MR. GARY SYDNEY KOECH III (NPI# 1104463819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104463819 |
| Entity Type | Individual |
| Full Name | MR. GARY SYDNEY KOECH III |
| Practice Address |
Emory Midtown- Davis Fischer Bld 3rd Floor, Rm 3245a 550 Peachtree Street, N.e. Atlanta GA 30308 |
| Mailing Address |
7777 Greenbriar Dr Apt 2041 Houston TX 77030-4530 |
| Practice Telephone | 4046867858 |
| Practice Fax Number | 4046867841 |
| Mailing Telephone | 3048139399 |
| Enumeration Date | 2019-12-02 |
| Last Update Date | 2019-12-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 876479 | TX | Nursing Service Providers |
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
PENDING | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7777 Greenbriar Dr Apt 2041, Houston, TX 770304530 | 3048139399 |
| Street Address |
EMORY MIDTOWN- DAVIS FISCHER BLD 3RD FLOOR, RM 3245A 550 PEACHTREE STREET, N.E. |
| City | ATLANTA |
| State | GA |
| Zip Code | 30308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689285165 | Grace Mckinnon Cutchin | Speech-Language Pathologist | 550 Peachtree St. Ne, 9th Floor, Suite 4400, Atlanta, GA 30308 | 2020-08-10 |
| 1063033942 | Life University | Chiropractor | 1 Baltimore P1. Nw, Suite 100, Atlanta, GA 30308 | 2020-05-01 |
| 1184254591 | Jordan Cohen | Specialist | 1075 Peachtree Rd, Suite 300, Atlanta, GA 30308 | 2020-01-24 |
| 1639728207 | Shannon Oliver Sullivan | Counselor | 1 Baltimore Pl Nw, Suite 360, Atlanta, GA 30308 | 2019-09-06 |
| 1477110187 | Ariel Alibey | Preventive Medicine | 550 Peachtree St Ne Bldg 4th, Atlanta, GA 30308 | 2019-05-29 |
| 1972075497 | Laura Mcrae | Nurse Practitioner | Emory Center for Critical Care, 550 Peachtree Street, Davis Fischer Building, Office 3245a, Atlanta, GA 30308 | 2018-12-21 |
| 1265902134 | Kyle Brooks Kraft | Nurse Practitioner | 550 Peachtree Road, Davis Fischer Building, Office 3245a, Atlanta, GA 30308 | 2018-12-04 |
| 1396211025 | Vita Judkins | Pharmacist | 240 Renaissance Pkway Ne, Unit 116, Atlanta, GA 30308 | 2018-10-20 |
| 1407345911 | Caitlin Cundiff | Anesthesiology | 550 Peachtree St Ne Ste 3245b, Atlanta, GA 30308 | 2018-05-09 |
| 1699273524 | Alexandra Duvall Hurst | Physician Assistant | 550 Peachtree St Ne Frnt 3245a, Atlanta, GA 30308 | 2018-01-25 |
| Find all providers in zip 30308 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386241552 | Sarah J Russell | Registered Nurse | 1365 Clifton Rd Ne # A2, Atlanta, GA 30322-1013 | 2020-10-01 |
| 1285240994 | Cherese Pate | Registered Nurse | 2700 Wolf Lake Dr Sw, Atlanta, GA 30349-8772 | 2020-09-17 |
| 1407460546 | Olivia Simmons | Registered Nurse | 3600 Lake Estates Way, Atlanta, GA 30349-1894 | 2020-09-05 |
| 1972125334 | Julie Caperton | Registered Nurse | 1363 Clifton Rd Ne, Atlanta, GA 30322-1013 | 2020-05-08 |
| 1316574338 | Sarah Greer Pearson | Registered Nurse | 755 North Ave Ne Apt 2221, Atlanta, GA 30306-4470 | 2020-03-27 |
| 1215562582 | Raja Aaliyha Massey | Registered Nurse | 3896 Princeton Lakes Way Sw, Atlanta, GA 30331-5510 | 2020-03-07 |
| 1477186161 | Alexandria Fawcett Gumucio | Registered Nurse | 2470 Cheshire Bridge Rd Ne Apt 1303, Atlanta, GA 30324-3992 | 2020-02-20 |
| 1366082539 | Gabrielle A Billing Black | Registered Nurse | 550 Peachtree St Ne Fl 3, Atlanta, GA 30308-2212 | 2020-01-15 |
| 1275178915 | Kelly Brooks Macdonald | Registered Nurse | 1856 Perry Blvd Nw, Atlanta, GA 30318-4052 | 2019-11-15 |
| 1619518792 | Margaret Messinger Hauseman | Registered Nurse | 1968 Peachtree Rd Nw Bldg Floor5, Atlanta, GA 30309-1281 | 2019-09-30 |
| 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.