LEAH MICHELLE BAGLEY (NPI# 1962030809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962030809 |
| Entity Type | Individual |
| Full Name | LEAH MICHELLE BAGLEY |
| Credential | NP-C |
| Practice Address |
3527 N Valdosta Rd Valdosta GA 31602-6418 |
| Practice Telephone | 2292472290 |
| Mailing Telephone | 2922472290 |
| Enumeration Date | 2020-03-27 |
| Last Update Date | 2020-06-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN262574 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4063 Cottage Heights Rd, Hahira, GA 316323180 | 5135718808 |
| Street Address |
3527 N VALDOSTA RD |
| City | VALDOSTA |
| State | GA |
| Zip Code | 31602-6418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083618052 | Charles W Sanderlin Jr. | Orthopaedic Surgery | 3527 N Valdosta Rd, Valdosta, GA 31602-1068 | 2005-06-08 |
| 1700418514 | Caitlyn Christine Register | Nurse Practitioner | 3527 N Valdosta Rd, Valdosta, GA 31602-6418 | 2020-02-10 |
| 1720633803 | Andrew Taylor | Physical Therapist | 3527 N Valdosta Rd, Valdosta, GA 31602-6418 | 2019-08-06 |
| 1033675467 | Ashly Mcdaniel | Physician Assistant | 3527 N Valdosta Rd, Valdosta, GA 31602-6418 | 2019-02-11 |
| 1649710708 | Lindsay Scarpate | Marriage & Family Therapist | 3527 N Valdosta Rd, Valdosta, GA 31602-6418 | 2017-03-08 |
| 1104362359 | Nicolette Julianne Carsillo | Specialist/Technologist | 3527 N Valdosta Rd, Valdosta, GA 31602-6418 | 2017-01-12 |
| 1710423348 | Nicholas Adam Howard | Specialist/Technologist | 3527 N Valdosta Rd, Valdosta, GA 31602-6418 | 2017-01-06 |
| 1891035663 | David Sean Hermansen | Physician Assistant | 3527 N Valdosta Rd, Valdosta, GA 31602-6418 | 2013-02-15 |
| 1841452505 | Michael Allen Clark | Orthopaedic Surgery | 3527 N Valdosta Rd, Valdosta, GA 31602-6418 | 2008-06-25 |
| 1124280862 | Paul Dolphous Lane Jr. | Orthopaedic Surgery | 3527 N Valdosta Rd, Valdosta, GA 31602-6418 | 2008-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477198117 | Amber Michele Baugh | Behavior Technician | 2236 Bemiss Road, Valdosta, GA 31602 | 2019-11-15 |
| 1528611365 | Nishaben T. Patel | Nurse Practitioner | 3120 North Oak Street Extension, Suite B, Valdosta, GA 31602 | 2019-07-22 |
| 1427615871 | Blair Elizabeth Tomlinson | Nurse Practitioner | 2124 Lakeshore Drive, Valdosta, GA 31602 | 2019-05-21 |
| 1346704152 | Mildred Itaska Borowski | Counselor | 3790 North Highway 41, Suite A, Valdosta, GA 31602 | 2019-01-25 |
| 1962991703 | Southern Healthcare Alliance, LLC | Physical Medicine & Rehabilitation | 101-f W. Northside Drive, Valdosta, GA 31602 | 2018-05-08 |
| 1336636646 | Kaitlyn Thrift | Behavioral Analyst | 2225 Bemiss Road Suite D, Valdosta, GA 31602 | 2018-04-23 |
| 1407379845 | Lindsey Marie Richardson | Dentist | 103 W. Cranford Ave, Valdosta, GA 31602 | 2017-07-18 |
| 1962922427 | Taylor Nicole Fiveash | Nurse Practitioner | 101 W Northisde Dr, Bldg G, Valdosta, GA 31602 | 2017-06-26 |
| 1720520646 | Southern Sleepers Anesthesia LLC | Nurse Anesthetist, Certified Registered | 4120-b N. Valdosta Road, Valdosta, GA 31602 | 2016-11-09 |
| 1134670557 | Cataract and Laser Surgery Center of South Georgia, P.C. | Clinic/Center | 4120-b N. Valdosta Rd., Valdosta, GA 31602 | 2016-10-20 |
| Find all providers in zip 31602 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962017368 | Katrina Terrell Horne | Nurse Practitioner | 15 Pinetree Cir, Valdosta, GA 31601-6256 | 2020-09-11 |
| 1669009585 | Cindy Renee James | Nurse Practitioner | 2517 Bemiss Rd Ste F, Valdosta, GA 31602-1900 | 2020-03-23 |
| 1629602776 | Jennifer Lynn Cason | Nurse Practitioner | 406 Northside Dr Ste M, Valdosta, GA 31602-1853 | 2020-02-27 |
| 1528611365 | Nishaben T. Patel | Nurse Practitioner | 3120 North Oak Street Extension, Suite B, Valdosta, GA 31602 | 2019-07-22 |
| 1427615871 | Blair Elizabeth Tomlinson | Nurse Practitioner | 2124 Lakeshore Drive, Valdosta, GA 31602 | 2019-05-21 |
| 1447715529 | Amanda Brunetto | Nurse Practitioner | 2418 N Oak St Ste J, Valdosta, GA 31602-2575 | 2019-02-04 |
| 1639640436 | Brad Jay Jones | Nurse Practitioner | 470 Lazy River Dr, Valdosta, GA 31602-8245 | 2018-12-06 |
| 1396215703 | James Robert Garrett | Nurse Practitioner | 3790 Old Us Highway 41 N Ste B, Valdosta, GA 31602-6866 | 2018-11-28 |
| 1508350661 | Iulian Vuc | Nurse Practitioner | 2922 N Oak St Ste A, Valdosta, GA 31602-1885 | 2018-06-21 |
| 1346732617 | Catherine Mashburn Price | Nurse Practitioner | 3116 N Oak Street Ext Ste B, Valdosta, GA 31602-1007 | 2018-06-03 |
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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.