DR. MARK ANTHONY TERRY (NPI# 1093797219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093797219 |
| Entity Type | Individual |
| Full Name | DR. MARK ANTHONY TERRY |
| Credential | PHARM. D. |
| Practice Address |
3641 Lanier Dr Douglasville GA 30135-7165 |
| Practice Telephone | 7704892110 |
| Mailing Telephone | 7704892110 |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2008-06-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
RP040267L | PA | Pharmacy Service Providers |
| N | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
PS39741 | FL | Pharmacy Service Providers |
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
RPH022455 | GA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114225661 | Mark Allen Terry | Dentist | 2800 Jackson Blvd Ste 6, Rapid City, SD 57702-3477 | 2011-03-08 |
| 1720174394 | Mark W Terry | Chiropractor | 1415 E 3rd St, Centralia, IL 62801-4401 | 2006-10-04 |
| 1114203841 | Mark Terry | Case Manager/Care Coordinator | 634 W Main St, Blytheville, AR 72315-3336 | 2011-10-26 |
| 1760498737 | Mark A Terry | Ophthalmology | 1040 Nw 22nd Ave, #200, Portland, OR 97210 | 2006-07-31 |
| 1780616730 | Mark Howard Terry | Dentist | 1500 Alps Rd, Wayne, NJ 07470-3635 | 2006-07-07 |
| 1649228446 | Mark A Terry | Radiology | 415 6th St, Lewiston, ID 83501-2431 | 2006-05-04 |
| Street Address |
3641 LANIER DR |
| City | DOUGLASVILLE |
| State | GA |
| Zip Code | 30135-7165 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710074505 | Geriatric Care Consultants | Pharmacist | 3641 Lanier Dr, Douglasville, GA 30135-7165 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265043301 | Heart & Soul Wellness Solutions LLC | Social Worker | 4752 Pepper Tree Lane, Douglasville, GA 30135 | 2020-08-12 |
| 1477176923 | R & J Health Care | Clinic/Center | 6853b Douglas Blvd Ste B, Douglasville, GA 30135 | 2020-05-19 |
| 1003479411 | The Sister Circle of Love and Empowerment LLC | Clinic/Center | 4706 Boyer Glen Dr., Douglasville, GA 30135 | 2019-04-22 |
| 1457825358 | Marcia Ann-marie Wilson | Nurse Practitioner | 4279 Caroline Court, Douglasville, GA 30135 | 2019-01-14 |
| 1225564917 | Danielle Doebereiner-brown | Nurse Practitioner | 3872 Ga-5, Douglasville, GA 30135 | 2017-05-02 |
| 1851832430 | Jennifer Williams | Physical Therapist | 4999 Presley Mill Rd, Douglasville, GA 30135 | 2017-03-15 |
| 1316484686 | Geneva Brent | Licensed Practical Nurse | 2109 Fairburn Road, Douglasville, GA 30135 | 2017-01-25 |
| 1659816288 | Stephanie Walthour | Marriage & Family Therapist | 3400 Chapel Hill Rd Ste 317, Douglasville, GA 30135 | 2017-01-05 |
| 1770932105 | Solutions 2 Wellness and Recovery,llc | Social Worker | 2256 Greenwood Meadows Lane, Douglasville, GA 30135 | 2016-06-07 |
| 1326408378 | Sr & L Transport Services, LLC | Non-emergency Medical Transport (VAN) | 4841 Black Bear Trail, Douglasville, GA 30135 | 2016-03-03 |
| Find all providers in zip 30135 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720079452 | Tonya Cherise Dailey | Pharmacist | 6422 Shadow Ct, Douglasville, GA 30134-1412 | 2005-11-02 |
| 1871594861 | Mark Anthony Hicks | Pharmacist | 929 Austin Bridge Rd, Douglasville, GA 30134-5138 | 2005-08-02 |
| 1629470869 | Whitney Simmons | Pharmacist | 3316 Highway 5, Douglasville, GA 30135-2308 | 2014-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871101741 | Nikesh Patel | Pharmacist | 114 Gentle Breeze Ct, Temple, GA 30179-5432 | 2020-07-16 |
| 1023460615 | Sy Le | Pharmacist | 891 Channel Dr, Lawrenceville, GA 30046-8480 | 2016-07-06 |
| 1619350287 | Erskine Cartwright IIi | Pharmacist | 1205 Hwy 88, Keysville, GA 30816 | 2015-07-01 |
| 1871907279 | Mohamed Nesredin Ahmedin | Pharmacist | 2718 Woodcrest Dr Apt H, Augusta, GA 30909-0431 | 2014-06-13 |
| 1710302153 | Elizabeth Estelle Corwell Miller | Pharmacist | 1900 Jacolyn Pl Ne, Atlanta, GA 30329-3316 | 2014-02-21 |
| 1669736286 | Bharti Singh | Pharmacist | 2100 Comer Ave, 1800 Building, Ambulatory Care Pharmacy, Columbus, GA 31904 | 2012-06-28 |
| 1730442005 | Laura Susan Cain | Pharmacist | 2030 40th St, Columbus, GA 31904-7308 | 2012-06-20 |
| 1427327964 | Thu H Nguyen IIi | Pharmacist | 2271 Norbury Dr Se, Smyrna, GA 30080-5205 | 2011-12-28 |
| 1972880979 | Leighcraft A Shakes | Pharmacist | 655 7th St Bldg 700a7878, Robins Afb, GA 31098 | 2011-11-04 |
| 1629365887 | Claude Emerson Hartsock | Pharmacist | 540 Brnach Drive, Pendergrass, GA 30567-3445 | 2011-07-07 |
| Find all providers with the same taxonomy | ||||
| City | DOUGLASVILLE |
| Zip Code | 30135 |
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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.