NAESM MENS HEALTH AND WELLNESS CENTER (NPI# 1134775208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134775208 |
| Entity Type | Organization |
| Organization Name | NAESM MENS HEALTH AND WELLNESS CENTER |
| Practice Address |
2140 Martin Luther King Jr Dr Sw Ste 201 Atlanta GA 30310 |
| Mailing Address |
2140 Martin Luther King Jr Dr Sw Ste 201 Atlanta GA 30310-1134 |
| Practice Telephone | 4049460319 |
| Practice Fax Number | 4046918809 |
| Mailing Telephone | 4049460319 |
| Mailing Fax Number | 4046918809 |
| Enumeration Date | 2019-08-14 |
| Last Update Date | 2019-08-14 |
| Authorized Official Name | RUDOLPH H CARN (BOARD CHAIR/PRESIDENT) |
| Authorized Official Telephone | 4049460319 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FEE FOR SERVICES | 123456 | 01 |
| Street Address |
2140 MARTIN LUTHER KING JR DR SW STE 201 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588219810 | Dayana Regis | Pediatrics | 808 York Ave Sw, Atlanta, GA 30310 | 2019-08-04 |
| 1629636683 | Manan Shah | Student in an Organized Health Care Education/Training Program | 720 Westview Dr, Sw Morehouse School of Medicine/gme, Atlanta, GA 30310 | 2019-06-04 |
| 1780242420 | Fortunate Amarachukwu Ejimone | Student in an Organized Health Care Education/Training Program | 720 Westview Dr. Sw Morehouse School of Medicine/gme, Atlanta, GA 30310 | 2019-05-29 |
| 1922589589 | Bria Campbell | Counselor | 1009 Windsor St Sw, Atlanta, GA 30310 | 2018-08-22 |
| 1821583584 | Onyedikachi Kenneth Michaels | Student in an Organized Health Care Education/Training Program | Morehouse School of Medicine / Gme, 720 Westview Dr, Sw, Atlanta, GA 30310 | 2018-06-26 |
| 1881185387 | Precious Oghenefejiro Odunvbun | Student in an Organized Health Care Education/Training Program | 720 West View Dr Sw Morehouse School of Medicine/gme, Department of Medicine, Atlanta, GA 30310 | 2018-05-21 |
| 1598253908 | Chinonyelum Doris Nwagbara | Student in an Organized Health Care Education/Training Program | Morehouse School of Medicine, Gme 720 Westview Drive Sw, Atlanta, GA 30310 | 2018-05-01 |
| 1679060552 | Danielle Nicole Oliver | Student in an Organized Health Care Education/Training Program | Morehouse School of Medicine/gme 720 Westview Dr Sw, Atlanta, GA 30310 | 2018-04-17 |
| 1376049072 | Ngozi Egondu Okanu | Student in an Organized Health Care Education/Training Program | Gme 720 Westview Dr, Sw, Atlanta, GA 30310 | 2018-04-02 |
| 1992200489 | Ruwaydah Hasan | Student in an Organized Health Care Education/Training Program | Morehouse School of Medicine/ Gme, 720 Westview Dr Sw, Atlanta, GA 30310 | 2018-03-27 |
| Find all providers in zip 30310 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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| 1801429105 | Pt Hills Place Terraces LLC | Clinic/Center | 229 Peachtree Hills Ave Ne, Atlanta, GA 30305-4411 | 2020-02-15 |
| 1194363382 | Arcd and Weightloss Management | Clinic/Center | 265 18th St Nw Ste 2823, Atlanta, GA 30363-1125 | 2019-12-18 |
| 1427532225 | River Acupuncture Inc | Clinic/Center | 5441 Buford Hwy Ne Ste 203, Atlanta, GA 30340-1168 | 2018-09-18 |
| 1093208381 | Tonova Audiometrics, LLC | Clinic/Center | 677b Alta Pl Nw, Atlanta, GA 30318-6364 | 2018-06-11 |
| 1841708682 | Aica Orthopedics, P.C. | Clinic/Center | 2045 Peachtree Rd Ne Ste 700, Atlanta, GA 30309-1417 | 2018-01-15 |
| 1407361702 | Buckhead Cosmetic and Family Dentistry LLC | Clinic/Center | 316 Pharr Rd Ne, Atlanta, GA 30305-2304 | 2017-12-08 |
| 1366952749 | Cancer Screening of America | Clinic/Center | 1 Baltimore Pl Nw Ste 240, Atlanta, GA 30308-2116 | 2017-10-11 |
| 1316498090 | Peak Performance Chiropractic | Clinic/Center | 5464 Peachtree Blvd, Atlanta, GA 30341-2235 | 2016-10-18 |
| 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.