MRS. BRANDY STEVENS BLACKWELL (NPI# 1871018937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871018937 |
Entity Type | Individual |
Full Name | MRS. BRANDY STEVENS BLACKWELL |
Credential | FNP |
Practice Address |
601 S 8th St Griffin GA 30224-4213 |
Mailing Address |
212 Steele Rd Milner GA 30257-3530 |
Practice Telephone | 7702296935 |
Mailing Telephone | 4045691310 |
Enumeration Date | 2017-08-10 |
Last Update Date | 2018-06-16 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN170641 | GA | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639716525 | Brandy Lynn Blackwell | Counselor | 91150 N Coburg Industrial Way, Coburg, OR 97408-1313 | 2019-12-10 |
Street Address |
601 S 8TH ST |
City | GRIFFIN |
State | GA |
Zip Code | 30224-4213 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972585446 | Onwura Michael Obiekwe | Family Medicine | 601 S 8th St, Griffin, GA 30224-4213 | 2005-11-18 |
1629690730 | Alexander Herbert Bland | Pharmacist | 601 S 8th St, Griffin, GA 30224-4213 | 2020-05-12 |
1235769225 | Brittany Leigh Hilley | Nurse Practitioner | 601 S 8th St, Griffin, GA 30224-4213 | 2020-01-19 |
1861035677 | Ashley Cowan | Pharmacist | 601 S 8th St, Griffin, GA 30224-4213 | 2019-10-24 |
1669020566 | Nour Abuzaidieh | Pharmacist | 601 S 8th St, Griffin, GA 30224-4213 | 2019-09-04 |
1932757929 | Richard Grantphil Reid | Pharmacist | 601 S 8th St, Griffin, GA 30224-4213 | 2019-09-03 |
1487202628 | Valerie Mathis | Pharmacist | 601 S 8th St, Griffin, GA 30224-4213 | 2019-08-30 |
1124676440 | Jennifer Brock Smith | Pharmacist | 601 S 8th St, Griffin, GA 30224-4213 | 2019-08-29 |
1790333284 | Diane Marie Brown | Pharmacist | 601 S 8th St, Griffin, GA 30224-4213 | 2019-08-28 |
1669029591 | Virginia Mathis | Pharmacist | 601 S 8th St, Griffin, GA 30224-4213 | 2019-08-26 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346888971 | Latamika Renee Williams | Counselor | 1710 Ga-16 West, #6, Griffin, GA 30224 | 2019-12-13 |
1063062651 | Dominique S Paul-thompson | Contractor | 112 Deercreek Parkway, Griffin, GA 30224 | 2019-09-16 |
1497303531 | Xiaohui Zhang Brotzge | Physician Assistant | 601 S 8th Street, Griffin, GA 30224 | 2019-09-02 |
1548812282 | Andrew Dennis Nesmith | Registered Nurse | 601 South 8th St, Emergency Room, Griffin, GA 30224 | 2019-07-12 |
1073009122 | Alicia Skye Ledford | Nurse Practitioner | 619 S 8th St., Suite 200, Griffin, GA 30224 | 2018-07-02 |
1649787102 | Judith Fuajong Ngulefac | Nurse Practitioner | 1705 Williamson Rd, Griffin, GA 30224 | 2018-01-05 |
1699297077 | Amanda Norman | Speech-Language Pathologist | 106 Garnet Ln, Griffin, GA 30224 | 2017-07-07 |
1306214655 | Ruchi P Gandhi | Optometrist | 646 8th Street, Griffin, GA 30224 | 2015-09-03 |
1528473881 | Nnenna Ezeilo | Otolaryngology | 619 S 8th St Ste 304, Griffin, GA 30224 | 2014-06-25 |
1437436094 | C. B. Reddy Md PC | Preferred Provider Organization | 610 S 8th Street, Suite F, Griffin, GA 30224 | 2011-11-10 |
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Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134739519 | Haylee Powell | Nurse Practitioner | 616 S 8th St Ste A, Griffin, GA 30224-4214 | 2020-07-31 |
1073009122 | Alicia Skye Ledford | Nurse Practitioner | 619 S 8th St., Suite 200, Griffin, GA 30224 | 2018-07-02 |
1164913646 | Alvon Dukes | Nurse Practitioner | 193 Jim Goodson Rd, Griffin, GA 30223-6125 | 2018-05-21 |
1649787102 | Judith Fuajong Ngulefac | Nurse Practitioner | 1705 Williamson Rd, Griffin, GA 30224 | 2018-01-05 |
1497294532 | Portia Risper | Nurse Practitioner | 600 S Pine Hill Rd, Apt H6, Griffin, GA 30224-8325 | 2017-02-22 |
1023479516 | Kaley Prather | Nurse Practitioner | 619 S 8th St Suite 200, Griffin, GA 30224-4260 | 2016-03-11 |
1407109267 | Terrie Hattie Allen | Nurse Practitioner | 82 Payton Rd, Minuteclinic, Griffin, GA 30223-5738 | 2012-10-17 |
1922238260 | Frances Marie Landrum | Nurse Practitioner | 409 W Solomon St, Griffin, GA 30223-2831 | 2009-07-21 |
1437330412 | Margaret Ann Mcilwain | Nurse Practitioner | 1857 W Mcintosh Rd, Griffin, GA 30223-1705 | 2007-11-19 |
1093708869 | Kudirat Mumuney | Nurse Practitioner | 315 S 9th St, Griffin, GA 30224-4111 | 2005-08-26 |
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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.