LEGACY WOMEN'S HEALTHCARE, PC (NPI# 1003247859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003247859 |
| Entity Type | Organization |
| Organization Name | LEGACY WOMEN'S HEALTHCARE, PC |
| Practice Address |
960 Johnson Fy Rd Ne Suite 215 Atlanta GA 30342-1631 |
| Practice Telephone | 4045831898 |
| Mailing Telephone | 4045831898 |
| Enumeration Date | 2013-12-04 |
| Last Update Date | 2013-12-04 |
| Authorized Official Name | KARYL HONORE (PRACTICE MANAGER) |
| Authorized Official Telephone | 4049832115 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities |
| Street Address |
960 JOHNSON FY RD NE SUITE 215 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30342-1631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962498600 | Sujatha Nmn Reddy | Obstetrics & Gynecology | 960 Johnson Fy Rd Ne, Ste 400, Atlanta, GA 30342-1631 | 2005-09-27 |
| 1215412614 | Kayana Mclarty | Nurse Practitioner | 960 Johnson Fy Rd Ne, Atlanta, GA 30342-1631 | 2018-10-01 |
| 1508206319 | Mithun Sam Daniel | Family Medicine | 960 Johnson Fy Rd Ne, Suite 300, Atlanta, GA 30342-1631 | 2013-06-26 |
| 1790969111 | Shady Mounir Eldaif | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 960 Johnson Fy Rd Ne, Ste. 100, Atlanta, GA 30342-1631 | 2007-12-20 |
| 1639372147 | Steven Richard Bomeli | Otolaryngology | 960 Johnson Fy Rd Ne, Suite 200, Atlanta, GA 30342-1631 | 2007-06-11 |
| 1780616938 | Jennifer Mccoy Lyman | Obstetrics & Gynecology | 960 Johnson Fy Rd Ne, Ste 400, Atlanta, GA 30342-1631 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820614 | Nia Charnice Griffin | Nurse Practitioner | 5670 Peachtree Dunwoodyroad, Suite 900, Atlanta, GA 30342 | 2020-10-26 |
| 1255945184 | Jennifer Lynne Cole | Behavior Technician | 5555 Glenridge Con Suite 200, Atlanta, GA 30342 | 2020-09-08 |
| 1093336232 | Van Tran | Respiratory Therapist, Registered | 1000 Johnson Ferry Rd Ne, Atlanta, Ga 30342, Atlanta, GA 30342 | 2020-04-28 |
| 1356978340 | Twyla Douglas Jackson I | Clinical Nutrition, 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 | 2020-03-27 | |
| 1760013411 | Emily Hamm | Dietitian, Registered | 933 D Johnson Ferry Road, Suite 250, Atlanta, GA 30342 | 2020-01-31 |
| 1043855984 | Mackenzie Tucker Wayda | Registered Nurse | 1001 Johnson Ferry Rd. Ne, Atlanta, GA 30342 | 2019-11-14 |
| 1386288454 | Tiauna Lashun Cochman | Psychologist | 1307 Glenridge Dr, Sandy Springs, GA 30342 | 2019-11-01 |
| 1164074399 | Stephen J. White | Hearing Instrument Specialist | 5775 Peachtree Dunwoody Rd Suite 600 Fl. 6, Uhc Hearing, Atl., GA 30342 | 2019-07-09 |
| 1144788142 | Jaytyn LLC | Internal Medicine | 4600 Broswell Road, Atlanta, GA 30342 | 2019-03-08 |
| 1760954705 | Mishele Walker LLC | Counselor | 555 Glenridge Connector, Suite 200, Sandy Springs, GA 30342 | 2018-12-31 |
| Find all providers in zip 30342 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
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| 1467719849 | Mina Jacob, Md, PC | Clinic/Center | 1300 Peachtree Battle Ave Nw, Atlanta, GA 30327-1424 | 2012-04-23 |
| 1558525071 | Charlene Johnson Md LLC | Clinic/Center | 2945 Stone Hogan Rd, Suite 201, Atlanta, GA 30331-2835 | 2008-07-14 |
| 1497954093 | Orthopaedic & Spine Surgery of Atlanta | Clinic/Center | 3161 Howell Mill Road, Suite 400, Atlanta, GA 30327 | 2007-07-13 |
| 1336345982 | Emory Healthcare | Clinic/Center | The Emory Clinic 1525 Clifton Rd, Atlanta, GA 30322-0001 | 2007-06-21 |
| 1568822195 | H & Z Acupuncture LLC | Clinic/Center | 57 Executive Park S, Atlanta, GA 30329-2288 | 2016-02-24 |
| 1780043547 | H & Z Acupuncture LLC | Clinic/Center | 57 Executive Park S, 150, Atlanta, GA 30329-2288 | 2016-02-22 |
| 1467825281 | J Dewayne Colquitt Md LLC | Clinic/Center | 35 Collier Rd Nw Ste 675, Atlanta, GA 30309-1612 | 2015-11-02 |
| 1972929685 | Withinme Md, Atlanta | Clinic/Center | 604 Glen Iris Dr Ne, Atlanta, GA 30308-2717 | 2014-03-06 |
| 1649518432 | Wiley A. Parker, M.d.,p.c. | Clinic/Center | 5669 Peachtree Dunwoody Rd Ne, Suite 295, Atlanta, GA 30342-1786 | 2013-01-29 |
| 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.