ATLANTA MEDICAL CENTERR (NPI# 1114155090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114155090 |
| Entity Type | Organization |
| Organization Name | ATLANTA MEDICAL CENTERR |
| Practice Address |
303 Parkway Dr Ne Atlanta GA 30312-1212 |
| Practice Telephone | 4042654000 |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2009-06-30 |
| Authorized Official Name | WILLIAM T MOORE (PRESIDENT AND CHIEF EXECUTIVE OFFIC) |
| Authorized Official Telephone | 4042654000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 281P00000X | Chronic Disease Hospital | Hospitals |
| Street Address |
303 PARKWAY DR NE |
| City | ATLANTA |
| State | GA |
| Zip Code | 30312-1212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730188368 | Rhonda Latrice Martin | Pharmacist | 303 Parkway Dr Ne, Atlanta, GA 30312-1212 | 2005-07-15 |
| 1275162075 | Derek Stephen Duey | Student in an Organized Health Care Education/Training Program | 303 Parkway Dr Ne, Atlanta, GA 30312-1212 | 2020-04-03 |
| 1659909018 | Blake Thor Bendixen | Student in an Organized Health Care Education/Training Program | 303 Parkway Dr Ne, Atlanta, GA 30312-1239 | 2020-03-31 |
| 1902433246 | Tom John Albunian Mayuga | Student in an Organized Health Care Education/Training Program | 303 Parkway Dr Ne, Atlanta, GA 30312-1212 | 2020-03-25 |
| 1114558889 | Parie Jared | Emergency Medicine | 303 Parkway Dr Ne, Atlanta, GA 30312-1212 | 2020-01-30 |
| 1548808827 | Sarah Deslate | Nurse Anesthetist, Certified Registered | 303 Parkway Dr Ne, Atlanta, GA 30312-1212 | 2019-12-17 |
| 1639714686 | Nicolai Pineda | Physician Assistant | 303 Parkway Dr Ne, Atlanta, GA 30312-1239 | 2019-11-14 |
| 1659915510 | Jason Madariaga Cuaresma | Pharmacist | 303 Parkway Dr Ne, Atlanta, GA 30312-1212 | 2019-11-04 |
| 1770143398 | Ga U Kim | Anesthesiologist Assistant | 303 Parkway Dr Ne, Atlanta, GA 30312-1212 | 2019-06-17 |
| 1396302584 | Noah Dessalegn | Student in an Organized Health Care Education/Training Program | 303 Parkway Dr Ne, Atlanta, GA 30312-1212 | 2019-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770108516 | Bita Ranjbari | Physician Assistant | 659 Auburn Ave Se, Suite 505, Atlanta, GA 30312 | 2020-06-08 |
| 1609439629 | Adeyinka Edward Adeniyi | Student in an Organized Health Care Education/Training Program | Wellstar Atlanta Medical Center, 303 Parkway Drive Ne, 4th Floor, Internal Medicine Department, Atlanta, GA 30312 | 2019-04-16 |
| 1003378670 | James Spratt IIi | Student in an Organized Health Care Education/Training Program | 303 Parkway Drive, Ne, 4th Floor, Wellstar Atlanta Medical Center Department of Orthopaed, Atlanta, GA 30312 | 2019-04-03 |
| 1659833440 | Derrick Edward Wendler | Student in an Organized Health Care Education/Training Program | Wellstar Atlanta Medical Center Dpt of Orthopaedics, 303 Parkway Drive Ne, 4th Floor, Atlanta, GA 30312 | 2019-04-02 |
| 1336631266 | The Atlanta Small Business Training Consortium, Inc. | Local Education Agency (LEA) | 250 Georgia Ave Se Ste 207a, Atlanta, GA 30312 | 2018-06-06 |
| 1669960134 | Derek Mccranie | Student in an Organized Health Care Education/Training Program | 303 Parkway Drive, Atlanta, FL 30312 | 2018-04-30 |
| 1336646223 | Amy Ruth Williams | Nurse Practitioner | 383 Ralph Mcgill Blvd Ne Apt D, Atlanta, GA 30312 | 2018-04-09 |
| 1730689183 | Lisa Marie Margavage | Chiropractor | 720 Ralph Mcgill Blvd Ne Unit 210, Atlanta, GA 30312 | 2018-02-12 |
| 1922518836 | Rodney Aldridge | Registered Nurse | 250 Georgia Avenue, Suite 206, Atlanta, GA 30312 | 2017-10-05 |
| 1629599279 | Huda Hashim Elsamani Elsheikh | Student in an Organized Health Care Education/Training Program | 303 Parkway Dr Ne, Wellstar Atlanta Medical Center, Dept of Graduate Medical Education, Internal Medicine, Atlanta, GA 30312 | 2017-07-05 |
| Find all providers in zip 30312 | ||||
| Taxonomy Code | 281P00000X |
| Grouping | Hospitals |
| Classification | Chronic Disease Hospital |
| (1) A hospital including a physical plant and personnel that provides multidisciplinary diagnosis and treatment for diseases that have one or more of the following characteristics: is permanent; leaves residual disability; is caused by nonreversible pathological alteration; requires special training of the patient for rehabilitation; and/or may be expected to require a long period of supervision or care. In addition, patients require the safety, security, and shelter of these specialized inpatient or partial hospitalization settings. (2) A hospital that provides medical and skilled nursing services to patients with long-term illnesses who are not in an acute phase but who require an intensity of services not available in nursing homes. |
| Notes: Source: (1) Expanded from 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 |
|---|---|---|---|---|
| 1386872216 | Atlanta Medical Center | Chronic Disease Hospital | 303 Parkway Dr Ne, Atlanta, GA 30312-1212 | 2009-06-30 |
| 1467527671 | Emory Clinic Inc | Chronic Disease Hospital | 101 Woodruff Cir, Room 5105, Atlanta, GA 30322-0001 | 2006-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659639789 | Georgia Health Sciences University | Chronic Disease Hospital | 282 Stonington Dr, Martinez, GA 30907-1806 | 2012-04-26 |
| 1255454070 | Medical College of Georgia | Chronic Disease Hospital | 623 Walden Hills Cir, 623, Augusta, GA 30909-0223 | 2007-04-08 |
| 1922490937 | Cancer Treatment Centers of America | Chronic Disease Hospital | 600 Celebrate Life Pkwy, Newnan, GA 30265-8001 | 2015-02-27 |
| 1295143279 | Pulmonary Associates, LLC | Chronic Disease Hospital | 105 Briarcliff Rd, Warner Robins, GA 31088-4039 | 2014-07-23 |
| 1760651665 | Piedmont Fayette Hospital | Chronic Disease Hospital | 1255 Highway 54 W, Heart Failure Center, Fayetteville, GA 30214-4526 | 2008-02-25 |
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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.