DR. AHMAD IBN NURIDDIN (NPI# 1013003300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013003300 |
| Entity Type | Individual |
| Full Name | DR. AHMAD IBN NURIDDIN |
| Credential | M.D. |
| Practice Address |
1040 Eagles Landing Pkwy Suite 100 Stockbridge GA 30281-9072 |
| Practice Telephone | 7704747287 |
| Practice Fax Number | 7703893713 |
| Mailing Telephone | 7704747287 |
| Mailing Fax Number | 7703893713 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2016-07-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 055150 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 918927391B | 05 |
| Street Address |
1040 EAGLES LANDING PKWY SUITE 100 |
| City | STOCKBRIDGE |
| State | GA |
| Zip Code | 30281-9072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386632941 | Manohar N Nallathambi | Surgery | 1040 Eagles Landing Pkwy, Suite100, Stockbridge, GA 30281-9072 | 2005-10-07 |
| 1639331150 | South Atlanta Neurology & Pain Clinic, PC | Specialist | 1040 Eagles Landing Pkwy, Ste 102, Stockbridge, GA 30281-9073 | 2008-06-26 |
| 1346449758 | Monica S. Mosley | Dentist | 1040 Eagles Landing Pkwy, Suite 200, Stockbridge, GA 30281-9072 | 2007-07-16 |
| 1861527616 | Surgery South PC | Surgery | 1040 Eagles Landing Pkwy, Suite 100, Stockbridge, GA 30281-9072 | 2007-02-22 |
| 1114069424 | Hank R. Dallam | Dentist | 1040 Eagles Landing Pkwy, Suite 200, Stockbridge, GA 30281-9072 | 2007-02-13 |
| 1871686402 | Omar Mohammed Shariff | Dentist | 1040 Eagles Landing Pkwy, Suite 200, Stockbridge, GA 30281-9072 | 2006-10-02 |
| 1174554455 | Brice Choi | Specialist | 1040 Eagles Landing Pkwy, 102, Stockbridge, GA 30281-9072 | 2006-07-05 |
| 1083602643 | Brian S Myers | Surgery | 1040 Eagles Landing Pkwy, Suite 100, Stockbridge, GA 30281-9072 | 2005-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164039095 | Colette Alls | Social Worker | 447 Lakeshore Dr, Stockbridge, GA 30281 | 2020-09-24 |
| 1982216800 | Pediatric and Family Behavioral Health of Georgia | Counselor | 1004 Ulster Court, Stockbridge, GA 30281 | 2020-08-21 |
| 1518577659 | Qunique Taveka Toxey | Behavior Technician | 115 N Park Trail, Suite 123, Stockbridge, GA 30281 | 2020-08-04 |
| 1497377675 | Melanie Harvey | Pharmacist | 4467 North Henry Boulevard, Stockbridge, GA 30281 | 2020-05-11 |
| 1114550571 | Cecile Maria Dunkley Layne | Counselor | 255 Corporte Drive, Stockbridge, GA 30281 | 2020-02-13 |
| 1306407143 | Palliative Care of Georgia. LLC | Home Health | 275 Corporate Center Court Ste C, Stockbridge, GA 30281 | 2019-06-24 |
| 1154883791 | Aaliyah Nura Fardan-alexander | Nurse's Aide | 105 Singletree, Stockbridge, GA 30281 | 2019-04-02 |
| 1306306261 | Prosthetic Care, Inc. | Prosthetic/Orthotic Supplier | 150 County Club Drive, Suite 200, Stockbridge, GA 30281 | 2019-03-25 |
| 1356814172 | Kristina Louissaint | Nurse Practitioner | 650 Country Club Dr, Stockbridge, GA 30281 | 2019-01-03 |
| 1942789284 | Cameren Barnes | Physical Therapist | 5473 N Henry Blvd, Stockbridge, GA 30281 | 2018-08-08 |
| Find all providers in zip 30281 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356982730 | Quinones & Sanchez LLC | Surgery | 1215 Eagles Landing Pkwy Ste 105, Stockbridge, GA 30281-5084 | 2019-10-07 |
| 1093098824 | Reema Mallick | Surgery | 1040 Eagle's Landing Parkway, Suite 100, Stockbridge, GA 30281 | 2011-09-28 |
| 1720019102 | Michael O Sanusi | Surgery | 557 Winter View Way, Stockbridge, GA 30281-7799 | 2006-07-05 |
| 1295786234 | Gregory L Erdelyan | Surgery | 1104 Hospital Dr, Stockbridge, GA 30281-6381 | 2006-05-15 |
| 1477532786 | Advanced Laparoscopic Surgery Associates of Georgia | Surgery | 150 Country Club Dr, Suite 101, Stockbridge, GA 30281-7344 | 2006-01-13 |
| 1386632941 | Manohar N Nallathambi | Surgery | 1040 Eagles Landing Pkwy, Suite100, Stockbridge, GA 30281-9072 | 2005-10-07 |
| 1851389415 | Shikha Srivastava | Surgery | 1040 Eagles Landing Parkway, Suite 100, Stockbridge, GA 30281-9073 | 2005-10-07 |
| 1518348911 | Megan Lodeiro | Surgery | 1215 Eagles Landing Pkwy, Stockbridge, GA 30281-7279 | 2015-06-11 |
| 1649516006 | Dr. Thomas R Fitzsimmons Md PC | Surgery | 1215 Eagles Landing Parkway, Suite 105, Stockbridge, GA 30281 | 2012-12-12 |
| 1285921171 | Jose L. Fernandez-gerena | Surgery | 1040 Eagles Landing Parkway, Suite 100, Stockbridge, GA 30281-9073 | 2011-06-30 |
| Find all providers in STOCKBRIDGE | ||||
| City | STOCKBRIDGE |
| Zip Code | 30281 |
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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.