BEVERLY GOODE DOUGLAS (NPI# 1134342744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134342744 |
| Entity Type | Individual |
| Full Name | BEVERLY GOODE DOUGLAS |
| Credential | MD |
| Practice Address |
1046 Lenox Crst Ne Atlanta GA 30324-2700 |
| Practice Telephone | 4044344066 |
| Mailing Telephone | 4044344066 |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
018012 | GA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689634487 | Beverly Jean Douglas | Nurse Practitioner | 1250 W Mockingbird Ln Ste 550, Dallas, TX 75247-4902 | 2006-03-24 |
| 1184781478 | Beverly Jean Douglas | Social Worker | 2285 Benden Dr, Wooster, OH 44691-2568 | 2007-01-03 |
| Street Address |
1046 LENOX CRST NE |
| City | ATLANTA |
| State | GA |
| Zip Code | 30324-2700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174158919 | Marianella Anzola | Dietitian, Registered | Grady Brookhaven Health Center, 2695 Buford Hwy Ne 200, Atlanta, GA 30324 | 2020-03-11 |
| 1326515636 | Jacqueline Beckhom | Rehabilitation Counselor | Trinity Social Services, LLC 50 Lenox Pointe, Ne Suite, Atlanta, GA 30324 | 2018-10-25 |
| 1366925497 | David Wayne Richardson | Psychiatry & Neurology | 400 Rock Springs Road Ne, Atlanta, GA 30324 | 2018-09-14 |
| 1730625989 | Hwh, LLC | In Home Supportive Care | 1108 Pine Heights Dr Ne, Atlanta, GA 30324 | 2017-01-12 |
| 1780134403 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 2452 Morosgo Way Ne, Atlanta, GA 30324 | 2016-10-05 |
| 1063891372 | Jacqueline Nguyen | Family Medicine | 1125 Norwich Cir Ne, Atlanta, GA 30324 | 2015-05-20 |
| 1306277595 | Gerald Elroy Mitchell | Occupational Therapist | 1261 La Vista Road Ne, L - 4, Atlanta, GA 30324 | 2013-12-12 |
| 1487086138 | Continuum Care Group | Anesthesiology | 3574 Lenox Rd, 655, Atlanta, GA 30324 | 2013-08-05 |
| 1336589183 | Mary Azar Pride | Registered Nurse | 30-b Lenox Pte. N.e., Bldg 30 - Suite B, Atlanta, GA 30324 | 2013-06-26 |
| 1447594569 | Harley Anti-aging Institute LLC | Medical Genetics, Ph.D. Medical Genetics | 2678 Buford Highway Ne, Atlanta, GA 30324 | 2012-11-15 |
| Find all providers in zip 30324 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699115451 | Jeffrey Alan Bernstein | Obstetrics & Gynecology | 655 Widgeon Lane, Atlanta, GA 30327 | 2013-06-26 |
| 1871865113 | Candace Marvenia Tillman | Obstetrics & Gynecology | 477 Windsor St. Sw, Ste. 309, Atlanta, GA 30312 | 2012-02-02 |
| 1780904896 | Jana Dopson Illston | Obstetrics & Gynecology | 980 Johnson Fy Rd Ne Ste 720, Atlanta, GA 30342-1628 | 2010-06-11 |
| 1730362732 | Eldred Bernard Taylor | Obstetrics & Gynecology | 5901 Peachtree Dunwoody Rd Ne # C, Suite 25, Atlanta, GA 30328-5382 | 2007-12-12 |
| 1528276904 | Jean V Longley | Obstetrics & Gynecology | 6195 Heards Creek Dr Nw, Atlanta, GA 30328-3653 | 2007-05-18 |
| 1669571295 | Lisa Flowers | Obstetrics & Gynecology | 49 Jesse Hill Jr Dr Se Fl 3, Atlanta, GA 30303-3049 | 2006-09-21 |
| 1700801206 | Michael David Randell | Obstetrics & Gynecology | 5667 Peachtree Dunwoody Rd Ste 280, Atlanta, GA 30342-1714 | 2006-07-13 |
| 1346273364 | Carl W Sherrer | Obstetrics & Gynecology | 77 Collier Rd Nw Ste 2010, Atlanta, GA 30309-1754 | 2006-07-10 |
| 1245298082 | Nathan Mordel | Obstetrics & Gynecology | 105 Collier Rd, Ste 1010, Atlanta, GA 30309 | 2006-05-02 |
| 1982669891 | Kenneth M Twiddy | Obstetrics & Gynecology | 235 W. Wieuca Rd, Atlanta Women's Center, Atlanta, GA 30342 | 2006-04-20 |
| 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.