ADELAIDA L. MAYETA PEART


Address: 208 Shelton Dr, Mcdonough, GA 30252-3124
Phone: 4042079522

ADELAIDA L. MAYETA PEART (NPI# 1881211233) 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) 1881211233
Entity Type Individual
Full Name ADELAIDA L. MAYETA PEART
Practice Address 208 Shelton Dr
Mcdonough
GA 30252-3124
Practice Telephone 4042079522
Mailing Telephone 4042079522
Enumeration Date 2020-07-01
Last Update Date 2020-07-01
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
242101 GA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 208 SHELTON DR
City MCDONOUGH
State GA
Zip Code 30252-3124

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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
1770143547 Kevin Kirk Anderson Physical Therapist Dr. Kevin Anderson, 196 Lake Dow Rd, Mcdonough, GA 30252 2019-06-14
1912474537 Atlanta Neuromonitoring, LLC Psychiatry & Neurology 922 Highway 81 East # 242, Mcdonough, GA 30252 2018-11-01
1194271320 Christine Williams Breeden Registered Nurse 189 Irwin Drive, Mcdonough, GA 30252 2016-08-28
1518322395 Jaquita Shorts Counselor 1705 Pennslyvania Ave, Mcdonough, GA 30252 2015-12-22
1356758973 Keisha Candies Counselor 125 Zack Hinton Pkwy, Mcdonough, GA 30252 2014-07-15
1093145666 Ceisha Shador Parks Counselor 6040 Winston Trace, Mcdonough, GA 30252 2013-11-19
1588939565 Tasha E Jones Counselor 1509 Bent River Cir, Mcdonough, GA 30252 2012-03-09
1598049447 Proactive Rehab, Inc Physical Therapist 50 Lawrenceville Street, Suite 100, Mcdonough, GA 30252 2011-10-10
1164706131 Michelle Lee Cone Pharmacist 1210 Bent Creek Dr, Mcdonough, GA 30252 2011-10-07
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619578986 Marjorie Sewannyana Nurse Practitioner 553 Camano Way, Mcdonough, GA 30253-8377 2020-11-03
1568060846 Crystaline Joi Prothro Nurse Practitioner 4085 Springvale Way, Mcdonough, GA 30252-6872 2020-10-09
1790393064 Nicole L Smith Nurse Practitioner 505 Bingham Dr, Mcdonough, GA 30253-8050 2020-07-22
1528676046 Joseph Ndangoh Fongod Nurse Practitioner 1289 Heartwood Ave, Mcdonough, GA 30253-3070 2020-07-21
1619593886 Heather E Cameron Nurse Practitioner 50 Kelly Rd Ste 200, Mcdonough, GA 30253-6097 2020-06-23
1023631157 Catherine A Nkongho Nurse Practitioner 437 Concord Cir, Mcdonough, GA 30253-8001 2020-05-23
1336774876 Alvin O Mcdonald Nurse Practitioner 312 Horsehill St, Mcdonough, GA 30253-4666 2020-03-05
1376178798 Hannah Lynn Mccall Nurse Practitioner 437 Stallsworth Rd, Mcdonough, GA 30252-6140 2020-03-05
1376177295 Sandy Zachery Nurse Practitioner 526 Bentley Way, Mcdonough, GA 30253-3762 2020-02-29
1528691490 Marion Bruno-gaston Nurse Practitioner 272 Mckinley Loop, Mcdonough, GA 30253-8728 2020-02-19
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Competitor

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City MCDONOUGH
Zip Code 30252

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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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