Andrea D Calhoun Payton
Individual provider Active NPI Nurse's Aide · Rex, GA
NPI 1811270945 · NPPES record last updated Sep 27, 2011
Key facts
- NPI
- 1811270945
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse's Aide 376K00000X
- License
- CN0000127439 (GA)
- Practice address
- 6173 Pembroke Dr
Rex, GA 30273-1245 - Phone
- (404) 384-7835
- Fax
- (678) 289-8063
- NPI assigned
- Sep 26, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CN0000127439 | GA | MD | Adult Companion |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | |||
| Adult Companion | 372600000X | CN0000127439 | GA | |
| Nurse's Aide | 376K00000X | CN0000127439 | GA | Yes |
Addresses
Primary practice location
6173 Pembroke Dr
Rex, GA 30273-1245
Mailing address
6173 Pembroke Dr
Rex, GA 30273-1245
Phone (404) 384-7835
Other names
- Andrea D Calhoun
Other providers in Rex, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 27, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.