ALLISON MARIE WEGMANN


Address: 2501 N Patterson St, Valdosta, GA 31602-1735
Phone: 2204331000

ALLISON MARIE WEGMANN (NPI# 1881098283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1881098283
Entity Type Individual
Full Name ALLISON MARIE WEGMANN
Other Name ALLISON MARIE VANCE
Credential P.A.-C
Practice Address 2501 N Patterson St
Valdosta
GA 31602-1735
Mailing Address 100 Mimosa Dr Fl 3
Thomasville
GA 31792-6676
Practice Telephone 2204331000
Mailing Telephone 2232268881
Mailing Fax Number 2292252165
Enumeration Date 2014-10-14
Last Update Date 2020-01-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
8610 GA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2501 N PATTERSON ST
City VALDOSTA
State GA
Zip Code 31602-1735

Providers in the same location

NPI Name Taxonomy Address Enumeration
1578566964 John William Devine Radiology 2501 N Patterson St, Valdosta, GA 31602-1735 2005-05-31
1770100422 Hospital Authority of Valdosta & Lowndes County, Ga Clinical Medical Laboratory 2501 N Patterson St, Valdosta, GA 31602-1735 2020-06-29
1700410602 Danielle C Yund Nurse Practitioner 2501 N Patterson St, Valdosta, GA 31602-1735 2020-02-28
1417597170 Sgmc Physician Network Inc Emergency Medicine 2501 N Patterson St, Valdosta, GA 31602-1735 2020-01-10
1497390116 Stacey Newsome Registered Nurse 2501 N Patterson St, Valdosta, GA 31602-1735 2019-11-18
1508417296 Coastal Plain Radiology LLC Radiology 2501 N Patterson St, Valdosta, GA 31602-1735 2019-09-24
1760030050 Larissa Kathleen Frauenheim Nurse Practitioner 2501 N Patterson St, Valdosta, GA 31602-1785 2019-08-29
1336794734 Jeffery Allan Baggett Nurse Anesthetist, Certified Registered 2501 N Patterson St, Valdosta, GA 31602-1785 2019-08-03
1689130312 Kala Jo Bugg Nurse Practitioner 2501 N Patterson St, Valdosta, GA 31602-1785 2019-02-19
1588149819 Philip Andrew Cooper Nurse Practitioner 2501 N Patterson St, Valdosta, GA 31602-1785 2018-10-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477198117 Amber Michele Baugh Behavior Technician 2236 Bemiss Road, Valdosta, GA 31602 2019-11-15
1528611365 Nishaben T. Patel Nurse Practitioner 3120 North Oak Street Extension, Suite B, Valdosta, GA 31602 2019-07-22
1427615871 Blair Elizabeth Tomlinson Nurse Practitioner 2124 Lakeshore Drive, Valdosta, GA 31602 2019-05-21
1346704152 Mildred Itaska Borowski Counselor 3790 North Highway 41, Suite A, Valdosta, GA 31602 2019-01-25
1962991703 Southern Healthcare Alliance, LLC Physical Medicine & Rehabilitation 101-f W. Northside Drive, Valdosta, GA 31602 2018-05-08
1336636646 Kaitlyn Thrift Behavioral Analyst 2225 Bemiss Road Suite D, Valdosta, GA 31602 2018-04-23
1407379845 Lindsey Marie Richardson Dentist 103 W. Cranford Ave, Valdosta, GA 31602 2017-07-18
1962922427 Taylor Nicole Fiveash Nurse Practitioner 101 W Northisde Dr, Bldg G, Valdosta, GA 31602 2017-06-26
1720520646 Southern Sleepers Anesthesia LLC Nurse Anesthetist, Certified Registered 4120-b N. Valdosta Road, Valdosta, GA 31602 2016-11-09
1134670557 Cataract and Laser Surgery Center of South Georgia, P.C. Clinic/Center 4120-b N. Valdosta Rd., Valdosta, GA 31602 2016-10-20
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1003229568 Chaeli Wisenbaker Physician Assistant 2412 N Oak St, Valdosta, GA 31602-2567 2014-06-03
1659666063 Jesse Blair Eason Physician Assistant 2501 N Patterson St, Valdosta, GA 31602-1735 2011-06-14

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1245838374 Erica Elizabeth West Physician Assistant 1155 Mount Vernon Hwy Ste 101, Atlanta, GA 30338-5439 2020-10-12
1801402888 Meredith Gaines Physician Assistant 603 W 1st St Unit 1, Rome, GA 30161-3067 2020-09-16
1770108805 Kelsey Lynne Greeff Physician Assistant 3400 Old Milton Pkwy Ste C, Alpharetta, GA 30005-3707 2020-06-15
1518596733 Rebecca Faye Tsyrlin Physician Assistant 2655 Dallas Hwy Sw Ste 340, Marietta, GA 30064-7518 2020-04-08
1487291878 Ashley Cohen Physician Assistant 250 E Ponce De Leon Ave Ste 800, Decatur, GA 30030-3438 2019-12-04
1932757606 Andrea J Holley Physician Assistant 1629 Austin Meadows Dr, Decatur, GA 30032-3888 2019-08-27
1265089759 Alexis Chester Jones Physician Assistant 3000 Old Alabama Rd # 128, Johns Creek, GA 30022-5860 2019-08-20
1841851680 Lauren Price Fogarty Physician Assistant 5445 Meridian Marks Rd Ste 430, Atlanta, GA 30342-4755 2019-06-24
1386208262 Jessica A Drews Physician Assistant 2342 Cortez Way Ne, Brookhaven, GA 30319-3914 2019-04-26
1174187421 Krisna Patel Physician Assistant 1805 Honey Creek Cmns Se Ste B, Conyers, GA 30013-5829 2019-04-23
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Competitor

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City VALDOSTA
Zip Code 31602

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Dataset Information

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.

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