SOUTH SOUND INPATIENT PHYSICIANS, PLLC (NPI# 1144577024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144577024 |
Entity Type | Organization |
Organization Name | SOUTH SOUND INPATIENT PHYSICIANS, PLLC |
Other Organization Name | SOUND PHYSICIANS OF GEORGIA |
Practice Address |
11 Upper Riverdale Rd Sw Riverdale GA 30274-2615 |
Mailing Address |
1123 Pacific Ave Tacoma WA 98402-4303 |
Practice Telephone | 7709918000 |
Mailing Telephone | 2536821710 |
Mailing Fax Number | 2532841881 |
Enumeration Date | 2012-08-09 |
Last Update Date | 2012-08-09 |
Authorized Official Name | JAMES KODJABABIAN (CRO) |
Authorized Official Telephone | 2536821710 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
Y | 208M00000X | Hospitalist | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
SOUND PHYSICIANS OF GEORGIA | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134686025 | South Sound Inpatient Physicians, Pllc | Internal Medicine | 2801 Debarr Rd, Anchorage, AK 99508-2932 | 2019-02-27 |
1962806174 | South Sound Inpatient Physicians, Pllc | Family Medicine | 1123 Pacific Ave, Tacoma, WA 98402-4303 | 2014-10-17 |
1093116675 | South Sound Inpatient Physicians, Pllc | Family Medicine | 929 N St Francis, Wichita, KS 67214-3821 | 2014-09-15 |
1114343258 | South Sound Inpatient Physicians, Pllc | Family Medicine | 9901 Medical Center Dr, Rockville, MD 20850-3357 | 2014-03-13 |
1053735977 | South Sound Inpatient Physicians, Pllc | Family Medicine | 31 Union St, Vernon, CT 06066-3126 | 2014-02-12 |
1225459514 | South Sound Inpatient Physicians, Pllc | Family Medicine | 736 Battlefield Blvd N, Chesapeake, VA 23320-4941 | 2014-01-03 |
1982035754 | South Sound Inpatient Physicians, Pllc | Family Medicine | 101 N Main St, Coupeville, WA 98239-3413 | 2013-12-04 |
1063854859 | South Sound Inpatient Physicians, Pllc | Family Medicine | 1800 Nw Myhre Rd, Silverdale, WA 98383-7663 | 2013-07-23 |
1992144067 | South Sound Inpatient Physicians, Pllc | Family Medicine | 125 Buena Vista Cir, South Hill, VA 23970-1431 | 2013-06-21 |
1033408638 | South Sound Inpatient Physicians, Pllc | Family Medicine | 218 Old Mocksville Rd, Statesville, NC 28625-1930 | 2011-04-04 |
Street Address |
11 UPPER RIVERDALE RD SW |
City | RIVERDALE |
State | GA |
Zip Code | 30274-2615 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831190958 | Southern Regional Health System, Inc | General Acute Care Hospital | 11 Upper Riverdale Rd Sw, Riverdale, GA 30274-2615 | 2005-08-10 |
1639796212 | Georgia Em-i Medical Service PC | Physician Assistant | 11 Upper Riverdale Rd Sw, Riverdale, GA 30274-2615 | 2020-06-30 |
1093331308 | Harmony Grove Emergency Physicians LLC | Emergency Medicine | 11 Upper Riverdale Rd Sw, Riverdale, GA 30274-2615 | 2020-06-23 |
1366092827 | Evan Chandler Burrowes | Dietitian, Registered | 11 Upper Riverdale Rd Sw, Riverdale, GA 30274-2615 | 2019-09-17 |
1932676681 | Ashley Lauren King | Physician Assistant | 11 Upper Riverdale Rd Sw, Riverdale, GA 30274-2615 | 2018-10-31 |
1518440254 | Prime Healthcare Foundation - Southern Regional, LLC | Psychiatric Unit | 11 Upper Riverdale Rd Sw, Riverdale, GA 30274-2615 | 2018-09-10 |
1730660093 | Virginia Tittle Kee | Nurse Practitioner | 11 Upper Riverdale Rd Sw, Riverdale, GA 30274-2615 | 2018-08-24 |
1245724723 | Kelly Henry | Registered Nurse | 11 Upper Riverdale Rd Sw, Riverdale, GA 30274 | 2018-06-19 |
1053821777 | Angelyn Levell-smith | Nurse Practitioner | 11 Upper Riverdale Rd Sw, Riverdale, GA 30274-2615 | 2017-10-08 |
1932625548 | Lpp of Georgia LLC | Emergency Medicine | 11 Upper Riverdale Rd Sw, Riverdale, GA 30274-2615 | 2017-08-15 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245862507 | Todd L. Reed | Chiropractor | 83 Upper Riverdale Rd, Riverdale, GA 30274 | 2020-02-05 |
1487135992 | Freddie L Sallette IIi | Technician, Pathology | 385 Brookview Dr, Riverdale, GA 30274 | 2018-08-22 |
1366933210 | Dawn A. Paul | Nurse Practitioner | 238 Professional Ct Ste A, Riverdale, GA 30274 | 2018-05-27 |
1851894588 | Absolute Health Family & Urgent Care Clinic | Clinic/Center | 7574 Ga 85, Riverdale, GA 30274 | 2018-03-08 |
1366972127 | Jamillah Ingram | Physical Therapy Assistant | 315 Upper Riverdale Rd., Riverdale, GA 30274 | 2017-06-14 |
1114456514 | Grace L Kelson | Licensed Practical Nurse | 9142 Clubhouse Dr, Riverdale, GA 30274 | 2017-06-08 |
1790167799 | Cristian Carbuccia | Internal Medicine | 33 Upper Riverdale Rd Sw Ste 10, Riverdale, GA 30274 | 2015-06-25 |
1265857692 | Right Choice Enterprises LLC | Technician | 638 Sterling Ct, Riverdale, GA 30274 | 2014-02-21 |
1942571625 | Lowes Guardian Angel LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7056 Eunice Dr., Riverdale, GA 30274 | 2012-01-26 |
1508134156 | Education System Management, Inc | Social Worker | 125 Highway 138, Riverdale, GA 30274 | 2011-12-12 |
Find all providers in zip 30274 |
Taxonomy Code | 208M00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Hospitalist |
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083190516 | Md Pacs 2 PC | Hospitalist | 4409 E West Hwy, Riverdale, MD 20737-1058 | 2018-07-18 |
1033576376 | Georgia Hospitalists Group, LLC | Hospitalist | 11 Upper Riverdale Rd Sw, Riverdale, GA 30274-2615 | 2016-01-18 |
1972651305 | Padma Nagalakshmi Munukuti | Hospitalist | 11 Upper Riverdale Rd Sw, Riverdale, GA 30274-2615 | 2007-01-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033770771 | Your Hospitalist Team LLC | Hospitalist | 2215 Autumn Ridge Ln, Cumming, GA 30041-1358 | 2019-06-24 |
1780194183 | Mobin Shah Inc | Hospitalist | 352 Langshire Dr, Mcdonough, GA 30253-8055 | 2017-10-11 |
1972036721 | Getnet Alemu Tioum | Hospitalist | 1267 Pounds Ln, Clarkston, GA 30021-2830 | 2017-04-08 |
1720531692 | Zahraa Rabeeah | Hospitalist | 390 17th St Nw Unit 5031, Atlanta, GA 30363-2015 | 2016-07-27 |
1245614973 | Donovan Philbrick | Hospitalist | 743 Spring Street, Office of Inpatient Medicine, Gainesville, GA 30501 | 2015-07-13 |
1932529732 | Munir Chaudhuri | Hospitalist | 1364 Clifton Road Ne Box M7, Atlanta, GA 30322-1029 | 2014-04-18 |
1982979373 | Rianot Amzat | Hospitalist | 5665 Peachtree Dunwoody # Ga, Suite 500, Atlanta, GA 30342-1701 | 2012-03-19 |
1780970921 | Christopher Thomas Middendorf | Hospitalist | 1400 River Place, Braselton, GA 30517 | 2011-06-27 |
1043528268 | Medcare Physicians of Central Georgia, LLC | Hospitalist | 1040 Founders Row, Ste A, Greensboro, GA 30642-5261 | 2010-09-22 |
1619293354 | Aaron D Gluth | Hospitalist | 1364 Clifton Rd Ne Box M-7, Atlanta, GA 30322-1059 | 2010-04-19 |
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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.