ATLANTA INTERNAL MEDICINE AND PSYCHIATRIC CARE (NPI# 1003174624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003174624 |
| Entity Type | Organization |
| Organization Name | ATLANTA INTERNAL MEDICINE AND PSYCHIATRIC CARE |
| Practice Address |
6111 Peachtree Dunwoody Rd Ne # C Atlanta GA 30328-6049 |
| Mailing Address |
4895 Guilford Forest Dr Sw Atlanta GA 30331-8373 |
| Practice Telephone | 7703137300 |
| Practice Fax Number | 7703990007 |
| Mailing Telephone | 7703177300 |
| Mailing Fax Number | 4046697574 |
| Enumeration Date | 2012-05-02 |
| Last Update Date | 2012-05-02 |
| Authorized Official Name | DR. GREGORY C LUNCEFORD (CEO) |
| Authorized Official Telephone | 7703960232 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
050584 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | REF000549852 | 05 |
| Street Address |
6111 PEACHTREE DUNWOODY RD NE # C |
| City | ATLANTA |
| State | GA |
| Zip Code | 30328-6049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467910042 | Amber Andrews | Behavior Technician | 750 Hammond Drive Bldg 7 Suite 100, Atlanta, GA 30328 | 2019-03-04 |
| 1215492830 | Ryan William Dubinin | Behavior Technician | 750 Hammond Drive, Building 7, Suite 100, Atlanta, NJ 30328 | 2019-02-07 |
| 1346710142 | Emily Rose Lloyd Swavely | Speech-Language Pathologist | 5825 Glenridge Rd., Building 1, Suite 133, Atlanta, GA 30328 | 2018-12-05 |
| 1063994481 | Mark Edward Brachmanski | Optometrist | 800 Mount Vernon Highway Ne, Suite 130, Atlanta, GA 30328 | 2018-09-01 |
| 1407352578 | Nina Brown | Massage Therapist | 7100 Peachtree Dunwoody Rd Ste 110, Sandy Springs, GA 30328 | 2018-04-05 |
| 1336657741 | Renee Usher Reeves | Assistant Behavior Analyst | 750 Hammond Dr Building 7, Suite 100, Atlanta, GA 30328 | 2018-01-19 |
| 1487168274 | Patricia Nicole Felder | Student in an Organized Health Care Education/Training Program | 270 Carpenter Dr, Ne, Suite # 400, Atlanta, GA 30328 | 2017-12-01 |
| 1447762927 | Ponders Podiatry LLC | Podiatrist | 275 Carpenter Drive Ne, Suite 106, Atlanta, GA 30328 | 2017-10-24 |
| 1770093601 | Syed M Rasheed | Physician Assistant | 5788 Roswell Rd Ste 100, Atlanta, GA 30328 | 2017-10-05 |
| 1437678190 | Jeanette Denise Jones | Counselor | 270 Carpenter Drive, Suite 400, Sandy Springs, GA 30328 | 2017-09-13 |
| Find all providers in zip 30328 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366925497 | David Wayne Richardson | Psychiatry & Neurology | 400 Rock Springs Road Ne, Atlanta, GA 30324 | 2018-09-14 |
| 1649680844 | Adam Dickey | Psychiatry & Neurology | 49 Jesse Hill Jr Dr Se Ste 470, Atlanta, GA 30303-3049 | 2014-04-28 |
| 1326468349 | Jasmine Forte | Psychiatry & Neurology | 1400 Tullie Rd Ne Ste 400, Atlanta, GA 30329-2309 | 2014-04-17 |
| 1881012631 | Elissa Ortolani | Psychiatry & Neurology | 1400 Tullie Rd Ne Ste 420, Atlanta, GA 30329-2309 | 2014-03-30 |
| 1982044582 | Nirav Ravindra Bhatt | Psychiatry & Neurology | 80 Jesse Hill Jr Dr Se, Department of Neurology, Office 8d015a, # 036, Atlanta, GA 30303-2107 | 2013-06-27 |
| 1790028769 | Amit Deepak Shah | Psychiatry & Neurology | 915 W Peachtree St Nw Unit 522, Atlanta, GA 30309 | 2013-03-28 |
| 1174872675 | William Elsner | Psychiatry & Neurology | 3864 Dumbarton Rd Nw, Atlanta, GA 30327-2620 | 2012-08-30 |
| 1770858953 | Steven Cornell Figiel | Psychiatry & Neurology | 1301 Hightower Trl, Suite 150, Atlanta, GA 30350-2983 | 2012-03-20 |
| 1134419088 | Christian Michael Cabrera Kang | Psychiatry & Neurology | 6135 Barfield Rd Ste 130, Atlanta, GA 30328 | 2011-04-12 |
| 1548559826 | Olivia Allen Groover | Psychiatry & Neurology | 12 Exec Park Dr Ne, Atlanta, GA 30329-2206 | 2011-04-07 |
| Find all providers in ATLANTA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.