Bertha McDonald

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN052615 Issued in GA

Practice address

1120 W Broad Ave
C-3
Albany, GA 31707-4397

Phone

(229) 430-4138

Fax

(229) 430-4422

NPI assigned

Dec 3, 2013

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

Other names 1

• Ms. Bertha Covin McDonald Professional name

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": "1386028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386028800000",
    "number": "1770914657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 W BROAD AVE",
            "address_2": "C-3",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317074397",
            "telephone_number": "229-430-4138",
            "fax_number": "229-430-4422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 W BROAD AVE",
            "address_2": "C-3",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317074397",
            "telephone_number": "229-430-4138",
            "fax_number": "229-430-4422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "BERTHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-03",
        "last_updated": "2013-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN052615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BERTHA",
            "last_name": "MCDONALD",
            "middle_name": "COVIN",
            "prefix": "MS.",
            "credential": "REGISTERED NURSE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jazzmen Sheree McCray
• Dawn McCune
• Cheryl Lavertue McDaniel, PMHNP BC
• Latasha McDaniel
• Lenzi Mandell McDaniel
• Nikki McDonald, LPC
• Aedan McDonough, MD
• Kawanis McDuffie, MS, LPC
• Melanie Leeann McGalliard, DPT
• Tracy S McGee, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2013; 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.