ELIZABETH S PATRICK (NPI# 1063412393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063412393 |
| Entity Type | Individual |
| Full Name | ELIZABETH S PATRICK |
| Credential | RPH |
| Practice Address |
445 Winn Way Decatur GA 30030-1707 |
| Mailing Address |
5940 Brookgreen Rd Ne Atlanta GA 30328-5206 |
| Practice Telephone | 4045086449 |
| Practice Fax Number | 4045087733 |
| Mailing Telephone | 4043030327 |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1300X |
Pharmacist Specialization: Psychiatric |
13038 | GA | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | PHARMACIST LICENSE NUMBER | 013038 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194244301 | Elizabeth Patrick | Speech-Language Pathologist | 1600 Lindenthal Ave, Highland, IL 62249-2203 | 2017-09-19 |
| 1659643823 | Elizabeth A Patrick | Speech-Language Pathologist | 10901 Sw 102nd Ct, Miami, FL 33176-3472 | 2012-02-03 |
| 1104070812 | Elizabeth Renee Patrick | Speech-Language Pathologist | 10110 Agora Pl, Fort Wayne, IN 46804-8710 | 2008-11-07 |
| 1457962920 | Elizabeth Ann Patrick | Behavior Technician | 400 29th St Ste 204, Oakland, CA 94609-3547 | 2020-08-10 |
| 1558921221 | Elizabeth A Patrick | Dentist | 593 Eddy St, Providence, RI 02903-4923 | 2019-06-16 |
| 1275077216 | Elizabeth R Patrick | Social Worker | 8376 Six Forks Rd Ste 104, Raleigh, NC 27615-5095 | 2016-12-09 |
| 1306392790 | Elizabeth Patrick | Pharmacist | 2913 Us 70 Hwy, Black Mountain, NC 28711-9103 | 2016-08-26 |
| 1427154947 | Elizabeth Mcgough Patrick | Pharmacist | 3019 Coit Ave Ne, Grand Rapids, MI 49505-3376 | 2006-09-15 |
| Street Address |
445 WINN WAY |
| City | DECATUR |
| State | GA |
| Zip Code | 30030-1707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770588691 | Nancy S Koughan | Preventive Medicine | 445 Winn Way, Decatur, GA 30030-1707 | 2005-06-16 |
| 1699372342 | Marteia Wells | Social Worker | 445 Winn Way, Decatur, GA 30030-1707 | 2020-10-06 |
| 1205440831 | Trikella T Jones | Counselor | 445 Winn Way, Decatur, GA 30030-1707 | 2020-09-01 |
| 1376166611 | Rashanna Ratliff | Counselor | 445 Winn Way, Decatur, GA 30030-1707 | 2020-05-21 |
| 1710513783 | Mary L Locke | Counselor | 445 Winn Way, Decatur, GA 30030-1707 | 2020-03-20 |
| 1306477138 | Obiageri Ohayagha | Nurse Practitioner | 445 Winn Way, Decatur, GA 30030-1707 | 2020-01-30 |
| 1053959254 | John Francis Beltrami | Preventive Medicine | 445 Winn Way, Decatur, GA 30030-1707 | 2019-12-18 |
| 1609411172 | Jean Lehmann | Dietitian, Registered | 445 Winn Way, Decatur, GA 30030-1707 | 2019-11-08 |
| 1437709086 | Joseph Pfeffer | Counselor | 445 Winn Way, Decatur, GA 30030-1707 | 2019-09-16 |
| 1760047013 | Karen Brown Taylor | Counselor | 445 Winn Way, Decatur, GA 30030-1707 | 2019-05-02 |
| Find all providers in the same location | ||||
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|---|---|---|---|---|
| 1801413174 | Pa-c Surgical Assist, LLC | Clinic/Center | 520 W Ponce Leon Ave #1706, Decatur, GA 30030 | 2020-07-02 |
| 1417587478 | Elizabeth Heffron | Acupuncturist | 619b East College Avenue, Decatur, GA 30030 | 2020-01-17 |
| 1669016143 | Atlanta Upper Cervical Chiropractic LLC | Chiropractor | 125 E Trinity Place, Suite #247, Decatur, GA 30030 | 2019-10-29 |
| 1831757418 | Jessica Stewart | Counselor | 755 Commerce Dr Ste 903, Decatur, GA 30030 | 2019-05-30 |
| 1699238733 | Dinah Augustin | Registered Nurse | 1458 Church St., Unit B, Decatur, GA 30030 | 2019-04-06 |
| 1093284291 | Eliza Segell | Social Worker | 165 Dekalb Industrial Way Ste D-1, Decatur, GA 30030 | 2018-11-16 |
| 1912476466 | Positive Impact Health Centers, Inc. | Pharmacy | 523 Church Street, Suite B, Decatur, GA 30030 | 2018-11-14 |
| 1932685096 | T2 Imaging | Radiology | 1376 Church Street, Suite 100, Decatur, GA 30030 | 2018-07-12 |
| 1992292858 | Keeanna M Powell | Counselor | Agape Transformation Practice, 235 E. Ponce De Leon Ave Suite 103, Decatur, GA 30030 | 2018-04-17 |
| 1780185488 | Solutions Ae Inc | Counselor | One West Square Court, Suite 710, Decatur, GA 30030 | 2018-02-27 |
| Find all providers in zip 30030 | ||||
| Taxonomy Code | 1835P1300X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Psychiatric |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing care of patients with psychiatric illness by assessing and monitoring patients, recognizing drug-induced problems, and recommending appropriate treatment plans. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified title, added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700029873 | John Franklin Reese | Pharmacist | 445 Winn Way, Suite 220, Decatur, GA 30030-1707 | 2009-04-20 |
| 1346411899 | Sara R Grimsley | Pharmacist | 450 Winn Way, Decatur, GA 30030-1715 | 2008-03-12 |
| 1639106743 | David Jeffery Hankin | Pharmacist | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2006-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881122679 | Nancy Bright | Pharmacist | 106 Dombey Rd, Savannah, GA 31410-4107 | 2017-05-24 |
| 1760475248 | Cherry Wyant Jackson | Pharmacist | 220 Bradley Point Rd, Savannah, GA 31410-3506 | 2005-08-30 |
| 1386641421 | Michael Wong Jann | Pharmacist | 2151 Peachford Rd, Atlanta, GA 30338-6534 | 2005-07-05 |
| 1346247806 | Beth M Hall | Pharmacist | 1352 Eisenhower Dr, Savannah, GA 31406-3902 | 2005-06-30 |
| 1437768827 | Ahyoung Cho | Pharmacist | 250 Scenic Hwy, Lawrenceville, GA 30046-5675 | 2020-07-30 |
| 1346786282 | Stephanie Phan | Pharmacist | 417 W 3rd Ave, Albany, GA 31701-1943 | 2017-01-17 |
| 1710227079 | Ashlee Rickard Riggs | Pharmacist | 3421 Mike Padgett Hwy, Building A, Augusta, GA 30906-3815 | 2013-02-25 |
| 1457678419 | Karla Elizabeth Lanier | Pharmacist | 306 Shorter Ave Nw, Rome, GA 30165-4268 | 2010-04-29 |
| 1265662654 | Debra L Cosby | Pharmacist | 1061 Harmon Ave, Suite 1d03, Fort Stewart, GA 31314-5641 | 2009-07-20 |
| 1932389616 | Donna Jean Gonzalez | Pharmacist | 175 Gwinnett Dr, Lawrenceville, GA 30045-8444 | 2007-11-09 |
| Find all providers with the same taxonomy | ||||
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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.