Individual provider Active NPI

Patricia Dale McTier, RN

  • Community Health Registered Nurse
  • Baxley, GA
National Provider Identifier
1609935865
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Registered NurseTaxonomy code 163WC1500X
License
RN089623 Issued in GA
Practice address
1781 Doc McTier Rd
Baxley, GA 31513-5943
Phone
(912) 366-8644
Fax
(912) 366-8645
NPI assigned
Dec 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WC1500X RN089623 GA Primary

Addresses

Primary practice location

1781 Doc McTier Rd
Baxley, GA 31513-5943

Mailing address

1781 Doc McTier Rd
Baxley, GA 31513-5943
Phone (912) 366-8644

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN089623GAMDCommunity Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609935865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1781 DOC MCTIER RD",
            "city": "BAXLEY",
            "state": "GA",
            "postal_code": "315135943",
            "telephone_number": "912-366-8644",
            "fax_number": "912-366-8645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1781 DOC MCTIER RD",
            "city": "BAXLEY",
            "state": "GA",
            "postal_code": "315135943",
            "telephone_number": "912-366-8644",
            "fax_number": "912-366-8645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCTIER",
        "first_name": "PATRICIA",
        "middle_name": "DALE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Community Health",
            "state": "GA",
            "license": "RN089623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baxley, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.