KATHRYN FORD CARROLL (NPI# 1982086880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982086880 |
| Entity Type | Individual |
| Full Name | KATHRYN FORD CARROLL |
| Credential | MD |
| Practice Address |
85 John Maddox Drive Connector Nw Rome GA 30165-1233 |
| Mailing Address |
221 Technology Pkwy Nw Rome GA 30165-1369 |
| Practice Telephone | 7622352990 |
| Practice Fax Number | 7062388031 |
| Mailing Telephone | 7622351000 |
| Enumeration Date | 2015-06-26 |
| Last Update Date | 2020-07-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 080891 | GA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740261361 | Kathryn Carroll | Physical Therapist | 800 Route 28, Summerfield Park, Mashpee, MA 02649-3303 | 2005-11-10 |
| 1093226763 | Kathryn Conner Carroll | Nurse Practitioner | 17280 Highway 17, Lexington, MS 39095-6614 | 2017-10-20 |
| 1992999114 | Kathryn Kelly Carroll | Social Worker | 1645 W Jackson Blvd, Ste 302, Chicago, IL 60612-3276 | 2007-08-30 |
| 1225172125 | Kathryn Carroll | Psychologist | 200 Tyre Ave, Newark, DE 19711-7136 | 2007-02-16 |
| Street Address |
85 JOHN MADDOX DRIVE CONNECTOR NW |
| City | ROME |
| State | GA |
| Zip Code | 30165-1233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851312680 | Tammy Michelle Hairel | Nurse Practitioner | 85 John Maddox Drive Connector Nw, Rome, GA 30165-1233 | 2006-07-21 |
| 1538635586 | Hope Robertson Hays | Nurse Practitioner | 85 John Maddox Drive Connector Nw, Rome, GA 30165-1233 | 2018-10-17 |
| 1093295396 | Erin Nicole Pilgrim | Nurse Practitioner | 85 John Maddox Drive Connector Nw, Rome, GA 30165-1233 | 2018-08-16 |
| 1962925545 | Haley Mcginnis Henderson | Nurse Practitioner | 85 John Maddox Drive Connector Nw, Rome, GA 30165-1233 | 2017-07-25 |
| 1629424122 | Austin Tyler Yankey | Physician Assistant | 85 John Maddox Drive Connector Nw, Rome, GA 30165-1233 | 2016-05-13 |
| 1215321898 | Sara Pate Congdon | Nurse Practitioner | 85 John Maddox Drive Connector Nw, Rome, GA 30165-1233 | 2015-03-23 |
| 1922399286 | Heather Renee Hickman | Nurse Practitioner | 85 John Maddox Drive Connector Nw, Rome, GA 30165-1233 | 2011-04-21 |
| 1144545146 | Mary Caroline Lumpkin | Nurse Practitioner | 85 John Maddox Drive Connector Nw, Rome, GA 30165-1233 | 2010-04-01 |
| 1316260904 | Melissa Lynn Dawson | Nurse Practitioner | 85 John Maddox Drive Connector Nw, Rome, GA 30165-1233 | 2010-03-10 |
| 1659530756 | Kristin Bryson Summey | Nurse Practitioner | 85 John Maddox Drive Connector Nw, Rome, GA 30165-1233 | 2008-06-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346868775 | Heather Bowman | Physical Therapist | 600 Eagle, E Lake Dr, Rome, GA 30165 | 2020-07-13 |
| 1205451101 | Kristopher Nelson | Student in an Organized Health Care Education/Training Program | 4256, 304 Shorter Ave Nw #201, Rome, GA 30165 | 2020-06-16 |
| 1962061457 | Stuart Paul Shaklee | Occupational Therapy Assistant | 1356 Redmond Road, Rome, GA 30165 | 2019-06-10 |
| 1386001055 | Autumn Streetman | Counselor | 6 Mathis Drive, Rome, GA 30165 | 2016-01-26 |
| 1144695784 | Gabrador Milligan | Counselor | 6 Mathis Road, Rome, GA 30165 | 2015-12-08 |
| 1386041952 | Theresa Suits | Registered Nurse | 1 Woodbine Avenue, Rome, GA 30165 | 2014-11-26 |
| 1942561147 | Nicole C. Christian | Clinical Neuropsychologist | 305 Redmond Rd, Rome, GA 30165 | 2012-06-04 |
| 1679832711 | Niki Pareshkumar Bhavsar | Internal Medicine | 3041 Turner Mccall Blvd, Rome, GA 30165 | 2012-05-10 |
| 1285927491 | Amanda Fischer Reeves | Family Medicine | 304 Shorter Ave Nw Ste 102, Rome, GA 30165 | 2011-05-20 |
| 1033436647 | Northland Hearing Centers, Inc. | Hearing Instrument Specialist | 4 Coosawattee Ave, Rome, GA 30165 | 2010-04-23 |
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| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134354798 | Erica Paez-zapata | Pediatrics | 18 Riverbend Dr Sw Ste 210, Rome, GA 30161-6019 | 2009-05-26 |
| 1629169834 | Pediatric & Adolescent Medical Assoc PC | Pediatrics | 117 W Liberty Street, Rome, NY 13440 | 2006-09-27 |
| 1124119318 | Laura M. Dovan | Pediatrics | 330 Turner Mccall Blvd., Suite 205, Rome, GA 30165 | 2006-09-27 |
| 1396848388 | Kinkee Chung | Pediatrics | 117 W. Liberty Street, Rome, NY 13440 | 2006-09-06 |
| 1407844624 | Elizabeth Anne Smith | Pediatrics | 402 N 4th Ave Sw, Rome, GA 30165-2812 | 2005-10-11 |
| 1730189416 | Lawrence Michael Glantz | Pediatrics | 117 W Liberty St, Rome, NY 13440-5758 | 2005-07-26 |
| 1477029759 | Imagine Pediatrics PC | Pediatrics | 18 Riverbend Dr Sw Ste 210, Rome, GA 30161-6019 | 2018-10-15 |
| 1275930422 | Olubukola T Adeyeye | Pediatrics | 1801 Black River Blvd N, Rome, NY 13440-2427 | 2014-12-02 |
| 1750630349 | Richard Tyler Barnes | Pediatrics | 402 N 4th Ave Sw, Rome, GA 30165-2812 | 2012-08-29 |
| 1952677270 | Bridgette M Dingle | Pediatrics | 304 Turner Mccall Blvd Sw, Rome, GA 30165-5621 | 2012-03-30 |
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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.