EVANS NGWA MABO (NPI# 1922651223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922651223 |
| Entity Type | Individual |
| Full Name | EVANS NGWA MABO |
| Credential | NP |
| Practice Address |
417 W 3rd Ave Albany GA 31701-1943 |
| Practice Telephone | 2293121000 |
| Mailing Telephone | 2293121000 |
| Enumeration Date | 2019-07-17 |
| Last Update Date | 2019-07-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
RN207720 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
417 W 3RD AVE |
| City | ALBANY |
| State | GA |
| Zip Code | 31701-1943 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245232503 | Teresa Joy Bohlmeyer | Pathology | 417 W 3rd Ave, Albany, GA 31701-1943 | 2005-06-01 |
| 1861005084 | Brittany Campbell | Nurse Practitioner | 417 W 3rd Ave, Albany, GA 31701-1943 | 2020-08-27 |
| 1528679735 | Ta-tanisha Parks | Nurse Practitioner | 417 W 3rd Ave, Albany, GA 31701-1943 | 2020-08-11 |
| 1013543859 | Amber Nicole Brodbeck | Registered Nurse | 417 W 3rd Ave, Albany, GA 31701-1943 | 2020-03-12 |
| 1225676273 | Jasmine Andrews | Specialist/Technologist | 417 W 3rd Ave, Albany, GA 31701-1943 | 2019-12-19 |
| 1194375543 | Madison Elizabeth Miller | Anesthesiologist Assistant | 417 W 3rd Ave, Albany, GA 31701-1943 | 2019-09-18 |
| 1548816457 | Taylor Leigh Holmes | Nurse Practitioner | 417 W 3rd Ave, Albany, GA 31701-1943 | 2019-08-15 |
| 1689228850 | Christopher Moody | Specialist/Technologist | 417 W 3rd Ave, Albany, GA 31701-1943 | 2019-07-26 |
| 1144789082 | Joyce Anderson | Home Health | 417 W 3rd Ave, Albany, GA 31701-1943 | 2019-03-19 |
| 1790253185 | Lonnie E Bass | Nurse Anesthetist, Certified Registered | 417 W 3rd Ave, Albany, GA 31701-1943 | 2018-11-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124678347 | Carehere LLC | Family Medicine | Carehere Clinic- City of Albany, Ga, 2000 North Monroe Street, Albany, GA 31701 | 2019-09-19 |
| 1801450788 | Amy Brock | Nurse Practitioner | 417 4th Avenue, Albany, GA 31701 | 2019-04-26 |
| 1346740131 | Kawana Kesia Mullins | Contractor | 1103 S Davis St, Albany, GA 31701 | 2018-02-19 |
| 1689198558 | Marion Elizabeth Toscano | Counselor | 226 South Jefferson Street, Frederick, MD 31701 | 2017-08-01 |
| 1871014803 | Mann Dental Care LLC | Clinic/Center | 1403 South Slappey Blvd, Albany, GA 31701 | 2017-06-29 |
| 1457716805 | Amanda Banks Thomas | Advanced Practice Midwife | 803 13th Avenue, Albany, GA 31701 | 2015-12-29 |
| 1265805212 | David Lee Berry Jr. | Counselor | 230 South Jackson Street, Suite 228 & 229, Albany, GA 31701 | 2015-11-12 |
| 1750725099 | Charles Jacob Stoudenmire | Pathology | 507 W 3rd Ave Ste 7, Albany, GA 31701 | 2013-04-17 |
| 1700188232 | Wendy Summer Willis | Podiatrist | 531 Seventh Avenue, Albany, GA 31701 | 2010-12-05 |
| 1760615413 | Nicholas L Misulia | Anesthesiology | 417 Third Avenue, Albany, GA 31701 | 2009-08-28 |
| Find all providers in zip 31701 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407263882 | Emily Plews | Nurse Practitioner | 317 S Manning Blvd Ste C64, Albany, NY 12208-1738 | 2014-07-17 |
| 1417060575 | Laura Rodolakis | Nurse Practitioner | Capital Cardiology Associates, PC, 7 Southwoods Blvd, Albany, NY 12211 | 2006-08-15 |
| 1508851098 | Catarina M Paone | Nurse Practitioner | Capital Cardiology Associates PC, 7 Southwoods Blvd, Albany, NY 12211-2526 | 2005-09-12 |
| 1093712366 | Theresa Marie Beshara | Nurse Practitioner | 63 Shaker Rd Ste 201, Albany, NY 12204-1030 | 2005-07-01 |
| 1891303434 | Hannah Faith Mumford | Nurse Practitioner | 47 New Scotland Ave, Albany, NY 12208-3412 | 2020-07-20 |
| 1235765843 | Joshua Andrew Malone | Nurse Practitioner | 43 New Scotland Ave, Albany, NY 12208-3478 | 2020-03-15 |
| 1811552748 | Gretchen Trenary | Nurse Practitioner | 427 W 3rd Ave, Albany, GA 31701-1975 | 2019-05-06 |
| 1306331640 | Jocelyn Cara Cappozzo | Nurse Practitioner | 315 S Manning Blvd, Albany, NY 12208-1789 | 2018-06-28 |
| 1518450188 | Leah Martin | Nurse Practitioner | 605 N Westover Blvd, Albany, GA 31707-2188 | 2018-06-08 |
| 1437668423 | Tara Lynn-fitzgerald Martone | Nurse Practitioner | 43 New Scotland Ave, Albany, NY 12208-3412 | 2017-09-22 |
| 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.