MRS. NICOLE DUBOIS WITT (NPI# 1972017374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972017374 |
| Entity Type | Individual |
| Full Name | MRS. NICOLE DUBOIS WITT |
| Credential | AGACNP-BC |
| Practice Address |
1700 Hospital South Dr Austell GA 30106-6810 |
| Mailing Address |
439 Fairway Dr Acworth GA 30101-6421 |
| Practice Telephone | 7709447818 |
| Practice Fax Number | 7709489344 |
| Mailing Telephone | 4042130713 |
| Enumeration Date | 2017-11-21 |
| Last Update Date | 2017-11-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
RN236956 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215305065 | Nicole Catherine Witt | Counselor | 6363 France Ave S, Edina, MN 55435-2129 | 2015-09-10 |
| Street Address |
1700 HOSPITAL SOUTH DR |
| City | AUSTELL |
| State | GA |
| Zip Code | 30106-6810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215922299 | Michael Hardee | Internal Medicine | 1700 Hospital South Dr, Suite 409, Austell, GA 30106-6810 | 2005-09-15 |
| 1184284010 | West Cobb Specialty Pharmacy | Pharmacy | 1700 Hospital South Dr, Austell, GA 30106-6810 | 2019-06-13 |
| 1861843815 | Kendra Chavis | Physician Assistant | 1700 Hospital South Dr, Suite #200, Austell, GA 30106-6810 | 2016-06-30 |
| 1285027649 | Karen Monica Sumner | Nurse Practitioner | 1700 Hospital South Dr, Suite 300, Austell, GA 30106-6810 | 2015-03-10 |
| 1962894576 | Hanger Prosthetics & Orthotics Inc | Durable Medical Equipment & Medical Supplies | 1700 Hospital South Dr, Suite 406, Austell, GA 30106-6810 | 2015-02-19 |
| 1790183499 | Yasmeen Girardeau | Nurse Practitioner | 1700 Hospital South Dr, Austell, GA 30106-6810 | 2014-12-11 |
| 1457766875 | Robin Christine Gohacki | Nurse Practitioner | 1700 Hospital South Dr, Suite 202, Austell, GA 30106-6810 | 2014-06-24 |
| 1053740340 | Emily A Goolsby | Advanced Practice Midwife | 1700 Hospital South Dr, Suite 500, Austell, GA 30106 | 2013-11-06 |
| 1487081105 | Michelle Lewis-austin | Nurse Practitioner | 1700 Hospital South Dr, Suite 502, Austell, GA 30106-6810 | 2013-09-27 |
| 1871939405 | Wellstar Medical Group, LLC | Obstetrics & Gynecology | 1700 Hospital South Dr, Suite 102, Austell, GA 30106-6810 | 2013-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073126231 | Courtney Lashune Dorsett | Nurse Practitioner | 1005 Cureton Drive, Austell, Austell, GA 30106 | 2020-08-27 |
| 1184240491 | Brian H Eves | Dietitian, Registered | 3972 Brantley Drive, Austell, GA 30106 | 2020-06-23 |
| 1669014486 | Jesse Mccoy | Registered Nurse | 3950 Austell Rd., Austell, GA 30106 | 2019-10-14 |
| 1427522820 | Envision Optics LLC | Optometrist | 1680 E West Connector, Austell, GA 30106 | 2019-01-18 |
| 1972042380 | Thomas Dental Group | Clinic/Center | 1133 East West Connector, Suite 120, Austell, GA 30106 | 2017-02-17 |
| 1245779792 | Colton Dental Group | Clinic/Center | 2495 East-west Connector, Ste 60, Austell, GA 30106 | 2017-02-16 |
| 1144691684 | Georgia Dental Professionals, PC | Dentist | 780 East West Connector Sw, Suite 108, Austell, GA 30106 | 2015-10-09 |
| 1285013714 | Ikeade Bello Alamu | Nurse Practitioner | 2870 Betula Drive, Austell, GA 30106 | 2015-05-29 |
| 1376922211 | Jessica Williams | Obstetrics & Gynecology | 1700 Hospital South Dr Ste 500, Austell, GA 30106 | 2015-05-26 |
| 1558799593 | Tonya Renee Baldwin | Speech-Language Pathologist | 4229 Brass Trl., Austell, GA 30106 | 2013-10-30 |
| Find all providers in zip 30106 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235746009 | Jummai Folashade Akinrinmade | Nurse Practitioner | 5290 Hidden Valley Ln, Cumming, GA 30028-7024 | 2020-09-25 |
| 1396350997 | Ellen Allen | Nurse Practitioner | 8040 Highway 54, Sharpsburg, GA 30277-2112 | 2020-09-10 |
| 1588277867 | Saleta Anica Brogdon | Nurse Practitioner | 10 Muirfield Dr, Covington, GA 30016-6536 | 2020-08-26 |
| 1043828106 | Shonkeisha Byrd | Nurse Practitioner | 1160 Great River Pkwy, Lawrenceville, GA 30045-7015 | 2020-07-15 |
| 1558982272 | Irene Kamau | Nurse Practitioner | 3605 Glenbarrett Ln Ne, Marietta, GA 30066-8509 | 2020-05-05 |
| 1891324133 | Branette Young | Nurse Practitioner | 1120 Lehavre Ct, Hampton, GA 30228-3022 | 2020-04-08 |
| 1851938559 | Sandra Holloway | Nurse Practitioner | 607 Bethany St, Sparks, GA 31647-7139 | 2019-12-02 |
| 1013550508 | Monica Smart Mills | Nurse Practitioner | 8315 Champion Trl, Fairburn, GA 30213-4739 | 2019-10-28 |
| 1063053478 | Emily Elizabeth Adams | Nurse Practitioner | 887 W Marietta St Nw, Atlanta, GA 30318-5252 | 2019-10-07 |
| 1922661800 | Dorcus Healthcare Services LLC | Nurse Practitioner | 105 Greystone Dr, Guyton, GA 31312-5548 | 2019-04-17 |
| Find all providers with the same taxonomy | ||||
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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.