MRS. DEIDRE CELESTE DORMAN (NPI# 1982094298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982094298 |
| Entity Type | Individual |
| Full Name | MRS. DEIDRE CELESTE DORMAN |
| Credential | APRN |
| Practice Address |
39 Kent Rd Ste 2 Tifton GA 31794-1697 |
| Mailing Address |
907 18th St E Ste 400 Tifton GA 31794-3684 |
| Practice Telephone | 2293889393 |
| Practice Fax Number | 2293889855 |
| Mailing Telephone | 2293533422 |
| Enumeration Date | 2015-01-26 |
| Last Update Date | 2020-01-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | RN176798 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 907 18th St E, Suite 130, Tifton, GA 317943643 | 2293913577 | 2293913578 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275621229 | Deidre Rose Dorman | Family Medicine | 1500 Neely Ave, Ball State University Student Health Center, Muncie, IN 47306-0001 | 2006-10-11 |
| Street Address |
39 KENT RD STE 2 |
| City | TIFTON |
| State | GA |
| Zip Code | 31794-1697 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417913369 | Lora Denise Efaw | Family Medicine | 39 Kent Rd Ste 2, Tifton, GA 31794-1697 | 2006-04-20 |
| 1952875122 | Tessamy Lynne Goodwin | Nurse Practitioner | 39 Kent Rd Ste 2, Tifton, GA 31794-1697 | 2019-01-21 |
| 1275979361 | Kathleen Richardson | Emergency Medicine | 39 Kent Rd Ste 2, Tifton, GA 31794-1697 | 2013-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982234043 | Deloris Lunsford | Licensed Practical Nurse | 903 Washington St., Tifton, GA 31794 | 2020-01-17 |
| 1194383075 | William Jordan Kinnett | Registered Nurse | 1205 Tift Ave N, Tifton, GA 31794 | 2019-06-05 |
| 1598321200 | Courtlyn Christanna Fussell | Pharmacist | 2201 Hwy 41 N, Tifton, GA 31794 | 2019-05-17 |
| 1376027722 | Martha Gibbs | Nurse Practitioner | Affinity Clinic/west Campus, 2225 Us Hwy 41 North, Tifton, GA 31794 | 2018-09-21 |
| 1427541044 | Rebekah F Cottle | Speech-Language Pathologist | 2227 Highway 41 North, Tifton, GA 31794 | 2018-06-08 |
| 1790280857 | Tift Regional Health System Inc | Ophthalmology | 1803 Old Ocilla Road, Tifton, GA 31794 | 2018-03-29 |
| 1568975431 | Skyler Clark | Pharmacist | 2201 North 12th Street, Tifton, GA 31794 | 2017-11-14 |
| 1538606306 | Imagine Peace Counseling LLC | Counselor | 223 E 2nd Street, Suite B, Tifton, GA 31794 | 2017-01-31 |
| 1073056347 | Jessica Tumbling | Contractor | 219 Savannah Way, Tifton, GA 31794 | 2016-11-18 |
| 1992159503 | Joseph Thomas Seagraves Jr. | Nurse Practitioner | 901 East 18th Street, Tifton, GA 31794 | 2016-04-20 |
| Find all providers in zip 31794 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992314181 | Irma Corona Creel | Nurse Practitioner | 503 16th St E, Tifton, GA 31794-3603 | 2020-07-23 |
| 1851929962 | Amy Roberson Taylor | Nurse Practitioner | 902 20th St W, Tifton, GA 31794-3346 | 2020-04-01 |
| 1659840916 | Anna Kennedy Lavender | Nurse Practitioner | 1430 Us Highway 82 W Ste 105, Tifton, GA 31793-8010 | 2018-11-16 |
| 1205114865 | Kelley H Plant | Nurse Practitioner | 39 Kent Rd Ste 8, Tifton, GA 31794-1697 | 2011-08-01 |
| 1437390101 | William Troy Spicer II | Nurse Practitioner | 907 18th St E Ste 490, Tifton, GA 31794-3684 | 2009-03-10 |
| 1386805885 | Shelly Denice Davis | Nurse Practitioner | 612 Love Avenue, Tifton, GA 31794 | 2008-06-18 |
| 1790958221 | Joann Goff Cook | Nurse Practitioner | 1806 Lee Avenue, Tifton, GA 31794 | 2008-04-04 |
| 1063039865 | Preston Glenn Thornhill | Nurse Practitioner | 2225 Us Highway 41 N, Tifton, GA 31794-2749 | 2020-06-29 |
| 1326694852 | Sandra Melinda Stone | Nurse Practitioner | 39 Kent Rd Ste 1, Tifton, GA 31794-1697 | 2019-08-12 |
| 1003371790 | Ana Alicia Gomez Nova | Nurse Practitioner | 1909 Us Highway 82 W Ste 3&4, Tifton, GA 31793-8200 | 2019-02-06 |
| Find all providers in TIFTON | ||||
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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.