4308 | 2020-10-21 |
| 1609475565 | Tonika Tchampo | Durable Medical Equipment & Medical Supplies | 8050 Taylor Rd Apt 1101, Riverdale, GA 30274-4392 | 2020-10-21 |
| 1629685649 | Rec Leasing LLC | Durable Medical Equipment & Medical Supplies | 6842 Roy Rd, Ellijay, GA 30536-6468 | 2020-09-24 |
| 1659986776 | Carmichael Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 2950 Cherokee St Nw Ste 620, Kennesaw, GA 30144-6505 | 2020-09-15 |
| 1699380030 | Capstone Hme Inc | Durable Medical Equipment & Medical Supplies | 1129 Mente Dr, Savannah, GA 31415-3104 | 2020-09-12 |
| 1740895580 | Home Delivery Incontinent Supplies Co Inc | Durable Medical Equipment & Medical Supplies | 801 Broad St Ste 602, Augusta, GA 30901-1227 | 2020-09-09 |
| 1821602202 | Mcgarity Medical Solutions, LLC | Durable Medical Equipment & Medical Supplies | 3081 Stone Mountain St Ste A, Lithonia, GA 30058-4426 | 2020-09-03 |
| 1265044150 | Getwell Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 310 Glynn St N Ste B401, Fayetteville, GA 30214-1105 | 2020-08-20 |
| Find all providers with the same taxonomy | ||||
| City | DAWSONVILLE |
| Zip Code | 30534 |
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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.