FREDERICK LAMAR DUDLEY (NPI# 1881163913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881163913 |
| Entity Type | Individual |
| Full Name | FREDERICK LAMAR DUDLEY |
| Practice Address |
1120 W Broad Ave Ste B2 Albany GA 31707-4385 |
| Mailing Address |
4555 E Main St Leary GA 39862-5930 |
| Practice Telephone | 2293765140 |
| Practice Fax Number | 4043413476 |
| Mailing Telephone | 2293765140 |
| Mailing Fax Number | 4043463471 |
| Enumeration Date | 2018-11-19 |
| Last Update Date | 2018-11-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
1120 W BROAD AVE STE B2 |
| City | ALBANY |
| State | GA |
| Zip Code | 31707-4385 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891328712 | Dwayne L Tanner | Community Health Worker | 1120 W Broad Ave Ste B2, Albany, GA 31707-4385 | 2020-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396394011 | Barbara Cannon | Technician | 2025 Gail Avenue, Albany, GA 31707 | 2019-09-05 |
| 1669941035 | Wallace Coleman | Counselor | 2403 Osler Court, Suite B, Albany, GA 31707 | 2018-11-15 |
| 1992293955 | Tiffany Timmerman | Massage Therapist | Albany Therapeutic Massage Clinic, 1534 Dawson, Rd, Albany, GA 31707 | 2018-04-25 |
| 1225550957 | Christopher George Solomon | Nurse Practitioner | 2336 Dawson Rd., Urgent Care Center At Phoebe Northwest, Albany, GA 31707 | 2017-07-14 |
| 1689107229 | Teemercare @ Home LLC | Home Health | 1129 Dawson Rd Ste A, Albany, GA 31707 | 2017-04-11 |
| 1205373917 | Nicarro Henderson | Specialist | 2005 E Dawson Rd, Albany, GA 31707 | 2017-01-20 |
| 1235567918 | Restoration of The Minds LLC | Community/Behavioral Health | 1408 Edgerly Avenue, Albany, GA 31707 | 2013-10-16 |
| 1588091334 | Marsha Danell Glover | Pediatrics | 517 N. Westover Blvd., Albany, GA 31707 | 2013-10-10 |
| 1003253139 | Bailey Healthcare Inc | Community/Behavioral Health | 2416 Suite B Westgate Dr, Albany, GA 31707 | 2013-05-30 |
| 1346685666 | Albany Urology Surgery Center LLC | Clinic/Center | 2400 Osler Court, Albany, GA 31707 | 2013-04-30 |
| Find all providers in zip 31707 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699373688 | David Wayne Cass Jr. | Counselor | 200 Jay St, Albany, NY 12210-1808 | 2020-10-13 |
| 1447861893 | Hannah Elizabeth Brooker | Counselor | 688 Myrtle Ave Apt 1, Albany, NY 12208-3331 | 2020-08-10 |
| 1679195796 | Allester Henry | Counselor | 307 Cortland St, Albany, NY 12208-2106 | 2020-05-12 |
| 1962042812 | Be Epic Counseling Services, LLC | Counselor | 323 Pine Ave Ste 114, Albany, GA 31701-2575 | 2020-01-08 |
| 1821636713 | Schae Premdas-auffant | Counselor | 4 Palisades Dr Ste 205, Albany, NY 12205-1449 | 2019-12-11 |
| 1962047282 | John N Kane | Counselor | 443 State St, Albany, NY 12203-1003 | 2019-11-11 |
| 1063054021 | Melissa A Kovelman | Counselor | 10 Barnet St, Albany, NY 12208-2402 | 2019-10-11 |
| 1841853660 | Tanya M Henderson | Counselor | 90 S Swan St Ste 303, Albany, NY 12210-2105 | 2019-04-17 |
| 1861055717 | Nikita Williams | Counselor | 422 Sand Creek Rd Apt 201, Albany, NY 12205-2722 | 2019-04-16 |
| 1013473065 | Joa Paige Riboul | Counselor | 31 Criswood Dr, Albany, NY 12205-1828 | 2019-02-14 |
| Find all providers in ALBANY | ||||
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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.