Dale Edward Knight Jr., RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN258421 Issued in GA

Practice address

761B Man Bone Creek Rd
Whigham, GA 39897-2409

Phone

(229) 378-4242

Fax

(229) 377-0676

NPI assigned

Jun 25, 2016

Last updated

Jun 27, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Mr. Eddie Knight Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Snore No More LLC

  • Pulmonary Diagnostics Certified Respiratory Therapist
  • Whigham, GA
  • NPI 1245777580
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1466812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466985600000",
    "number": "1154772747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "761B MAN BONE CREEK RD",
            "city": "WHIGHAM",
            "state": "GA",
            "postal_code": "398972409",
            "telephone_number": "229-378-4242",
            "fax_number": "229-377-0676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "761B MAN BONE CREEK RD",
            "city": "WHIGHAM",
            "state": "GA",
            "postal_code": "398972409",
            "telephone_number": "229-378-4242",
            "fax_number": "229-377-0676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIGHT",
        "first_name": "DALE",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-25",
        "last_updated": "2016-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN258421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL COUNCIL OF STATE BOARDS OF NURSING INC. ID#",
            "identifier": "23152549",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE, GA",
            "identifier": "RN258421",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EDDIE",
            "last_name": "KNIGHT",
            "prefix": "MR.",
            "credential": "RN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Benjamin L Harrell, MD
• Telisa Denise Herring
• Higher Hope Wellness LLC
• Crystal Holt, PHD
• Chad Randall Knight, CRT
• LTC Healthcare of Whigham Inc (PineWood Nursing Center)
• Michael L. Moss
• Laura C Phillips
• Pinewood Healthcare & Rehab LLC (Pinewood Nursing Center)
• Lindsay Roberts

• Registered Nurse in Whigham, GA
• Providers in Whigham, GA by specialty
• Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.