PAI PARTICIPANT 11 PC (NPI# 1144887720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144887720 |
| Entity Type | Organization |
| Organization Name | PAI PARTICIPANT 11 PC |
| Practice Address |
415 Airport Rd Griffin GA 30224-4834 |
| Mailing Address |
Po Box 639676 Cincinnati OH 45263-9676 |
| Practice Telephone | 7702278636 |
| Mailing Telephone | 8592914800 |
| Mailing Fax Number | 8596558588 |
| Enumeration Date | 2019-05-20 |
| Last Update Date | 2020-08-10 |
| Authorized Official Name | ERIN N LAIRD (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 4104588713 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
415 AIRPORT RD |
| City | GRIFFIN |
| State | GA |
| Zip Code | 30224-4834 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659321446 | Sunbridge Retirement Care Associates, LLC | Skilled Nursing Facility | 415 Airport Rd, Griffin, GA 30224-4834 | 2006-05-11 |
| 1063062412 | Airport Road Healthcare LLC | Skilled Nursing Facility | 415 Airport Rd, Griffin, GA 30224-4834 | 2019-09-18 |
| 1124678651 | Airport Road Realty LLC | Skilled Nursing Facility | 415 Airport Rd, Griffin, GA 30224-4834 | 2019-09-17 |
| 1396250890 | Dalton James Skipper | Nurse Practitioner | 415 Airport Rd, Griffin, GA 30224-4834 | 2017-12-06 |
| 1972039261 | Christie Thomas | Occupational Therapy Assistant | 415 Airport Rd, Griffin, GA 30224-4834 | 2017-05-04 |
| 1699191452 | Genesis Eldercare Physician Services LLC | Internal Medicine | 415 Airport Rd, Griffin, GA 30224-4834 | 2014-03-17 |
| 1730504515 | Deborah Husser | Skilled Nursing Facility | 415 Airport Rd, Griffin, GA 30224-4834 | 2014-03-03 |
| 1427473735 | Yolanda Gwathmey | Physical Therapy Assistant | 415 Airport Rd, Griffin, GA 30224-4834 | 2014-02-24 |
| 1003231317 | Launce Braddock | Occupational Therapy Assistant | 415 Airport Rd, Griffin, GA 30224-4834 | 2014-02-24 |
| 1194972661 | Stacy Williams | Speech-Language Pathologist | 415 Airport Rd, Griffin, GA 30224-4834 | 2008-08-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346888971 | Latamika Renee Williams | Counselor | 1710 Ga-16 West, #6, Griffin, GA 30224 | 2019-12-13 |
| 1063062651 | Dominique S Paul-thompson | Contractor | 112 Deercreek Parkway, Griffin, GA 30224 | 2019-09-16 |
| 1497303531 | Xiaohui Zhang Brotzge | Physician Assistant | 601 S 8th Street, Griffin, GA 30224 | 2019-09-02 |
| 1548812282 | Andrew Dennis Nesmith | Registered Nurse | 601 South 8th St, Emergency Room, Griffin, GA 30224 | 2019-07-12 |
| 1073009122 | Alicia Skye Ledford | Nurse Practitioner | 619 S 8th St., Suite 200, Griffin, GA 30224 | 2018-07-02 |
| 1649787102 | Judith Fuajong Ngulefac | Nurse Practitioner | 1705 Williamson Rd, Griffin, GA 30224 | 2018-01-05 |
| 1699297077 | Amanda Norman | Speech-Language Pathologist | 106 Garnet Ln, Griffin, GA 30224 | 2017-07-07 |
| 1306214655 | Ruchi P Gandhi | Optometrist | 646 8th Street, Griffin, GA 30224 | 2015-09-03 |
| 1528473881 | Nnenna Ezeilo | Otolaryngology | 619 S 8th St Ste 304, Griffin, GA 30224 | 2014-06-25 |
| 1437436094 | C. B. Reddy Md PC | Preferred Provider Organization | 610 S 8th Street, Suite F, Griffin, GA 30224 | 2011-11-10 |
| Find all providers in zip 30224 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699191452 | Genesis Eldercare Physician Services LLC | Internal Medicine | 415 Airport Rd, Griffin, GA 30224-4834 | 2014-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710545553 | Palcare Health LLC | Internal Medicine | 1315 Merry Ln Ne, Atlanta, GA 30329-3903 | 2019-06-05 |
| 1518334200 | Miguel E Stubbs M D P C | Internal Medicine | 230 Beaver Falls Pl Sw, Atlanta, GA 30331-8326 | 2015-08-28 |
| 1497155469 | Golden Geriatrics LLC | Internal Medicine | 632 Vinings Estates Dr Se, Mableton, GA 30126-5991 | 2014-08-27 |
| 1821361577 | Senior Care Office, LLC | Internal Medicine | 2020 Beverly Road, Gainesville, GA 30501-2037 | 2012-02-10 |
| 1609162965 | Linduc PC | Internal Medicine | 2680 Lawrenceville Hwy Ste 202, Decatur, GA 30033-2526 | 2011-06-24 |
| 1447574918 | David L. Anders, M.d., P.C. | Internal Medicine | 101 Mcwilliams Dr, Peachtree City, GA 30269-6948 | 2010-03-26 |
| 1639319502 | New Snellville Clinic | Internal Medicine | 2331 Henry Clower Blvd, Suite A, Snellville, GA 30078-3155 | 2009-03-04 |
| 1952557977 | Diego Hernando Remolina | Internal Medicine | 49 Jesse Hill Jr Dr Se Rm 471, Atlanta, GA 30303 | 2008-08-11 |
| 1912165192 | Aristotle Cochon | Internal Medicine | 955 Lynn Dr, Waycross, GA 31503-8590 | 2008-05-25 |
| 1972792265 | Perimeter Medical Associates,p.c. | Internal Medicine | 3775 N. Druid Hills Rd, Decatur, GA 30033 | 2007-10-23 |
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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.