MRS. AMY HENDRICK MATISTIC


Address: 1755 Highway 34 East, Suite 1400, Newnan, GA 30265
Phone: 7102527500

MRS. AMY HENDRICK MATISTIC (NPI# 1912189879) 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) 1912189879
Entity Type Individual
Full Name MRS. AMY HENDRICK MATISTIC
Credential RPH
Practice Address 1755 Highway 34 East
Suite 1400
Newnan
GA 30265
Practice Telephone 7102527500
Practice Fax Number 7702543652
Mailing Telephone 7102527500
Mailing Fax Number 7702543652
Enumeration Date 2007-12-03
Last Update Date 2007-12-03
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist RPH017242 GA Pharmacy Service Providers

Office Location

Street Address 1755 HIGHWAY 34 EAST
SUITE 1400
City NEWNAN
State GA
Zip Code 30265

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1265041537 Shiva Bazargan Pharmacist 3116 Sr 34 West, Newnan, GA 30265 2020-07-23
1992322549 Doctorsbeyond Inc. Clinic/Center 277 Skyview Court, Newnan, GA 30265 2020-06-30
1225652936 Jerrica Conyers Nurse Practitioner 1635 Highwat 34 East Suite C, Newnan, GA 30265 2020-05-29
1982234688 Morgan Elizabeth Bross Physician Assistant 1825 Ga- 34, Newnan, GA 30265 2020-01-22
1013553379 Hopebridge LLC Behavior Technician 2147 Newnan Crossing Boulevard East, Newnan, GA 30265 2019-11-21
1518528116 Stepping Stones Psychiatric Care LLC Nurse Practitioner 3025 Sharpsburg Mccullum Rd, Building B Suite 103, Newnan, GA 30265 2019-06-25
1356823363 Stephen William Jacon Specialist/Technologist 29 Muirfield Court, Newnan, GA 30265 2018-09-05
1881176832 Blueprint Psychiatry, LLC Psychiatry & Neurology 1601 Highway 34 E Ste A, Newnan, GA 30265 2018-09-05
1548790769 Timothy Collins Physical Therapist 1755 Ga-34, Suite 1300, Rehab Department, Newnan, GA 30265 2017-06-20
1497289748 Edible Health & Wellness,llc Clinic/Center 90f Glenda Trace Pmb 318, Newnan, GA 30265 2017-04-13
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Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063013613 John Ellis Iv Pharmacist 135 Rudders Xing, Newnan, GA 30263-7032 2020-11-02
1265041537 Shiva Bazargan Pharmacist 3116 Sr 34 West, Newnan, GA 30265 2020-07-23
1588162580 James W Duke Jr. Pharmacist 90f Glenda Trce Ste 321, Newnan, GA 30265-3858 2018-01-25
1205212206 Anna Riley Pharmacist 3055 Highway 34 East, Newnan, GA 30265 2015-08-03
1003157744 Michael A Chavez Pharmacist 310 Windermere Cir, Newnan, GA 30265-2279 2013-03-05
1831487099 Rosette Duruh Pharmacist 1 Millard Farmer Ind Blvd, Newnan, GA 30263-1078 2011-07-20
1306144662 Angeline Hyatt Harris Pharmacist 3055 Highway 34 E, Newnan, GA 30265-2179 2011-03-09
1629376215 Donald Armond Nadreau Jr. Pharmacist 165 Tillinghast Trce, Newnan, GA 30265-6000 2011-03-04
1265683684 Jere Douglas Couch Pharmacist 155 Portico Pl, Newnan, GA 30265-5947 2008-10-03
1063684397 Jerome Krupa Pharmacist 741 White Oak Dr, Newnan, GA 30265-2056 2008-03-27
Find all providers in NEWNAN

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City NEWNAN
Zip Code 30265

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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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