MS. MONIQUE DIANE PETTEYS (NPI# 1902249675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902249675 |
| Entity Type | Individual |
| Full Name | MS. MONIQUE DIANE PETTEYS |
| Credential | FNP-C |
| Practice Address |
563 Mountain City Rd Clayton GA 30525 |
| Mailing Address |
647 Academy Rd Long Creek SC 29658-2105 |
| Practice Telephone | 7069609026 |
| Practice Fax Number | 7069609136 |
| Mailing Telephone | 7069824434 |
| Enumeration Date | 2013-04-12 |
| Last Update Date | 2017-07-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN184994 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
563 MOUNTAIN CITY RD |
| City | CLAYTON |
| State | GA |
| Zip Code | 30525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609190198 | Inmed Clinical Services, LLC | Nurse Practitioner | 563 Mountain City Rd, Clayton, GA 30525-3072 | 2010-03-26 |
| 1972116630 | Mlmcuc, LLC | Clinic/Center | 563 Mountain City Rd, Clayton, GA 30525-3072 | 2020-08-24 |
| 1750874707 | Rebecca Jo Williams | Nurse Practitioner | 563 Mountain City Rd, Clayton, GA 30525 | 2018-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528605839 | Charlotte Hart Fandrich | Massage Therapist | 1048 Old Highway 441 North, Clayton, GA 30525 | 2019-12-05 |
| 1922577147 | Suzanne A Frederickson | Speech-Language Pathologist | Highlands Internal Medicine, PC, 156 North Main St, Clayton, GA 30525 | 2018-11-16 |
| 1427562750 | Second Nature Blue Ridge, LLC | Psychiatric Residential Treatment Facility | 236 File St., Clayton, GA 30525 | 2017-11-22 |
| 1053854752 | Haley Vaughan Stapleton | Nurse Practitioner | 596 Mountain City Road, Clayton, GA 30525 | 2016-11-29 |
| 1154870533 | Life Point Medical, LLC | Clinic/Center | 189 Bo James Street, Suite 105, Clayton, GA 30525 | 2016-09-27 |
| 1316239122 | Jason A Bonner | Pharmacist | 1455 U.S. 441, Clayton, GA 30525 | 2011-05-11 |
| 1477842557 | Clayton Therapy Center, LLC | Marriage & Family Therapist | 24 Chechero St, Suite 2, Clayton, GA 30525 | 2011-03-29 |
| 1891959672 | Adams Hearing Aid Specialists | Hearing Instrument Specialist | 91 E Savannah Place, Clayton, GA 30525 | 2008-07-11 |
| 1578721494 | Lawrence M Gillespie | Dentist | 436 Warwoman Road, Clayton, GA 30525 | 2008-05-28 |
| 1336262112 | Clayton Family Eye Care PC | Optometrist | 50 Earl St., Suite A, Clayton, GA 30525 | 2007-04-09 |
| Find all providers in zip 30525 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992306708 | Paula Sue Brown | Nurse Practitioner | 1020 N Lawson Blvd, Clayton, OK 74536-0219 | 2020-11-06 |
| 1740881200 | Guylante Jeune | Nurse Practitioner | 121 E Howard St, Clayton, NJ 08312-1237 | 2020-11-02 |
| 1902431885 | Nichole Parker Wilson | Nurse Practitioner | 37 Pineville Blvd, Clayton, NC 27527-9355 | 2020-03-11 |
| 1275183352 | Jennifer L Janes | Nurse Practitioner | 7542 Byron Pl Apt 2, Clayton, MO 63105-2788 | 2019-09-19 |
| 1487214185 | Meredith-scott Powell Baker | Nurse Practitioner | 34 Healthpark Way Ste 100, Clayton, NC 27520-4497 | 2019-06-17 |
| 1154803609 | Natalie Nicole Johnson- Lykes | Nurse Practitioner | 379 Al- 239, Clayton, AL 36016 | 2018-08-31 |
| 1639608086 | Favor Healthcare Practice | Nurse Practitioner | 1789 Alley Corner Rd, Clayton, DE 19938 | 2017-06-08 |
| 1376963975 | Stephane Sia | Nurse Practitioner | 564 Coldwater Dr, Clayton, DE 19938-3905 | 2014-04-22 |
| 1992823082 | Lora D Davis | Nurse Practitioner | 935 Shotwell Rd Ste 108, Clayton, NC 27520-5598 | 2007-03-27 |
| 1841322070 | Robin Renee Pratola | Nurse Practitioner | 1001 Sewell Branch Rd, Clayton, DE 19938 | 2007-03-12 |
| Find all providers in CLAYTON | ||||
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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.