MS. PHAEDRA NEKHOLE MCLAUGHLIN (NPI# 1083974091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083974091 |
| Entity Type | Individual |
| Full Name | MS. PHAEDRA NEKHOLE MCLAUGHLIN |
| Credential | CPHT, RPHT |
| Practice Address |
80 Jesse Hill Jr Drive Room Bg002 Atlanta GA 30303 |
| Practice Telephone | 4046165476 |
| Practice Fax Number | 4044896060 |
| Mailing Telephone | 4046165476 |
| Mailing Fax Number | 4044896060 |
| Enumeration Date | 2012-05-23 |
| Last Update Date | 2016-10-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183700000X | Pharmacy Technician | 0230023306 | VA | Pharmacy Service Providers |
| N | 183700000X | Pharmacy Technician | 37723 | NC | Pharmacy Service Providers |
| Y | 183700000X | Pharmacy Technician | PHTC016255 | GA | Pharmacy Service Providers |
| Street Address |
80 JESSE HILL JR DRIVE ROOM BG002 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457340754 | Frederick Bright | Obstetrics & Gynecology | 80 Jesse Hill Jr Drive, Atlanta, GA 30303 | 2005-10-19 |
| 1750912143 | Judith Michele Eisenberg | Emergency Medicine | 80 Jesse Hill Jr Drive, Atlanta, GA 30303 | 2020-02-04 |
| 1659892727 | Janet M Salimonu | Nurse Practitioner | 80 Jesse Hill Jr Drive, Grady Health System - Sickle Cell Center, Atlanta, GA 30303 | 2017-06-29 |
| 1457775819 | Casey Caddell | Nurse Practitioner | 80 Jesse Hill Jr Drive, Atlanta, GA 30368-1334 | 2014-02-05 |
| 1538490362 | Gowri Nagarajan | Physician Assistant | 80 Jesse Hill Jr Drive, Atlanta, GA 30004-4462 | 2010-01-19 |
| 1497964670 | Fatema Shirin | Dietitian, Registered | 80 Jesse Hill Jr Drive, Atlanta, GA 30303 | 2007-05-22 |
| 1629199559 | Dale Andrew Wilmot | Obstetrics & Gynecology | 80 Jesse Hill Jr Drive, Atlanta, GA 30303 | 2007-04-02 |
| 1710919451 | Cary S Stone | Nurse Practitioner | 80 Jesse Hill Jr Drive, Atlanta, GA 30303 | 2006-07-06 |
| 1851328512 | Sheila C Goel | Pediatrics | 80 Jesse Hill Jr Drive, Atlanta, GA 30303 | 2006-06-27 |
| 1063452381 | Emory Medical Care Foundation Inc | Anesthesiology | 80 Jesse Hill Jr Drive, Emcf, Atlanta, GA 30303 | 2006-06-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811597461 | Nanoresearch, Inc | Point of Service | 58 Edgewood Ave Ne, Suite 122, Collabtech., Gsu, Atlanta, GA 30303 | 2020-10-31 |
| 1952917155 | Alesha Deshay Elbert | Behavior Technician | 206 Peachstreet Ne Suite 2200, Atlanta, GA 30303 | 2020-09-22 |
| 1033759386 | Mark Bush | Case Manager/Care Coordinator | 50 Hurt Plaza Se Suite 1108, Atlanta, GA 30303 | 2020-01-14 |
| 1053965855 | Patrice Munsel Henry | Nurse Practitioner | 80 Jessie Hill Drive Se, Atlanta, GA 30303 | 2019-07-30 |
| 1356826564 | United States Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 260 Peachtree Street Nw, Suite 2200, Office 2228, Atlanta, GA 30303 | 2018-10-03 |
| 1336645290 | Joseph Bahng | Student in an Organized Health Care Education/Training Program | 69 Jesse Hill Jr Drive Se, Glenn Building, 4th Floor - 412b, Atlanta, GA 30303 | 2018-03-31 |
| 1841704707 | Amber Peach LLC | Family Medicine | 260 Peachtree St Nw Suite 2200, Atlanta, GA 30303 | 2017-11-29 |
| 1447778089 | Jasmine Williams | Behavioral Analyst | 260 Peachtree Street Nw, Suite 2200, Atlanta, GA 30303 | 2017-09-05 |
| 1982138236 | Mahek Dossani | Behavior Technician | 260 Peachtree Street Nw, Suite 2200, Atlanta, GA 30303 | 2017-04-13 |
| 1255872420 | Alexis Annick Auger | Behavior Technician | 260 Peachtree St. Nw, Suite 2200, Atlanta, GA 30303 | 2017-03-20 |
| Find all providers in zip 30303 | ||||
| Taxonomy Code | 183700000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacy Technician |
| A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |
| Notes: Source: Pharmacy Technician Certification Board, www.ptcb.org [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346879921 | Wendy Sue Willoughby | Pharmacy Technician | 201 Us Hwy 59, Atlanta, TX 75551 | 2020-04-06 |
| 1700355989 | Renita D Lofton | Pharmacy Technician | 1371 Kimberly Way Sw Apt 7203, Atlanta, GA 30331-4643 | 2018-11-17 |
| 1386928091 | Marsha Deon Glover | Pharmacy Technician | 30 Perimeter Park Dr Ste 201, Atlanta, GA 30341-1329 | 2011-09-30 |
| 1093098287 | Kristy Nicole Brooks | Pharmacy Technician | 30 Perimeter Park Drive, Atlanta, GA 30341 | 2011-09-23 |
| 1881202679 | Ebone J Williams | Pharmacy Technician | 303 Peachtree Center Ave Ne Ste 600, Atlanta, GA 30303-1277 | 2020-07-17 |
| 1689282659 | Ryan Bynoe | Pharmacy Technician | 303 Peachtree Center Ave Ne Ste 600, Atlanta, GA 30303-1277 | 2020-07-16 |
| 1568803062 | Dalia Leah Zall | Pharmacy Technician | 3495 Piedmont Rd Ne, Atlanta, GA 30305-1717 | 2013-07-12 |
| 1659636728 | Tina Michele Wood | Pharmacy Technician | 1275 Caroline St Ne, Atlanta, GA 30307-2705 | 2012-07-05 |
| 1104100916 | Fabian A Stone | Pharmacy Technician | 30 Perimeter Park Dr, Suite 201, Atlanta, GA 30341-1334 | 2011-09-29 |
| 1386928000 | Jakeisha I Saville | Pharmacy Technician | 30 Perimeter Park Dr, Ste 210, Atlanta, GA 30341-1334 | 2011-09-29 |
| 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.