CLARK ATLANTA HEALTHCARE SERVICES (NPI# 1093225393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093225393 |
| Entity Type | Organization |
| Organization Name | CLARK ATLANTA HEALTHCARE SERVICES |
| Practice Address |
3201 Atlanta Industrial Parkway Suite 302 Atlanta GA 30331 |
| Mailing Address |
3201 Atlanta Industrial Pkwy Nw Ste 302 Atlanta GA 30331-1048 |
| Practice Telephone | 6787919467 |
| Enumeration Date | 2017-10-02 |
| Last Update Date | 2017-10-02 |
| Authorized Official Name | ANDRE HAM (OWNER) |
| Authorized Official Telephone | 6787919467 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Street Address |
3201 ATLANTA INDUSTRIAL PARKWAY SUITE 302 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184796880 | Beverly M Hester | Registered Nurse | 3201 Atlanta Industrial Parkway, Suite 3 Center Hill Health Center, Atlanta, GA 30331 | 2006-11-15 |
| 1871665620 | Vivian Delois White | Registered Nurse | 3201 Atlanta Industrial Parkway, Center Hill Health Center Suite 302, Atlanta, GA 30331 | 2006-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861001174 | Whitney Flemister | Social Worker | 3961 Princeton Lakes Way Sw, Atlanta, GA 30331 | 2020-07-23 |
| 1982237400 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 5829 Campbellton Road, S.w, Suite 110, Atlanta, GA 30331 | 2020-02-13 |
| 1295375558 | Drusilla Precious Cudjoe | Behavior Technician | 3800 Camp Creek Parkway Sw, Building 1400, Atlanta, GA 30331 | 2020-01-14 |
| 1497262778 | Champions Pharmacy | Pharmacy | 3886 Princeton Lakes Way Suite 180, Atlanta, GA 30331 | 2018-01-08 |
| 1033629779 | Carmen Ardoin | Counselor | 2636 Martin Luther King Jr. Drive, Suite 12, Atlanta, GA 30331 | 2017-10-09 |
| 1346759974 | Neva R Allison | Nurse Practitioner | 2611 Dayview Ln, Atlanta, GA 30331 | 2017-09-26 |
| 1538678255 | Natalie Mckay | Technician/Technologist | 3915 Cascade Rd, 220, Atlanta, GA 30331 | 2017-09-26 |
| 1700304268 | Tyrone Pipkin | Contractor | 415 Kendrick Terrace Sw, Atlanta, GA 30331 | 2017-09-05 |
| 1073031688 | Kristen Wooldridge | Pharmacist | 3695 Cascade Road, Atlanta, GA 30331 | 2017-09-04 |
| 1548704687 | Advance Pain Management | Health Maintenance Organization | 2950 Stone Hogan Road Connector, Atlanta, GA 30331 | 2016-12-08 |
| Find all providers in zip 30331 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619575834 | The Iv Spot, LLC. | Clinic/Center | 2100 Parklake Dr Ne # C-5, Atlanta, GA 30345-2824 | 2020-10-09 |
| 1780296533 | North Atlanta Mental Wellness | Clinic/Center | 1742 Mount Vernon Rd Ste 150b, Atlanta, GA 30338-4251 | 2020-08-21 |
| 1417593047 | Integrative Medical Group and Medical Spa, Inc | Clinic/Center | 805 Lambert Dr Ne Ste C, Atlanta, GA 30324-4189 | 2019-11-19 |
| 1811486905 | Atlanta Center of Women's Choice | Clinic/Center | 1874 Piedmont Ave Ne Ste 580e, Atlanta, GA 30324-4975 | 2018-05-04 |
| 1699282665 | Healthy Children Pediatrics, LLC | Clinic/Center | 1448 Lucile Ave Sw, Atlanta, GA 30310-1217 | 2017-12-29 |
| 1205347424 | Juliet Asher, Md, P.C. | Clinic/Center | 3193 Howell Mill Rd Nw Ste 104, Atlanta, GA 30327-2100 | 2017-10-15 |
| 1861870891 | Intown Medicine Inc | Clinic/Center | 3200 Downwood Cir Nw Ste 680, Atlanta, GA 30327-1624 | 2015-05-11 |
| 1780083188 | Amina Medical Consultants PC | Clinic/Center | 2840 Northeast Expy Ne, Suite#116, Atlanta, GA 30345-4214 | 2014-08-21 |
| 1902236656 | Destiny Family Medical Center, LLC | Clinic/Center | 3654 Chattahoochee Summit Dr Se, Atlanta, GA 30339-3254 | 2013-11-16 |
| 1689017170 | Clinica Medica Prenatal Inc | Clinic/Center | 4300 Buford Hwy Ne, Suite: 216, Atlanta, GA 30345-1003 | 2013-04-15 |
| 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.