DR. REBECCA ABIGAIL DONDANVILLE (NPI# 1992873517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992873517 |
| Entity Type | Individual |
| Full Name | DR. REBECCA ABIGAIL DONDANVILLE |
| Credential | ATC, EDD |
| Practice Address |
1021 Central Ave Demorest GA 30535 |
| Mailing Address |
160 Mallard Pond Cir Alto GA 30510-3033 |
| Practice Telephone | 7067788500 |
| Mailing Telephone | 7042211311 |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2018-08-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT002431 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AL 566 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
0663 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BOARD OF CERTIFICATION | 029602556 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 315 E Wilson St., Wingate, NC 28174 | 7042338371 |
| Street Address |
1021 CENTRAL AVE |
| City | DEMOREST |
| State | GA |
| Zip Code | 30535 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316550551 | Gabriella Lotter | Specialist/Technologist | 1021 Central Ave, Demorest, GA 30535-5252 | 2020-08-27 |
| 1114530359 | Sloan Fletcher | Specialist/Technologist | 1021 Central Ave, Demorest, GA 30535-5252 | 2020-08-27 |
| 1396358537 | Maxwell S Miller | Specialist/Technologist | 1021 Central Ave, Demorest, GA 30535-5252 | 2020-08-27 |
| 1871106013 | Gabrielle June | Specialist/Technologist | 1021 Central Ave, Demorest, GA 30535-5252 | 2020-08-27 |
| 1851945240 | Mario N Dalesandro | Physical Medicine & Rehabilitation | 1021 Central Ave, Demorest, GA 30535-5252 | 2019-07-24 |
| 1497315238 | Jeremy Fouts | Specialist/Technologist | 1021 Central Ave, Demorest, GA 30535-5252 | 2019-06-14 |
| 1245764406 | Stephanie Smart | Specialist/Technologist | 1021 Central Ave, Demorest, GA 30535-5252 | 2017-04-14 |
| 1063958486 | Brittany Braun | Specialist/Technologist | 1021 Central Ave, Demorest, GA 30535-5252 | 2017-01-09 |
| 1255736195 | Erika Lynne Mckinney | Specialist/Technologist | 1021 Central Ave, Demorest, GA 30535-5252 | 2014-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396353355 | Kristen Diana Maxwell X | Nurse Practitioner | 396 Historic Highway 441 North, Demorest, GA 30535 | 2020-07-16 |
| 1659925972 | Jared Davis | Physical Therapist | 541 Historic Hiwy 441, Demorest, GA 30535 | 2019-07-25 |
| 1669939070 | Habersham Medical Center Foundation, Inc. | Pharmacy | 541 Old Historic Hwy 441 N Ste 1, Demorest, GA 30535 | 2019-02-22 |
| 1114417128 | The Hospital Authority of Habersham County | Family Medicine | 638 Hwy 441 N Suite B-2, Demorest, GA 30535 | 2018-05-15 |
| 1578077434 | Linh My Dao | Registered Nurse | 541 Historic Hwy. 441-n, Demorest, GA 30535 | 2017-11-29 |
| 1447797063 | Cmvo, LLC | Pharmacy | 4654 Highway 115, Unit 1, Demorest, GA 30535 | 2017-01-20 |
| 1851741128 | Katherine Glenn | Physical Therapy Assistant | 541 Us-441 Bus, Demorest, GA 30535 | 2016-06-17 |
| 1558735886 | Waterfall Emergency Physicians, LLC | Physician Assistant | 541 Historic Hwy 441n, Demorest, GA 30535 | 2015-11-24 |
| 1407278237 | Deborah Gale | Pharmacist | 116 Savannah Ter, Demorest, GA 30535 | 2014-01-14 |
| 1538580576 | Garrett Family Medicine, LLC | Family Medicine | 590 Historic Hwy 441 Lower Level, Demorest, GA 30535 | 2013-12-18 |
| Find all providers in zip 30535 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316550551 | Gabriella Lotter | Specialist/Technologist | 1021 Central Ave, Demorest, GA 30535-5252 | 2020-08-27 |
| 1114530359 | Sloan Fletcher | Specialist/Technologist | 1021 Central Ave, Demorest, GA 30535-5252 | 2020-08-27 |
| 1396358537 | Maxwell S Miller | Specialist/Technologist | 1021 Central Ave, Demorest, GA 30535-5252 | 2020-08-27 |
| 1871106013 | Gabrielle June | Specialist/Technologist | 1021 Central Ave, Demorest, GA 30535-5252 | 2020-08-27 |
| 1497315238 | Jeremy Fouts | Specialist/Technologist | 1021 Central Ave, Demorest, GA 30535-5252 | 2019-06-14 |
| 1245764406 | Stephanie Smart | Specialist/Technologist | 1021 Central Ave, Demorest, GA 30535-5252 | 2017-04-14 |
| 1063958486 | Brittany Braun | Specialist/Technologist | 1021 Central Ave, Demorest, GA 30535-5252 | 2017-01-09 |
| 1255736195 | Erika Lynne Mckinney | Specialist/Technologist | 1021 Central Ave, Demorest, GA 30535-5252 | 2014-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407455959 | Mary Lee Richardson | Specialist/Technologist | 1591 Glenn Pl Sw, Mableton, GA 30126-1170 | 2020-10-25 |
| 1295332914 | Cayla Mckeon | Specialist/Technologist | 11 W 11th St Apt 17, Columbus, GA 31901-4239 | 2020-10-06 |
| 1205442472 | Si'ara Washington Farris | Specialist/Technologist | 564 Hillandale Park Dr, Lithonia, GA 30058-8833 | 2020-09-22 |
| 1033723150 | Grant Pheil | Specialist/Technologist | 3523 Old Penia Rd, Cordele, GA 31015-7714 | 2020-09-04 |
| 1376157933 | Jesus E Aviles | Specialist/Technologist | 755 Battery Ave Se, Atlanta, GA 30339-3017 | 2020-09-01 |
| 1588276943 | Jaden T Harris | Specialist/Technologist | 2205 Moncrieff St, Augusta, GA 30906-8905 | 2020-08-18 |
| 1891306437 | Tinasia Smalls | Specialist/Technologist | 100 Woodland Dr Apt 1416, Statesboro, GA 30458-6365 | 2020-08-16 |
| 1407467590 | Samantha Jean Libby | Specialist/Technologist | 2550 Akers Mill Rd Se Apt F14, Atlanta, GA 30339-3271 | 2020-08-12 |
| 1083224224 | John Christopher Hamil | Specialist/Technologist | 812 S Park St Ste 1, Carrollton, GA 30117-4412 | 2020-08-03 |
| 1780294926 | Andrew Alcantar | Specialist/Technologist | 7340 Fairmount Hwy Se, Calhoun, GA 30701-4023 | 2020-08-03 |
| 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.