DR. STACEY WILLINGHAM (NPI# 1144485293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144485293 |
| Entity Type | Individual |
| Full Name | DR. STACEY WILLINGHAM |
| Credential | M.D. |
| Practice Address |
2774 N. Cobb Pkwy. Suite 109, #133 Kennesaw GA 30152-3334 |
| Mailing Address |
2774 N Cobb Pkwy Suite 109, #133 Kennesaw GA 30152-3469 |
| Practice Telephone | 4049641474 |
| Enumeration Date | 2008-07-28 |
| Last Update Date | 2012-03-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | 041426 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
2774 N. COBB PKWY. SUITE 109, #133 |
| City | KENNESAW |
| State | GA |
| Zip Code | 30152-3334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821647124 | Ashley Dover | Nurse Practitioner | 1300 Ridenour Blvd, Suite 300, Kennesaw, GA 30152 | 2019-09-09 |
| 1205306891 | Lashanda Denise Moore | Nurse Practitioner | 1600 Kennesaw Due West Rd Nw #205, Kennesaw, GA 30152 | 2018-11-27 |
| 1265901094 | Focused Loving Home Care Services LLC | In Home Supportive Care | 2151 Marne Glen Nw, Kennesaw, GA 30152 | 2018-11-22 |
| 1083199152 | Raven Ashley Thomas | Behavioral Analyst | 1619 Collins Rd Nw Ste 500, Kennesaw, GA 30152 | 2018-09-25 |
| 1821592593 | Eseovhe Egborge PC | Clinic/Center | 1600 Kennesaw Due West Rd Nw Ste 205, Kennesaw, GA 30152 | 2018-03-19 |
| 1184143059 | Kennesaw Mountain Dental Associates | Dentist | 1815 Old 41 Hwy, Ste 310, Kennesaw, GA 30152 | 2017-09-12 |
| 1265955983 | Deborah Ruth Stern Compton | Registered Nurse | 1291 Stanley Rd., Kennesaw, GA 30152 | 2017-07-25 |
| 1912452939 | Mak Anesthesia Holdings LLC | Anesthesiology | 1300 Ridenour Blvd., Ste. 300, Kennesaw, GA 30152 | 2016-08-19 |
| 1528430279 | Tineka Nichol Wyckoff | Counselor | 1967 Lake Heights Circle, Kennesaw, GA 30152 | 2015-10-21 |
| 1669753992 | American Current Care Pa | Clinic/Center | 2953 Cobb Parkway, Suite 400, Kennesaw, GA 30152 | 2011-08-31 |
| Find all providers in zip 30152 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952596850 | Sonny Sandeep Singh Dosanjh | Physical Medicine & Rehabilitation | 2911 George Busbee Pkwy Nw, Suite 50, Kennesaw, GA 30144-6908 | 2007-09-13 |
| 1215976394 | John Palmer Lanier | Physical Medicine & Rehabilitation | 1600 Kennesaw Due West Rd Nw, Suite 501, Kennesaw, GA 30152-4301 | 2006-06-05 |
| 1164046132 | Ortho Sport & Spine Physicians Kennesaw | Physical Medicine & Rehabilitation | 4255 Wade Green Rd Nw, Kennesaw, GA 30144-1762 | 2020-06-04 |
| 1043877269 | William J Rivers IIi Md LLC | Physical Medicine & Rehabilitation | 125 Townpark Dr Nw Ste 300, Kennesaw, GA 30144-3231 | 2019-05-22 |
| 1275819088 | Due West Integrated Health Center Physical Medicine, LLC | Physical Medicine & Rehabilitation | 1600 Kennesaw Due West Rd Nw, Suite 501, Kennesaw, GA 30152-4301 | 2011-10-25 |
| 1639468580 | William Jacocks Rivers IIi | Physical Medicine & Rehabilitation | 125 Townpark Dr Nw Ste 300, Kennesaw, GA 30144-3231 | 2011-03-31 |
| 1194712158 | Michele T. Perez | Physical Medicine & Rehabilitation | 270 Chastain Rd Nw, Kennesaw, GA 30144-3012 | 2005-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225647274 | L&d Medical Center, LLC | Physical Medicine & Rehabilitation | 5041 Dallas Hwy Ste G, Powder Springs, GA 30127-6458 | 2020-07-27 |
| 1184262651 | Optimal Joint & Neurorehab LLC | Physical Medicine & Rehabilitation | 4245 Deercrest Dr, Valdosta, GA 31602-7612 | 2019-12-16 |
| 1972147379 | Ortho Sport & Spine Physicians Albany | Physical Medicine & Rehabilitation | 614 N Westover Blvd, Albany, GA 31707-2187 | 2019-10-30 |
| 1093359382 | Atlanta Innovative Medicine, LLC | Physical Medicine & Rehabilitation | 8460 Holcomb Bridge Rd Ste 200, Alpharetta, GA 30022-6868 | 2019-10-30 |
| 1770054561 | Sarah Elizabeth Brooks | Physical Medicine & Rehabilitation | 1290 Milstead Ave Ne, Conyers, GA 30012 | 2018-12-06 |
| 1366919383 | Heather Leigh Stewart | Physical Medicine & Rehabilitation | 1010 Mary St, Waycross, GA 31503-3849 | 2018-10-29 |
| 1356827869 | Rehab and Beyond, Inc. | Physical Medicine & Rehabilitation | 2197 Young Rd, Stone Mountain, GA 30088-4107 | 2018-07-17 |
| 1346735982 | Xyz Medical | Physical Medicine & Rehabilitation | 9 Russell Dr Ste 201, Ellijay, GA 30540-5573 | 2018-06-26 |
| 1962991703 | Southern Healthcare Alliance, LLC | Physical Medicine & Rehabilitation | 101-f W. Northside Drive, Valdosta, GA 31602 | 2018-05-08 |
| 1053819854 | Orthoatlanta, LLC | Physical Medicine & Rehabilitation | 455 Legends Pl Se Ste 890, Atlanta, GA 30339-4245 | 2018-01-26 |
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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.