SIMON JIAN (NPI# 1114483286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114483286 |
| Entity Type | Individual |
| Full Name | SIMON JIAN |
| Credential | NP-C |
| Practice Address |
5671 Peachtree Dunwoody Rd Ste 610 Atlanta GA 30342-5013 |
| Mailing Address |
530 Stedford Ln Duluth GA 30097-8007 |
| Practice Telephone | 4042578601 |
| Mailing Telephone | 4043178851 |
| Enumeration Date | 2019-02-14 |
| Last Update Date | 2019-02-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN234154 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5671 PEACHTREE DUNWOODY RD STE 610 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30342-5013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972827400 | Stacy Krueth | Anesthesiology | 5671 Peachtree Dunwoody Rd Ste 610, Atlanta, GA 30342-5013 | 2010-03-26 |
| 1396345526 | Lucas M Trower | Anesthesiologist Assistant | 5671 Peachtree Dunwoody Rd Ste 610, Atlanta, GA 30342-5013 | 2020-10-27 |
| 1245842525 | Lauree Emelia Thomas | Anesthesiologist Assistant | 5671 Peachtree Dunwoody Rd Ste 610, Atlanta, GA 30342-5013 | 2020-08-19 |
| 1134730286 | Annesley O'neal Crosby | Nurse Anesthetist, Certified Registered | 5671 Peachtree Dunwoody Rd Ste 610, Atlanta, GA 30342-5013 | 2020-08-12 |
| 1750991766 | Meredith Mccliment | Anesthesiologist Assistant | 5671 Peachtree Dunwoody Rd Ste 610, Atlanta, GA 30342-5013 | 2020-08-04 |
| 1528681582 | Hannah Leigh Smith | Nurse Anesthetist, Certified Registered | 5671 Peachtree Dunwoody Rd Ste 610, Atlanta, GA 30342-5013 | 2020-05-26 |
| 1669094512 | Austin William Moats | Anesthesiologist Assistant | 5671 Peachtree Dunwoody Rd Ste 610, Atlanta, GA 30342-5013 | 2020-05-14 |
| 1780229310 | William Ronan Ash | Nurse Anesthetist, Certified Registered | 5671 Peachtree Dunwoody Rd Ste 610, Atlanta, GA 30342-5013 | 2019-11-07 |
| 1053967141 | Asma Agad | Nurse Anesthetist, Certified Registered | 5671 Peachtree Dunwoody Rd Ste 610, Atlanta, GA 30342-5013 | 2019-08-14 |
| 1639722267 | Samuel Hyun Yang | Anesthesiologist Assistant | 5671 Peachtree Dunwoody Rd Ste 610, Atlanta, GA 30342-5013 | 2019-07-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820614 | Nia Charnice Griffin | Nurse Practitioner | 5670 Peachtree Dunwoodyroad, Suite 900, Atlanta, GA 30342 | 2020-10-26 |
| 1255945184 | Jennifer Lynne Cole | Behavior Technician | 5555 Glenridge Con Suite 200, Atlanta, GA 30342 | 2020-09-08 |
| 1093336232 | Van Tran | Respiratory Therapist, Registered | 1000 Johnson Ferry Rd Ne, Atlanta, Ga 30342, Atlanta, GA 30342 | 2020-04-28 |
| 1356978340 | Twyla Douglas Jackson I | Clinical Nutrition, 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 | 2020-03-27 | |
| 1760013411 | Emily Hamm | Dietitian, Registered | 933 D Johnson Ferry Road, Suite 250, Atlanta, GA 30342 | 2020-01-31 |
| 1043855984 | Mackenzie Tucker Wayda | Registered Nurse | 1001 Johnson Ferry Rd. Ne, Atlanta, GA 30342 | 2019-11-14 |
| 1386288454 | Tiauna Lashun Cochman | Psychologist | 1307 Glenridge Dr, Sandy Springs, GA 30342 | 2019-11-01 |
| 1164074399 | Stephen J. White | Hearing Instrument Specialist | 5775 Peachtree Dunwoody Rd Suite 600 Fl. 6, Uhc Hearing, Atl., GA 30342 | 2019-07-09 |
| 1144788142 | Jaytyn LLC | Internal Medicine | 4600 Broswell Road, Atlanta, GA 30342 | 2019-03-08 |
| 1760954705 | Mishele Walker LLC | Counselor | 555 Glenridge Connector, Suite 200, Sandy Springs, GA 30342 | 2018-12-31 |
| Find all providers in zip 30342 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820614 | Nia Charnice Griffin | Nurse Practitioner | 5670 Peachtree Dunwoodyroad, Suite 900, Atlanta, GA 30342 | 2020-10-26 |
| 1790398790 | Starr Patrice Dickerson | Nurse Practitioner | 655 Dot Dr, Atlanta, GA 30349-2730 | 2020-08-28 |
| 1265042162 | Habida Elachola | Nurse Practitioner | 2533 Henderson Mill Rd Ne, Atlanta, GA 30345-2135 | 2020-08-05 |
| 1184249815 | Nichelle Osborne | Nurse Practitioner | 5785 Roswell Rd, Atlanta, GA 30328-4903 | 2020-06-09 |
| 1902427149 | Oasis Health Services, LLC | Nurse Practitioner | 6595 Roswell Rd Ste G1255, Atlanta, GA 30328-3152 | 2020-04-28 |
| 1063042927 | Mary Gillon Hall | Nurse Practitioner | 90 La Rue Pl Nw, Atlanta, GA 30327-4075 | 2020-01-20 |
| 1396382321 | Stacey Brinkley | Nurse Practitioner | 3725 Princeton Lakes Pkwy Sw Apt 7304, Atlanta, GA 30331-5564 | 2019-12-10 |
| 1801439401 | Debadrita Mondal | Nurse Practitioner | 180 Jackson St Ne Apt 2506, Atlanta, GA 30312-1373 | 2019-10-26 |
| 1265075170 | Cecile Veronica Maner | Nurse Practitioner | 105 Collier Rd Nw Ste 3040, Atlanta, GA 30309-1733 | 2019-10-23 |
| 1194366567 | Tondalaya K Sanford | Nurse Practitioner | 3119 Fonseca Pass, Atlanta, GA 30349-8140 | 2019-10-07 |
| 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.