Maritess Thomas-ford
Maritess Gonzales Thomas-ford · Nurse Practitioner (Family)

Address: 1058 Bear Creek Blvd, Hampton, GA 30228-1849
Phone: 7707070808

Maritess Thomas-ford (NPI# 1013461425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1013461425
Entity Type Individual
Full Name Maritess Thomas-ford
Other Name Maritess Gonzales Thomas-ford
Credential FNP-C
Gender Female
Practice Address 1058 Bear Creek Blvd
Hampton
GA 30228-1849
Practice Telephone 7707070808
Practice Fax Number 7707071580
Mailing Address 1058 Bear Creek Blvd
Hampton
GA 30228-1849
Mailing Telephone 7707070808
Mailing Fax Number 7707071580
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2016-08-15
Last Update Date 2017-02-27

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 363LF0000X Nurse Practitioner · Family Physician Assistants & Advanced Practice Nursing Providers RN161969 GA

Physician Overview

NPI 1013461425
PAC ID by PECOS 6406132166
Professional Enrollment ID I20170411002379
Full Name Maritess Thomas-ford
Organization Legal Name EAGLE'S LANDING FAMILY PRACTICE, INC.
Phone Number 7707070808
Gender F
Graduation Year 2014
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 8022901925
Number of Group Practice Members 61
Accepts Medicare Assignment Y

Office Location

Street Address 1058 BEAR CREEK BLVD
City HAMPTON
State GA
Zip Code 30228-1849

Providers in the same location

NPI Name Taxonomy Address Enumeration
1316904972 Deborah Ann Travis Honeycutt Family Medicine 1058 Bear Creek Blvd, Hampton, GA 30228-1849 2006-04-27
1093224081 Chihoon Lee Nurse Practitioner 1058 Bear Creek Blvd, Hampton, GA 30228-1849 2017-09-22
1043676380 Petra Nozile Nurse Practitioner 1058 Bear Creek Blvd, Hampton, GA 30228-1849 2015-12-31
1912319781 Candace Lewis Physician Assistant 1058 Bear Creek Blvd, Hampton, GA 30228-1849 2014-05-28
1982940458 Daniel Miller Jr. Family Medicine 1058 Bear Creek Blvd, Hampton, GA 30228-1849 2013-01-02
1699927681 Karen Richards-reynolds Nurse Practitioner 1058 Bear Creek Blvd, Hampton, GA 30228-1849 2008-10-21
1629194089 Lashunda Williams Family Medicine 1058 Bear Creek Blvd, Hampton, GA 30228 2007-03-21
1700827458 Sowmya Brahmadevi Family Medicine 1058 Bear Creek Blvd, Hampton, GA 30228-1849 2006-06-10
1134160468 Joel Shedd Physician Assistant 1058 Bear Creek Blvd, Hampton, GA 30228-1849 2006-06-09
1568403921 Eagle's Landing Family Practice Family Medicine 1058 Bear Creek Blvd, Hampton, GA 30228-1849 2006-06-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598246878 Emma Ledbetter Nurse Practitioner 1910 Elm Park Dr, Hampton, GA 30228 2018-08-24
1164924601 Ladonna Sheree Doxie Nurse Practitioner 2635 Calvary Drive, Hampton, GA 30228 2018-03-01
1720506231 O'reilly Comprehensive Dermatology, Inc. Dermatology 755 Mount Vernon Hwy., Suite 330, Atlanta, GA 30228 2017-09-05
1720500648 Sophia Demetria Edwards Home Health Aide 2059 Grove Way, Hampton, GA 30228 2017-07-12
1083143432 Ciera Jayna Scales Dentist 144 Revolutionary Dr, Hampton, GA 30228 2017-06-08
1811446438 Alwarna Pasteur Contractor 1419 Hyde Court, Hampton, GA 30228 2016-09-23
1932599370 Corlyn Doolittle Speech-Language Pathologist 412 Lakeside Villa Dr, Lovejoy, GA 30228 2015-01-23
1114367596 Mayer Counseling Services,llc Counselor 591 Toronto Circle, Hampton, GA 30228 2013-06-28
1932544269 Eye Can See Eyewear Inc. Technician/Technologist 22 E. Main St. N., Hampton, GA 30228 2013-04-30
1689917635 Royal Hands Healthcare Services, Inc In Home Supportive Care 1012 Spaniel Terrrace, Hampton, GA 30228 2013-03-28
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to comeā€¦

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184195562 Sharee Lashell Stowes Nurse Practitioner 915 Gloucester St, Hampton, VA 23661-2203 2018-12-11
1841767035 Jasmine Macheryl Webb Nurse Practitioner 1146 Oak Hollow Ct, Hampton, GA 30228-5571 2018-10-26
1598246878 Emma Ledbetter Nurse Practitioner 1910 Elm Park Dr, Hampton, GA 30228 2018-08-24
1164924601 Ladonna Sheree Doxie Nurse Practitioner 2635 Calvary Drive, Hampton, GA 30228 2018-03-01
1588103782 Diverse Healthcare Inc Nurse Practitioner 509 Wine St, Hampton, VA 23669-3162 2017-02-21
1396106340 Lori Danielle Allen Nurse Practitioner 3904 Chesapeake Ave, Hampton, VA 23669-4614 2016-03-17
1770959504 Melissa Ann Duncan Nurse Practitioner 622 13th Ave, Hampton, IL 61256-9611 2015-08-16
1477937894 Melanie Busey Nurse Practitioner 55 High St Ste 302, Hampton, NH 03842 2015-07-15
1548655293 Rhonda Seat Nurse Practitioner 402 Lee Street, Hampton, AR 71744-1196 2015-03-31
1871983833 Sheilah Adams Nurse Practitioner 261 Juliet Dr, Hampton, GA 30228-4834 2015-01-29
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Competitor

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City HAMPTON
Zip Code 30228

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Dataset Information

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.

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