ATLANTA CLINICAL RESEARCH CENTERS LLC (NPI# 1033749288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033749288 |
| Entity Type | Organization |
| Organization Name | ATLANTA CLINICAL RESEARCH CENTERS LLC |
| Practice Address |
5673 Peachtree Dunwoody Rd Ste 440a Atlanta GA 30342-1797 |
| Mailing Address |
5673 Peachtree Dunwoody Rd Ste 440 Atlanta GA 30342-1797 |
| Practice Telephone | 4042961130 |
| Practice Fax Number | 4046004466 |
| Mailing Telephone | 4042961130 |
| Mailing Fax Number | 4046004466 |
| Enumeration Date | 2020-01-16 |
| Last Update Date | 2020-01-16 |
| Authorized Official Name | DR. BOBBY V KHAN (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 4042961130 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | ATLANTA CLINICAL RESEARCH CENTERS LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Comprehensive Cardiovascular and Medical Care of Georgia | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114377025 | Atlanta Clinical Research Centers LLC | Internal Medicine | 5673 Peachtree Dunwoody Rd Ste 440, Atlanta, GA 30342-1797 | 2016-06-21 |
| Street Address |
5673 PEACHTREE DUNWOODY RD STE 440A |
| City | ATLANTA |
| State | GA |
| Zip Code | 30342-1797 |
| 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 | 2083P0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Public Health & General Preventive Medicine |
| Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. |
| 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 Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316433105 | Thomas Boggs Richards | Preventive Medicine | 2067 Amberwood Way Ne, Atlanta, GA 30345-3903 | 2018-07-05 |
| 1871016592 | Sonja Suzzete Hutchins | Preventive Medicine | 435 Joseph E Lowery Blvd Sw, Atlanta, GA 30310-1471 | 2017-07-25 |
| 1619336286 | Antonio Neri | Preventive Medicine | 1600 Clifton Rd Ne # Mse-92, Atlanta, GA 30329-4018 | 2016-02-11 |
| 1962899948 | William Dana Flanders | Preventive Medicine | 2419 Highland Grv Ne, Atlanta, GA 30345-3895 | 2015-04-17 |
| 1396144143 | Marilyn Szymialis Radke | Preventive Medicine | 2330 N Peachtree Ct, Atlanta, GA 30338-5960 | 2014-08-18 |
| 1336551191 | Arthur Liang | Preventive Medicine | 422 Londonberry Rd, Atlanta, GA 30327-4952 | 2014-05-28 |
| 1053654491 | Cynthia Jean Berg | Preventive Medicine | 1787 Council Bluff Dr Ne, Atlanta, GA 30345-4139 | 2013-04-04 |
| 1124361860 | Frank L Mitchell | Preventive Medicine | 412 Glencastle Dr Nw, Atlanta, GA 30327-4828 | 2013-04-01 |
| 1285919845 | Bruce Gilbert Weniger | Preventive Medicine | 1737 Crestline Ct Ne, Atlanta, GA 30345-3814 | 2011-10-14 |
| 1831480920 | Christine Cathryn Bradshaw | Preventive Medicine | 2370 Briarcliff Cmns Ne, Atlanta, GA 30345-2173 | 2011-04-25 |
| 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.