MRS. BONNIE SMITH SKINNER


Address: 2501 N. Patterson Street, Valdosta, GA 31602
Phone: 2294331000

MRS. BONNIE SMITH SKINNER (NPI# 1962753137) 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) 1962753137
Entity Type Individual
Full Name MRS. BONNIE SMITH SKINNER
Other Name MS. BONNIE FERRELL SMITH
Credential C.A.A.
Practice Address 2501 N. Patterson Street
Valdosta
GA 31602
Mailing Address 2310 N. Patterson Street
Valdosta
GA 31602
Practice Telephone 2294331000
Mailing Telephone 2292446852
Enumeration Date 2012-09-27
Last Update Date 2016-06-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 367H00000X Anesthesiologist Assistant 006583 GA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2501 N. PATTERSON STREET
City VALDOSTA
State GA
Zip Code 31602

Providers in the same location

NPI Name Taxonomy Address Enumeration
1306985619 Tana M. Macera Nurse Practitioner 2501 N. Patterson Street, Valdosta, GA 31602-1735 2007-02-05
1265700595 Jennifer Ann Stevick Nurse Practitioner 2501 N. Patterson Street, Valdosta, GA 31602-1735 2011-12-01
1891920989 Dustin H. Brimblecom Emergency Medicine 2501 N. Patterson Street, Valdosta, GA 31602-1735 2009-05-19
1326242926 Savita Bidyasar Internal Medicine 2501 N. Patterson Street, Valdosta, GA 31602-1735 2007-06-14

Providers in the same zip code

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 Information

Taxonomy Code 367H00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Anesthesiologist Assistant

Taxonomy Definition

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669878971 Erica Mcclure Anesthesiologist Assistant 4280 N Valdosta Rd, Valdosta, GA 31602-6814 2014-11-13
1730447467 Dana Marie Burgio Adams Anesthesiologist Assistant 4280 N Valdosta Rd, Valdosta, GA 31602-6814 2012-05-01
1932416252 Emily R Copeland Anesthesiologist Assistant 4280 N Valdosta Rd, Dept of Anesthesia, Valdosta, GA 31602-6814 2010-09-08
1497080659 Jason Michael Geddings Anesthesiologist Assistant 2310 N Patterson St Bldg C, Valdosta, GA 31602-2500 2009-10-06
1306090675 Justin Mark Booth Anesthesiologist Assistant 2310 N Patterson St, Bldg C, Valdosta, GA 31602-2568 2008-11-12
1164673224 Andrew Blake Gay Anesthesiologist Assistant 2501 N Patterson St, Sgmc, Valdosta, GA 31602-1735 2008-10-08
1053453449 Allison Peake Anesthesiologist Assistant 4280 N Valdosta Rd, Dept of Anesthesia, Valdosta, GA 31602-6814 2007-02-13
1891893806 Anthony Marzano Anesthesiologist Assistant 2501 N Patterson St, Sgmc, Valdosta, GA 31602-1735 2006-09-21
1659479665 Thomas Franklin Woods Jr. Anesthesiologist Assistant 2501 N Patterson St, Sgmc, Valdosta, GA 31602-1735 2006-09-21
1205934205 Bonnie Kay Johnson Anesthesiologist Assistant 2501 N Patterson St, Sgmc, Valdosta, GA 31602-1735 2006-09-21
Find all providers in VALDOSTA

Competitor

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City VALDOSTA
Zip Code 31602

Improve Information

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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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