MISTY DAWN BLACK


Address: 105 Chandler Way, Saint Marys, GA 31558-2935
Phone: 9126741105

MISTY DAWN BLACK (NPI# 1952628281) 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) 1952628281
Entity Type Individual
Full Name MISTY DAWN BLACK
Credential CRT
Practice Address 105 Chandler Way
Saint Marys
GA 31558-2935
Practice Telephone 9126741105
Mailing Telephone 9126741105
Enumeration Date 2010-04-26
Last Update Date 2010-04-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 227800000X Respiratory Therapist, Certified Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Providers MISTY BLACK

NPI Name Taxonomy Address Enumeration
1194954180 Misty Michelle Black Dentist 1000 W Carson St, Oral Surgery Box 19, Torrance, CA 90502-2004 2009-07-10
1043386220 Misty Renae Black Physical Therapist 795 Farmers Ln, Ste 10, Santa Rosa, CA 95405-6718 2006-11-28

Office Location

Street Address 105 CHANDLER WAY
City SAINT MARYS
State GA
Zip Code 31558-2935

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558680496 Mr Breath Durable Medical Equipment & Medical Supplies 105 Chandler Way, Saint Marys, GA 31558-2935 2010-05-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942827332 Primary Care of Coastal Georgia Clinic/Center 214a Professional Cir, St Marys, GA 31558 2020-07-01
1922659192 Christian Bianca Booker Social Worker 944 Kings Bay Rd. #247, St. Marys, GA 31558 2019-09-27
1154897296 Shonta Harper Counselor 708 Osborne St Ste 104, Saint Marys, GA 31558 2018-10-16
1174038095 Camden Behavioral Wellness, Inc Counselor 605 Osborne Street, Saint Mary's, GA 31558 2017-12-14
1285149427 Urgent Care of Coastal Georgia General Practice 214 A Professional Circle, St. Marys, GA 31558 2017-12-11
1679975783 Jeremy Cole Behavioral Analyst 921 Charlie Smith Sr. Highway, St. Marys, GA 31558 2014-09-19
1053660738 Janice Paulino Ramirez Nurse Practitioner 2040 Dan Proctor Drive, Suite 170, St Marys, GA 31558 2012-09-10
1174899454 Light Horse Healthcare Inc Voluntary or Charitable 2060 Dan Proctor Drive, Suite 3300, St Marys, GA 31558 2012-03-30
1316215775 Annette O. Perry Counselor 4019 Hwy 40 East, St. Marys, GA 31558 2011-12-13
1932486271 Sarah Jo Meyers Speech-Language Pathologist 2015 Osborne Rd, Unit A, St Marys, GA 31558 2011-11-15
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Taxonomy Information

Taxonomy Code 227800000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Respiratory Therapist, Certified

Taxonomy Definition

A Certified Respiratory Therapist (CRT) is a an entry level therapist who has passed a standardized written examination administered by the National Board for Respiratory Care (NBRC). CRTs provide diagnostic testing, therapeutics, monitoring, rehabilitation, and education to patients with disorders of the cardiopulmonary system. They provide these respiratory care services in all health care facilities and in the home. A CRT is a graduate of an associate degree program approved by the Commission on Accreditation of Allied Health Educational Programs (CAAHEP) and where applicable, is licensed by the state and is practicing within the scope of the license.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1801400361 Lewis Albert Murray Respiratory Therapist, Certified 4 Railroad St, Saint Marys, PA 15857-1798 2020-09-02

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1033736384 Jeremy Jay Williams Respiratory Therapist, Certified 1745 Peachtree St Ne # Na, Atlanta, GA 30309-2410 2020-07-02
1699276162 Jill Ann Gordon Respiratory Therapist, Certified 148 Glynn Addy Dr, Stockbridge, GA 30281-6471 2018-02-21
1598270340 Andrea Rochelle Reese Respiratory Therapist, Certified 3073 Panthersville Rd Bldg 17, Decatur, GA 30034-3828 2017-12-01
1992242143 Nichol Porter Respiratory Therapist, Certified 6600 Peachtree Dunwoody Rd Bldg 400, 125, Atlanta, GA 30328-6773 2017-01-26
1750740197 Chad Randall Knight Respiratory Therapist, Certified 761b Man Bone Creek Rd, Whigham, GA 39897-2409 2016-02-13
1912365321 Audrey Perry Respiratory Therapist, Certified 1588 Linkview Close, Stone Mountain, GA 30088 2016-02-01
1780082966 Komivi Kpessou Respiratory Therapist, Certified 985 Mount Zion Rd Apt 4a, Morrow, GA 30260-2234 2014-12-19
1497165005 Shanna Kay Murphy Respiratory Therapist, Certified 6600 Peachtree Dunwoody Road Bldg 400,suite 12354, Atlanta, GA 30328 2014-05-05
1275959959 Herbert Dunbar Respiratory Therapist, Certified 3096 Montauk Hill Dr, Buford, GA 30519-8623 2014-03-05
1598107385 Maureen Cummings Respiratory Therapist, Certified 6600 Peachtree Dunwoody Rd, Bldg 400 Ste 125, Atlanta, GA 30328-6773 2013-07-23
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Competitor

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City SAINT MARYS
Zip Code 31558

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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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