MR. MACON OVERTON III (NPI# 1962974147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962974147 |
| Entity Type | Individual |
| Full Name | MR. MACON OVERTON III |
| Other Name | MR. CHIP OVERTON |
| Credential | NP |
| Practice Address |
245 Governors Dr Se Huntsville AL 35801-2700 |
| Mailing Address |
137 Danika Dr Nw Huntsville AL 35806-4119 |
| Practice Telephone | 2562657946 |
| Mailing Telephone | 6015408782 |
| Enumeration Date | 2018-12-28 |
| Last Update Date | 2018-12-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0222X |
Nurse Practitioner Specialization: Pediatrics, Critical Care |
1-171815 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
245 GOVERNORS DR SE |
| City | HUNTSVILLE |
| State | AL |
| Zip Code | 35801-2700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366435398 | Wilfredo I Vergara | Pediatrics | 245 Governors Dr Se, Huntsville, AL 35801-2700 | 2005-08-24 |
| 1912518861 | Tyler Joe Fadorsen | Nurse Practitioner | 245 Governors Dr Se, Huntsville, AL 35801-2700 | 2020-08-13 |
| 1184234676 | Brianna Michelle Moultrie | Registered Nurse | 245 Governors Dr Se, Huntsville, AL 35801-2700 | 2020-08-09 |
| 1518583996 | Laura Beth Rouse | Nurse Anesthetist, Certified Registered | 245 Governors Dr Se, Huntsville, AL 35801-2700 | 2020-06-22 |
| 1528687035 | Jamie Hunter | Registered Nurse | 245 Governors Dr Se, Huntsville, AL 35801-2700 | 2020-04-14 |
| 1366077562 | Santrice Pleasant | Pediatrics | 245 Governors Dr Se, Huntsville, AL 35801-2700 | 2020-03-08 |
| 1255964425 | Sarah Heimsness Davis | Nurse Practitioner | 245 Governors Dr Se, Huntsville, AL 35801-2700 | 2020-02-17 |
| 1750914065 | Jeanette Olivia Craven | Registered Nurse | 245 Governors Dr Se, Huntsville, AL 35801-2700 | 2020-02-14 |
| 1356989784 | Amy Hall | Nurse Practitioner | 245 Governors Dr Se, Huntsville, AL 35801-2700 | 2019-12-17 |
| 1578109781 | Lauren Anne Higginbotham | Registered Nurse | 245 Governors Dr Se, Huntsville, AL 35801-2700 | 2019-11-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003422742 | Elena Mihaela Kruse | Nurse Practitioner | 415 Echurch St, Nw Suite 4, Huntsville, AL 35801 | 2020-09-18 |
| 1225657661 | Ashley Danielle Ford | Student in an Organized Health Care Education/Training Program | 301 Governors Drive Se, Huntsville, AL 35801 | 2020-04-15 |
| 1407417702 | Sasha J White | Specialist | 410 Governors Dr. Sw, Huntsville, AL 35801 | 2019-06-26 |
| 1003472978 | Gina Marie Delgado | Nurse Practitioner | Huntsville Hospital Cvicu, 101 Sivley Rd., Huntsville, AL 35801 | 2019-05-15 |
| 1366909863 | Lisa Starkey Suggs | Nurse Practitioner | 3500 Memorial Parkway S.w., Huntsville, AL 35801 | 2019-02-21 |
| 1902373277 | Kelly S Fisher LLC | Counselor | 300 Clinton Avenue, Suite 22 A, Huntsville, AL 35801 | 2018-10-25 |
| 1073097911 | Brittani B Hamrick | Psychologist | 203 Eastside Sq Ste C9, Huntsville, AL 35801 | 2018-09-17 |
| 1548748312 | Jane O. Orton, Licsw, LLC | Social Worker | 120 Holmes Ave Ne, Huntsville, AL 35801 | 2018-08-02 |
| 1184100661 | Regroup Psychological Services | Psychologist | 2006 Franklin St. Se, Suite 110, Huntsville, AL 35801 | 2018-07-17 |
| 1366968398 | Bennett Brent Smith | Physician Assistant | 825 Adams St. Se, Huntsville, AL 35801 | 2017-08-22 |
| Find all providers in zip 35801 | ||||
| Taxonomy Code | 363LP0222X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics, Critical Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588223432 | Koury Young Mallett | Nurse Practitioner | 245 Governors Dr Se, Huntsville, AL 35801-2700 | 2019-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619459617 | Cassidy Ann Black | Nurse Practitioner | 1600 7th Ave S Ste 102, Birmingham, AL 35233-1711 | 2018-09-05 |
| 1831603588 | Polly Borasino | Nurse Practitioner | 1600 7th Ave S, Birmingham, AL 35233-1711 | 2017-11-16 |
| 1962929919 | Jonathon Hudson | Nurse Practitioner | 1600 7th Ave S, Birmingham, AL 35233-1711 | 2017-08-29 |
| 1679921704 | Ashleigh Bowman | Nurse Practitioner | 1700 Center St, Mobile, AL 36604-3301 | 2016-05-31 |
| 1730548660 | Tracy Allison Threet | Nurse Practitioner | 1600 7th Ave S, Birmingham, AL 35233-1711 | 2016-02-20 |
| 1174955892 | Kristen C Waddell | Nurse Practitioner | 1600 7th Ave S, Birmingham, AL 35233-1711 | 2013-08-05 |
| 1154762714 | Lauren Holmes Hunter | Nurse Practitioner | 1600 7th Ave S, Birmingham, AL 35233-1711 | 2013-07-11 |
| 1811337272 | Phillip Russ Weaver | Nurse Practitioner | 1600 7th Ave S, Birmingham, AL 35233-1711 | 2013-07-01 |
| 1295070134 | Natalie Leanne Scott | Nurse Practitioner | 1600 7th Ave S, Birmingham, AL 35233-1711 | 2012-12-04 |
| 1518202597 | James Clayton Childress | Nurse Practitioner | 1700 6th Ave S, Birmingham, AL 35233-1802 | 2012-12-03 |
| Find all providers with the same taxonomy | ||||
| City | HUNTSVILLE |
| Zip Code | 35801 |
Please comment or provide details below to improve the information on MR. MACON OVERTON III.
| 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.