STOCKBRIDGE FAMILY CARE CENTER (NPI# 1124051636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124051636 |
| Entity Type | Organization |
| Organization Name | STOCKBRIDGE FAMILY CARE CENTER |
| Practice Address |
1231 Eagles Landing Pkwy Suite A Stockbridge GA 30281-5013 |
| Practice Telephone | 4042071860 |
| Practice Fax Number | 4042071864 |
| Mailing Telephone | 4042071860 |
| Mailing Fax Number | 4042071864 |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | SUSANA VEGA (OFFICE MANAGER) |
| Authorized Official Telephone | 4042071860 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
053736 | GA | Ambulatory Health Care Facilities |
| Street Address |
1231 EAGLES LANDING PKWY SUITE A |
| City | STOCKBRIDGE |
| State | GA |
| Zip Code | 30281-5013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386642684 | Wendy Latrice Wright | Family Medicine | 1231 Eagles Landing Pkwy, Suite A, Stockbridge, GA 30281-5013 | 2005-07-11 |
| 1174521322 | June-ann Nicole Wilson | Internal Medicine | 1231 Eagles Landing Pkwy, Suite A, Stockbridge, GA 30281 | 2005-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164039095 | Colette Alls | Social Worker | 447 Lakeshore Dr, Stockbridge, GA 30281 | 2020-09-24 |
| 1982216800 | Pediatric and Family Behavioral Health of Georgia | Counselor | 1004 Ulster Court, Stockbridge, GA 30281 | 2020-08-21 |
| 1518577659 | Qunique Taveka Toxey | Behavior Technician | 115 N Park Trail, Suite 123, Stockbridge, GA 30281 | 2020-08-04 |
| 1497377675 | Melanie Harvey | Pharmacist | 4467 North Henry Boulevard, Stockbridge, GA 30281 | 2020-05-11 |
| 1114550571 | Cecile Maria Dunkley Layne | Counselor | 255 Corporte Drive, Stockbridge, GA 30281 | 2020-02-13 |
| 1306407143 | Palliative Care of Georgia. LLC | Home Health | 275 Corporate Center Court Ste C, Stockbridge, GA 30281 | 2019-06-24 |
| 1154883791 | Aaliyah Nura Fardan-alexander | Nurse's Aide | 105 Singletree, Stockbridge, GA 30281 | 2019-04-02 |
| 1306306261 | Prosthetic Care, Inc. | Prosthetic/Orthotic Supplier | 150 County Club Drive, Suite 200, Stockbridge, GA 30281 | 2019-03-25 |
| 1356814172 | Kristina Louissaint | Nurse Practitioner | 650 Country Club Dr, Stockbridge, GA 30281 | 2019-01-03 |
| 1942789284 | Cameren Barnes | Physical Therapist | 5473 N Henry Blvd, Stockbridge, GA 30281 | 2018-08-08 |
| Find all providers in zip 30281 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194274951 | Kelly Rich Family Medicine | Clinic/Center | 1215 Eagles Landing Pkwy, Suite 211, Stockbridge, GA 30281-7279 | 2016-09-22 |
| 1508139031 | Strong Wellness Center LLC | Clinic/Center | 1100 Eagles Landing Pkwy, Suite B, Stockbridge, GA 30281-9105 | 2012-02-14 |
| 1407017163 | The Kids Specialists, Henry Pediatrics | Clinic/Center | 1215 Eagles Landing Pkwy, Ste.108/109, Stockbridge, GA 30281-7279 | 2008-06-24 |
| 1669658829 | Advanced Internal Medicine | Clinic/Center | 235 Medical Blvd, Suite B, Stockbridge, GA 30281-7218 | 2008-01-17 |
| 1740407550 | Eagles Landing Pediatric Associates LLC | Clinic/Center | 1101 Hospital Dr, Suite 210, Stockbridge, GA 30281-9075 | 2007-04-20 |
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| 1477192219 | Meridian Corporate Healthcare of Georgia P C | Clinic/Center | 5163 Thompson Bridge Rd, Murrayville, GA 30564-1930 | 2019-12-26 |
| Find all providers with the same taxonomy | ||||
| City | STOCKBRIDGE |
| Zip Code | 30281 |
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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.