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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 367H00000X | Anesthesiologist Assistant | 006583 | GA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
2501 N. PATTERSON STREET |
City | VALDOSTA |
State | GA |
Zip Code | 31602 |
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 |
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 | 367H00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Anesthesiologist Assistant |
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. |
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 |
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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.