HGA VILLA RICA, LLC (NPI# 1033644067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033644067 |
| Entity Type | Organization |
| Organization Name | HGA VILLA RICA, LLC |
| Practice Address |
129 Bankhead Hwy Carrollton GA 30117-3425 |
| Mailing Address |
Po Box 6084 Douglasville GA 30154-0019 |
| Practice Telephone | 7708388440 |
| Enumeration Date | 2017-04-27 |
| Last Update Date | 2017-04-27 |
| Authorized Official Name | VAUGHN S CLAGETTE (PARTNER) |
| Authorized Official Telephone | 7708388440 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208M00000X | Hospitalist | 40639 | GA | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | 40639 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
129 BANKHEAD HWY |
| City | CARROLLTON |
| State | GA |
| Zip Code | 30117-3425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710914247 | Charlie C. Rouse | Internal Medicine | 129 Bankhead Hwy, Carrollton, GA 30117-3425 | 2006-06-28 |
| 1689100042 | Tondra Ivey | Nurse Practitioner | 129 Bankhead Hwy, Carrollton, GA 30117-3425 | 2017-05-04 |
| 1881149102 | Shelley Smith | Nurse Practitioner | 129 Bankhead Hwy, Carrollton, GA 30117-3425 | 2016-08-16 |
| 1932421187 | West Georgia Cardiology Associates, PC | Internal Medicine | 129 Bankhead Hwy, Carrollton, GA 30117-3425 | 2010-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679199392 | Southern Rad Onc LLC | Radiology | 809 South Park Street, Carrollton, GA 30117 | 2020-06-18 |
| 1093361404 | Eyedeal Eyecare LLC | Optometrist | 1735 S Us 27, Carrollton, GA 30117 | 2019-08-12 |
| 1710412473 | Janis James | Optometrist | 1735 S, Us-27, Walmart Vision Center, Carrollton, GA 30117 | 2017-05-01 |
| 1568881951 | Omar Hajmurad | Anesthesiology | 812 S Park St Ste 5, Carrollton, GA 30117 | 2014-04-14 |
| 1134550353 | Goodbodys Minor Med Express Care | Nurse Practitioner | 1670 South Park St., Carrollton, GA 30117 | 2013-12-13 |
| 1306187570 | Myriam C Vela-ortiz | Internal Medicine | 157 Clinic Ave Ste 203, Carrollton, GA 30117 | 2013-03-12 |
| 1891030201 | Air Evac Ems, Inc. | Ambulance | 827 Old Bremen Rd, Carrollton, GA 30117 | 2012-12-11 |
| 1952682486 | Angelic Wings Transport, Inc. | Non-emergency Medical Transport (VAN) | 362 B Columbia Drive, Carrollton, GA 30117 | 2011-08-29 |
| 1073819256 | Atlanta Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 812 South Park Street, Suite 2, Carrollton, GA 30117 | 2011-02-04 |
| 1255640348 | Amy Gilbert | Counselor | 515 Tanner St, Carrollton, GA 30117 | 2010-10-06 |
| Find all providers in zip 30117 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942716121 | Canopusmd, Pllc | Internal Medicine | 4221 Medical Pkwy Ste 150, Carrollton, TX 75010-4545 | 2017-12-24 |
| 1679021042 | Keturah Health, LLC | Internal Medicine | 1420 Valwood Parkway, 170a, Carrollton, TX 75006 | 2016-09-14 |
| 1699192633 | Md & Np House Visits LLC | Internal Medicine | 1520 Blue Mesa Rd, Carrollton, TX 75007-6022 | 2014-03-27 |
| 1306187570 | Myriam C Vela-ortiz | Internal Medicine | 157 Clinic Ave Ste 203, Carrollton, GA 30117 | 2013-03-12 |
| 1326343757 | Charlotte Freeland | Internal Medicine | 2227 High Country Dr, Carrollton, TX 75007-1701 | 2011-01-15 |
| 1538483128 | Metroplex Visiting Physicians | Internal Medicine | 2501 E Hebron Pkwy Suite 100, Carrollton, TX 75010-4468 | 2010-03-25 |
| 1386872950 | Lauren West Yancey | Internal Medicine | 158 Clinic Avenue, Carrollton, GA 30117-4414 | 2009-06-23 |
| 1316193741 | Maryview Hospital | Internal Medicine | 13609 Carrollton Blvd Ste 11, Carrollton, VA 23314-3214 | 2008-08-18 |
| 1346428257 | William Curtis Irby | Internal Medicine | 123 Hampton Way, Carrollton, GA 30116-8977 | 2008-02-01 |
| 1417139361 | Kathryn Virginia Bain | Internal Medicine | 905 Dixie Street, Carrollton, GA 30117-4454 | 2007-12-03 |
| Find all providers in CARROLLTON | ||||
| City | CARROLLTON |
| Zip Code | 30117 |
Please comment or provide details below to improve the information on HGA VILLA RICA, LLC.
| 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.