Mendy Lynn Folsom, RNFA

Primary specialty

Registered Nurse First AssistantTaxonomy code 163WR0006X

License

RN281234 Issued in GA

Practice address

705 Dixie St
Carrollton, GA 30117-3818

Phone

(770) 812-9684

NPI assigned

Mar 7, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1678147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1336849504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1028 LANDON DR",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301805887",
            "telephone_number": "770-845-8230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 DIXIE ST",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301173818",
            "telephone_number": "770-812-9684"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 Dallas Hwy",
            "address_purpose": "LOCATION",
            "city": "Villa Rica",
            "state": "GA",
            "postal_code": "301801202",
            "country_code": "US",
            "telephone_number": "770-812-9684",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Allen Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Bremen",
            "state": "GA",
            "postal_code": "301102012",
            "country_code": "US",
            "telephone_number": "770-812-9684",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOLSOM",
        "first_name": "MENDY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "RNFA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-07",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "GA",
            "license": "RN281234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Nurse First Assistant in Carrollton, GA
• Providers in Carrollton, GA by specialty
• Registered Nurse First Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.