Healthcare Provider Details

I. General information

NPI: 1457012569
Provider Name (Legal Business Name): CHELSEY PAIGE BARRETT NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHELSEY WILLIAMS

II. Dates (important events)

Enumeration Date: 01/02/2022
Last Update Date: 03/01/2024
Certification Date: 02/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

112 W 6TH AVE UNIT B
BUENA VISTA GA
31803
US

IV. Provider business mailing address

112 W 6TH AVE UNIT B
BUENA VISTA GA
31803
US

V. Phone/Fax

Practice location:
  • Phone: 229-800-5488
  • Fax: 229-800-5487
Mailing address:
  • Phone: 229-800-5488
  • Fax: 229-800-5487

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN286753
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: