PIEDMONT PROFESSIONAL SERVICES, LLC (NPI# 1104088905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104088905 |
| Entity Type | Organization |
| Organization Name | PIEDMONT PROFESSIONAL SERVICES, LLC |
| Practice Address |
1855 Hudson Bridge Rd Stockbridge GA 30281-5000 |
| Mailing Address |
Po Box 102038 Atlanta GA 30368-2038 |
| Practice Telephone | 7708012500 |
| Practice Fax Number | 7708032121 |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2020-01-23 |
| Authorized Official Name | NAOMI M CASSIN (DIRECTOR, PROVIDER ENROLLMENT) |
| Authorized Official Telephone | 4702713427 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
GA | Allopathic & Osteopathic Physicians | |
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
GA | Allopathic & Osteopathic Physicians |
| Street Address |
1855 HUDSON BRIDGE RD |
| City | STOCKBRIDGE |
| State | GA |
| Zip Code | 30281-5000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811904899 | Walgreen Co | Pharmacy | 1855 Hudson Bridge Rd, Stockbridge, GA 30281-5000 | 2006-08-02 |
| 1013564376 | Bich Hang Ngo | Pharmacist | 1855 Hudson Bridge Rd, Stockbridge, GA 30281-5000 | 2019-08-21 |
| 1043596273 | Melvia Brown-hunter | Pharmacist | 1855 Hudson Bridge Rd, Stockbridge, GA 30281-5000 | 2011-11-02 |
| 1780968966 | Antonio Barreto | Pharmacist | 1855 Hudson Bridge Rd, Stockbridge, GA 30281 | 2011-10-05 |
| 1386927622 | Amelia Broughton | Pharmacist | 1855 Hudson Bridge Rd, Stockbridge, GA 30281-5000 | 2011-09-22 |
| 1235297482 | Andrea J Robinson | Nurse Practitioner | 1855 Hudson Bridge Rd, Stockbridge, GA 30281-5000 | 2006-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164039095 | Colette Alls | Social Worker | 447 Lakeshore Dr, Stockbridge, GA 30281 | 2020-09-24 |
| 1982216800 | Pediatric and Family Behavioral Health of Georgia | Counselor | 1004 Ulster Court, Stockbridge, GA 30281 | 2020-08-21 |
| 1518577659 | Qunique Taveka Toxey | Behavior Technician | 115 N Park Trail, Suite 123, Stockbridge, GA 30281 | 2020-08-04 |
| 1497377675 | Melanie Harvey | Pharmacist | 4467 North Henry Boulevard, Stockbridge, GA 30281 | 2020-05-11 |
| 1114550571 | Cecile Maria Dunkley Layne | Counselor | 255 Corporte Drive, Stockbridge, GA 30281 | 2020-02-13 |
| 1306407143 | Palliative Care of Georgia. LLC | Home Health | 275 Corporate Center Court Ste C, Stockbridge, GA 30281 | 2019-06-24 |
| 1154883791 | Aaliyah Nura Fardan-alexander | Nurse's Aide | 105 Singletree, Stockbridge, GA 30281 | 2019-04-02 |
| 1306306261 | Prosthetic Care, Inc. | Prosthetic/Orthotic Supplier | 150 County Club Drive, Suite 200, Stockbridge, GA 30281 | 2019-03-25 |
| 1356814172 | Kristina Louissaint | Nurse Practitioner | 650 Country Club Dr, Stockbridge, GA 30281 | 2019-01-03 |
| 1942789284 | Cameren Barnes | Physical Therapist | 5473 N Henry Blvd, Stockbridge, GA 30281 | 2018-08-08 |
| Find all providers in zip 30281 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306265384 | Srikar Kumar | Internal Medicine | 250 Village Center Pkwy Ste 100, Stockbridge, GA 30281-9104 | 2014-04-07 |
| 1043405731 | Tewabe Girima Kebede | Internal Medicine | 105 Northpark Trl, Suite 300, Stockbridge, GA 30281-7432 | 2007-09-06 |
| 1891726121 | Mohamad M Kassem | Internal Medicine | 3580 Cameron Parkway, Stockbridge, GA 30281 | 2006-07-05 |
| 1538144894 | Muhammed Hafiz Rahman | Internal Medicine | 250 Village Center Pkwy, Suite 100, Stockbridge, GA 30281-9044 | 2005-12-09 |
| 1386635795 | Leo Ovadje | Internal Medicine | 105 N Park Trl, Suite 300, Stockbridge, GA 30281-7373 | 2005-11-03 |
| 1205294378 | Eagles Landing Nephrology and Hypertension LLC | Internal Medicine | 225 Country Club Dr Ste 140, Stockbridge, GA 30281-7392 | 2016-02-04 |
| 1346688124 | Piedmont Nephrology and Internal Medicine, LLC | Internal Medicine | 1365 Rock Quarry Rd, Suite 100, Stockbridge, GA 30281-5029 | 2013-06-13 |
| 1861713471 | Jun-ki Park | Internal Medicine | 105 N Park Trl, Ste. 300, Stockbridge, GA 30281-7432 | 2010-06-17 |
| 1346470226 | Chadi Obeid | Internal Medicine | 3580 Cameron Parkway, Stockbridge, GA 30281-7816 | 2009-07-25 |
| 1982819330 | Janice Latrice Weatherspoon | Internal Medicine | 250 Village Center Pkwy, Stockbridge, GA 30281-9104 | 2007-05-11 |
| Find all providers in STOCKBRIDGE | ||||
| City | STOCKBRIDGE |
| Zip Code | 30281 |
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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.