EXCELLENT PEDIATRICS (NPI# 1104141837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104141837 |
| Entity Type | Organization |
| Organization Name | EXCELLENT PEDIATRICS |
| Practice Address |
333 Alcovy St Suite 5 Monroe GA 30655-2180 |
| Mailing Address |
Po Box 747 Monroe GA 30655-0747 |
| Practice Telephone | 6788072230 |
| Mailing Telephone | 6788072230 |
| Enumeration Date | 2010-04-06 |
| Last Update Date | 2010-04-06 |
| Authorized Official Name | DR. ROGER MORALES (OWNER) |
| Authorized Official Telephone | 6788072241 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
055771 | GA | Ambulatory Health Care Facilities |
| Street Address |
333 ALCOVY ST SUITE 5 |
| City | MONROE |
| State | GA |
| Zip Code | 30655-2180 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700878469 | Angelito Henrito K. Jao | Internal Medicine | 333 Alcovy St, Ste 3, Monroe, GA 30655-2180 | 2005-08-18 |
| 1912194960 | Mark Paul Macachor Visitacion | Internal Medicine | 333 Alcovy St, Suite 8, Monroe, GA 30655-2180 | 2007-10-03 |
| 1932232790 | Marilyn Digamon Beltran | Legal Medicine | 333 Alcovy St, Ste 8, Monroe, GA 30655-2180 | 2007-03-13 |
| 1972636710 | Northeast Internal Medicine, P.C. | Internal Medicine | 333 Alcovy St, Suite 8, Monroe, GA 30655-2180 | 2007-03-13 |
| 1972524270 | Wayne G Hulsey | Radiology | 333 Alcovy St, Suite 9, Monroe, GA 30655-2180 | 2006-07-21 |
| 1558397455 | Judith D Delima | Pediatrics | 333 Alcovy St, Suite 10, Monroe, GA 30655-2180 | 2006-06-23 |
| 1043203227 | Roger Leon Morales | Pediatrics | 333 Alcovy St, Suite 1, Monroe, GA 30655-2180 | 2005-08-24 |
| 1548252125 | Angelito Henrito K Jao Md PC | Internal Medicine | 333 Alcovy St, Ste 3, Monroe, GA 30655-2180 | 2005-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558968149 | Coresa Hawanis Thomas | Counselor | Advantage Behavioral Health, 384 State Hwy 11 Sw, Walton, GA 30655 | 2020-10-06 |
| 1821629049 | Daniel A Hodges | Dentist | 1190 West Spring St, Suite A, Monroe, GA 30655 | 2020-01-27 |
| 1669019071 | Daniel Bradley Hodges | Dentist | 1190 W. Spring St, Monroe, GA 30655 | 2019-12-04 |
| 1861962730 | Danny Shoemake | Counselor | 2080 Highway 78 Nw, Monroe, GA 30655 | 2018-12-04 |
| 1205329687 | Advantage Behavioral Health Systems | Clinic/Center | 638 Michael Cir., Monroe, GA 30655 | 2018-06-11 |
| 1144722455 | Catherine Williams | Behavioral Analyst | 109 Blaine Street, Monroe, GA 30655 | 2018-03-02 |
| 1588186811 | Francette Dubuche Bernard | Nurse Practitioner | 398 Highway 11, Sw, Monroe, GA 30655 | 2017-07-07 |
| 1437699006 | Amanda Kaye Green | Nurse Practitioner | 517 Great Oaks Drive Suite 103, Monroe, GA 30655 | 2017-03-02 |
| 1639528524 | Matthew Bradford Allgood | Physical Therapist | 2120 W Spring St Ste 1500, Monroe, GA 30655 | 2016-06-10 |
| 1477939221 | Healthy Home Transitions | Social Worker | 506 S Broad Street, Monroe, GA 30655 | 2015-08-04 |
| Find all providers in zip 30655 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649619750 | Bright Healthcare Services, LLC | Clinic/Center | 3480 Hwy 165 Sth, Monroe, LA 71202 | 2013-06-21 |
| 1730464041 | Tanvir I Qureshi Md PC | Clinic/Center | 5290 W Brookshire St, Monroe, MI 48161-3798 | 2011-10-18 |
| 1437433190 | Tree of Life Health Alliance LLC | Clinic/Center | 333 Alcovy St Ste 10, Monroe, GA 30655-2180 | 2011-09-29 |
| 1376830869 | Richwood Rural Health Center | Clinic/Center | 5713 Bon Aire Dr, Monroe, LA 71203-3226 | 2011-07-05 |
| 1285943670 | Dovetail Family Practice | Clinic/Center | 636 Borgess Ave, Monroe, MI 48162-2713 | 2010-10-01 |
| 1407947740 | Bhavin H. Jani Md PC | Clinic/Center | 868 Michael Etchison Rd, Suite A, Monroe, GA 30655-8204 | 2006-09-28 |
| 1225141989 | Monroe Family Medicine, LLC | Clinic/Center | 375 Butler Street, Monroe, WA 98272 | 2006-08-16 |
| 1851340954 | Cottage Hospital | Clinic/Center | 152 Woodsville Rd, Monroe, NH 03771-0180 | 2006-05-08 |
| 1659836559 | Paraclete Health Solutions, LLC | Clinic/Center | 1401 Hudson Ln Ste 205, Monroe, LA 71201-6038 | 2019-02-05 |
| 1679042287 | Nightingail Healthcare Resources | Clinic/Center | 1910 Jackson St, Monroe, LA 71202-2532 | 2018-11-13 |
| Find all providers in MONROE | ||||
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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.