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CONNIE GRESHAM LPN
NPI 1972087096
Licensed Practical Nurse in Cedartown, GA

Active since September 25, 2018
180 WATER OAK DR, CEDARTOWN, GA 30125(706) 270-5033 Get Directions Write a Review

NPPES record last updated: September 25, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Connie Gresham Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CONNIE GRESHAM LPN (NPI 1972087096) is an individual licensed practical nurse in Cedartown, Georgia, licensed in Georgia (LPN031192) and active in the NPI registry since September 2018.

NPPES Registry Identity

NPI1972087096
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameCONNIE GRESHAMCredential: LPN
Location Address180 WATER OAK DRCedartown, GA 30125-2095
Mailing Address1401 Applewood Dr Ste 1Dalton, GA 30720-2699
Phone(706) 270-5033
Sole ProprietorYes
Enumeration DateSeptember 25, 2018
✔ NPI 1972087096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in GA · LPN031192
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
180 WATER OAK DR, Cedartown, GA 30125
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. CATHY PUCKETT
Counselor (Mental Health)
180 WATER OAK DR
CEDARTOWN, GA 30125
Polk County (770) 748-2225
VERONICA ESCUTIA RN
Registered Nurse
180 WATER OAK DR
CEDARTOWN, GA 30125
Polk County (770) 748-0030
MRS. DELORES WRIGHT NOWELL C.P.S.
Case Manager/Care Coordinator
180 WATER OAK DR
CEDARTOWN, GA 30125
Polk County (770) 748-2225
TONY BOSTON
Social Worker
180 WATER OAK DR
CEDARTOWN, GA 30125
Polk County (770) 748-0030
DONNA ROBBINS
Social Worker
180 WATER OAK DR
CEDARTOWN, GA 30125
Polk County (770) 748-2225
PATTI WILLIAMS
Counselor
180 WATER OAK DR
CEDARTOWN, GA 30125
Polk County (770) 748-2225
MR. GERALD SHEPARD CACI
Counselor (Addiction (Substance Use Disorder))
180 WATER OAK DR
CEDARTOWN, GA 30125
Polk County (770) 748-2225
AMY NICOLE LASHER LCSW
Social Worker (Clinical)
180 WATER OAK DR
CEDARTOWN, GA 30125
Polk County (770) 748-2225

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Connie Gresham's NPI number?

The NPI number for Connie Gresham is 1972087096. It was assigned to this individual provider in the NPPES registry on September 25, 2018.

Where is Connie Gresham located?

Connie Gresham practices at 180 Water Oak Dr, Cedartown, GA 30125. The listed phone number is (706) 270-5033.

What is Connie Gresham's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Connie Gresham was last updated on September 25, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.