CENTRO PRENATAL DE GEORGIA (NPI# 1073918207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073918207 |
| Entity Type | Organization |
| Organization Name | CENTRO PRENATAL DE GEORGIA |
| Practice Address |
4990 Phillips Dr Forest Park GA 30297-1472 |
| Practice Telephone | 4046087449 |
| Practice Fax Number | 4046087451 |
| Mailing Telephone | 4046087449 |
| Mailing Fax Number | 4046087451 |
| Enumeration Date | 2014-10-30 |
| Last Update Date | 2014-10-30 |
| Authorized Official Name | ROSALBA GOMEZ (OFFICE MANAGER) |
| Authorized Official Telephone | 4046087449 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SW0102X |
Clinical Nurse Specialist Specialization: Women's Health |
RN1185224NP | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740686609 | Centro Prenatal De Georgia | Clinic/Center | 4990 Phillips Dr, Forest Park, GA 30297-1472 | 2014-11-05 |
| Street Address |
4990 PHILLIPS DR |
| City | FOREST PARK |
| State | GA |
| Zip Code | 30297-1472 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740686609 | Centro Prenatal De Georgia | Clinic/Center | 4990 Phillips Dr, Forest Park, GA 30297-1472 | 2014-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548747173 | Ga Peach Medical Transportation, LLC | Ambulance | 5023 Highway 85, Forest Park, GA 30297 | 2018-07-26 |
| 1871940437 | Crystal Harrison | Counselor | 4659 Ruby Ln, Forest Park, GA 30297 | 2016-05-24 |
| 1467807156 | Naundria Jackson | Nurse Practitioner | Apmc, Forest Park, GA 30297 | 2016-04-29 |
| 1891156089 | Gentle Care Medical Trans LLC | Ambulance | 530 Forest Parkway Suite B, Forest Park, GA 30297 | 2016-03-15 |
| 1811318835 | Kim Mckinney | Case Manager/Care Coordinator | 1104 South Parkwood Drive, Forest Park, GA 30297 | 2013-12-17 |
| 1215361910 | Tiffany Nadine Adams | Specialist | 228 Morrow Rd 18h, Forest Park, GA 30297 | 2013-08-29 |
| 1851663124 | Daffodil Pediatrics and Family Medicine | Pediatrics | 4905 Courtney Drive, Forest Park, GA 30297 | 2012-02-02 |
| 1093093759 | Truliant Health Systems | Community/Behavioral Health | 526 Forest Parkway Ste D, Forest Park, GA 30297 | 2011-07-29 |
| 1811134133 | Sharonda Renee Forte | Orthopaedic Surgery | 4940 Governors Park Drive, Forest Park, GA 30297 | 2009-01-08 |
| 1215173737 | Comfort Personal Care Service | Assisted Living Facility | 5530 Old Dixie Highway, D-9, Forest Park, GA 30297 | 2009-01-06 |
| Find all providers in zip 30297 | ||||
| Taxonomy Code | 364SW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437659703 | Erin Michelle Mabile | Clinical Nurse Specialist | 5780 Peachtree Dunwoody Rd # 295g, Atlanta, GA 30342-1554 | 2018-02-13 |
| 1427390079 | Lynette Nena Turner-fleming | Clinical Nurse Specialist | 173 B0ulavard Ne, Atlanta, GA 30312-1468 | 2013-03-21 |
| 1942433115 | Mercedes Arancibia | Clinical Nurse Specialist | 4775 Jimmy Carter Blvd Ste 300, Norcross, GA 30093-3760 | 2009-09-03 |
| 1396175873 | Mary Gail Ferra | Clinical Nurse Specialist | 804 E 16th Ave, Cordele, GA 31015-1514 | 2013-11-19 |
| City | FOREST PARK |
| Zip Code | 30297 |
Please comment or provide details below to improve the information on CENTRO PRENATAL DE GEORGIA.
| 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.