ANN PETESCH HAZZARD (NPI# 1124037213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124037213 |
| Entity Type | Individual |
| Full Name | ANN PETESCH HAZZARD |
| Credential | PH.D. |
| Practice Address |
35 Jesse Hill Jr Dr Se Atlanta GA 30303-3032 |
| Mailing Address |
49 Jesse Hill Jr Dr Se Atlanta GA 30303-3049 |
| Practice Telephone | 4046164390 |
| Practice Fax Number | 4046166795 |
| Mailing Telephone | 4046164875 |
| Mailing Fax Number | 4046166657 |
| Enumeration Date | 2006-08-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
000803 | GA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00259421 | 05 |
| Street Address |
35 JESSE HILL JR DR SE |
| City | ATLANTA |
| State | GA |
| Zip Code | 30303-3032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316947872 | Beatrice Elizabeth Gee | Pediatrics | 35 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3032 | 2005-07-27 |
| 1629692488 | Joshua R Erisman | Pharmacist | 35 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3032 | 2020-06-07 |
| 1083269880 | Kaitlyn Mcgregor | Nurse Practitioner | 35 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3032 | 2019-08-08 |
| 1144709213 | Katilia Harden | Counselor | 35 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3032 | 2018-08-09 |
| 1760992150 | Erica Ann Bullard | Emergency Medicine | 35 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3032 | 2017-10-11 |
| 1629587654 | Lindsey Mccutchen Howard | Emergency Medicine | 35 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3032 | 2017-09-21 |
| 1083132021 | Shekita Johnson | Pediatrics | 35 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3032 | 2017-08-30 |
| 1467815993 | Meridian Corporate Healthcare of Georgia P C | Clinic/Center | 35 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3032 | 2016-04-01 |
| 1255746186 | Arin Swerlick | Family Medicine | 35 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3032 | 2014-06-30 |
| 1811307929 | Keila Simmons | Pediatrics | 35 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3032 | 2014-04-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811597461 | Nanoresearch, Inc | Point of Service | 58 Edgewood Ave Ne, Suite 122, Collabtech., Gsu, Atlanta, GA 30303 | 2020-10-31 |
| 1952917155 | Alesha Deshay Elbert | Behavior Technician | 206 Peachstreet Ne Suite 2200, Atlanta, GA 30303 | 2020-09-22 |
| 1033759386 | Mark Bush | Case Manager/Care Coordinator | 50 Hurt Plaza Se Suite 1108, Atlanta, GA 30303 | 2020-01-14 |
| 1053965855 | Patrice Munsel Henry | Nurse Practitioner | 80 Jessie Hill Drive Se, Atlanta, GA 30303 | 2019-07-30 |
| 1356826564 | United States Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 260 Peachtree Street Nw, Suite 2200, Office 2228, Atlanta, GA 30303 | 2018-10-03 |
| 1336645290 | Joseph Bahng | Student in an Organized Health Care Education/Training Program | 69 Jesse Hill Jr Drive Se, Glenn Building, 4th Floor - 412b, Atlanta, GA 30303 | 2018-03-31 |
| 1841704707 | Amber Peach LLC | Family Medicine | 260 Peachtree St Nw Suite 2200, Atlanta, GA 30303 | 2017-11-29 |
| 1447778089 | Jasmine Williams | Behavioral Analyst | 260 Peachtree Street Nw, Suite 2200, Atlanta, GA 30303 | 2017-09-05 |
| 1982138236 | Mahek Dossani | Behavior Technician | 260 Peachtree Street Nw, Suite 2200, Atlanta, GA 30303 | 2017-04-13 |
| 1255872420 | Alexis Annick Auger | Behavior Technician | 260 Peachtree St. Nw, Suite 2200, Atlanta, GA 30303 | 2017-03-20 |
| Find all providers in zip 30303 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902403462 | Molly Elizabeth Katherine Mclaren | Psychologist | 1441 Clifton Rd Ne Ste 170, Atlanta, GA 30322-1004 | 2020-10-07 |
| 1255945572 | Kerri Eileen Woodward | Psychologist | 6000 Lake Forrest Dr Ste 103, Atlanta, GA 30328-5902 | 2020-09-03 |
| 1689296980 | Natalie N Watson-singleton | Psychologist | 2124 Cheshire Bridge Rd Ne Apt 4112, Atlanta, GA 30324-5733 | 2020-05-11 |
| 1972123883 | Elizabeth Newton, Psyd and Assoc Inc | Psychologist | 1827 Powers Ferry Rd, Bldg 21, Atlanta, GA 30339 | 2020-04-21 |
| 1669091989 | Juliet Anne Buchwalter | Psychologist | 49 Lenox Pointe Ne Ste A, Atlanta, GA 30324-7426 | 2020-04-16 |
| 1508498395 | Walker Consulting & Psychological Services | Psychologist | 4375 Cobb Pkwy Se Ste 121, Atlanta, GA 30339-5537 | 2020-02-10 |
| 1952958522 | Atlas Psychological Services, LLC | Psychologist | 1100 Spring St Nw Ste 380, Atlanta, GA 30309-2854 | 2019-08-19 |
| 1679047591 | Timothy James Schlairet | Psychologist | 480 John Wesley Dobbs Ave Ne Unit 180, Atlanta, GA 30312-5326 | 2019-01-14 |
| 1578030581 | Marilyn Hazzard Lineberger | Psychologist | 5825 Glenridge Dr Bldg 3, Atlanta, GA 30328-5387 | 2018-10-28 |
| 1952896276 | Chad Irvin Lohman | Psychologist | 3800 Camp Creek Pkwy, Sw, Building 2000, Atlanta, GA 30331-6226 | 2018-06-28 |
| 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.