HOPE MEDICAL GROUP INC (NPI# 1154399210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154399210 |
| Entity Type | Organization |
| Organization Name | HOPE MEDICAL GROUP INC |
| Other Organization Name | HOPE MEDICAL GROUP, P.C. |
| Practice Address |
5300 Memorial Dr Suite 112 Stone Mountain GA 30083-3148 |
| Practice Telephone | 6787040306 |
| Practice Fax Number | 6787040706 |
| Mailing Telephone | 6787040306 |
| Mailing Fax Number | 6787040706 |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | SAMUEL JOHNSON (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 6787040306 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 208D00000X | General Practice | 037841 | GA | Allopathic & Osteopathic Physicians |
| X | 207Q00000X | Family Medicine | 047542 | GA | Allopathic & Osteopathic Physicians |
| X | 207V00000X | Obstetrics & Gynecology | 015563 | GA | Allopathic & Osteopathic Physicians |
| X | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
056406 | GA | Allopathic & Osteopathic Physicians |
| X | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
056406 | GA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| HOPE MEDICAL GROUP, P.C. | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003038001 | Hope Medical Group Inc | Family Medicine | 17814 Woodruff Avenue, Suite 1 and 2, Bellflower, CA 90706-7029 | 2007-05-02 |
| Street Address |
5300 MEMORIAL DR SUITE 112 |
| City | STONE MOUNTAIN |
| State | GA |
| Zip Code | 30083-3148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144769902 | Verbal Expressions,inc. | Speech-Language Pathologist | 5300 Memorial Dr, Stone Mountain, GA 30083-3148 | 2017-02-13 |
| 1114394749 | The Counseling Healing Center, LLC | Community/Behavioral Health | 5300 Memorial Dr, Suite 141, Stone Mountain, GA 30083-3148 | 2015-08-31 |
| 1578956314 | Total 'u' Counseling & Wellness Services | Exclusive Provider Organization | 5300 Memorial Dr, 201-i, Stone Mountain, GA 30083-3148 | 2015-03-17 |
| 1124425483 | Hope Medical, LLC | Family Medicine | 5300 Memorial Dr, Suite 110-112, Stone Mountain, GA 30083-3148 | 2014-12-02 |
| 1104245034 | Pure Angels Home Care Services | In Home Supportive Care | 5300 Memorial Dr, Suite 134, Stone Mountain, GA 30083-3148 | 2014-04-08 |
| 1295163319 | The Miracle of Massage, Inc. | Massage Therapist | 5300 Memorial Dr, Suite 138, Stone Mountain, GA 30083-3148 | 2013-10-29 |
| 1831539857 | Love Living Life Today, LLC | Counselor | 5300 Memorial Dr, Suite #115, Stone Mountain, GA 30083-3148 | 2013-07-05 |
| 1134460850 | Visions of Hope Counseling | Case Management | 5300 Memorial Dr, Stone Mountain, GA 30083-3148 | 2013-03-05 |
| 1730428236 | Avis Clemons | Counselor | 5300 Memorial Dr, Suite 224a, Stone Mountain, GA 30083-3148 | 2013-02-05 |
| 1639435829 | Restoring Hope Counseling Services, LLC | Community/Behavioral Health | 5300 Memorial Dr, Suite 208b, Stone Mountain, GA 30083-3148 | 2012-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558830919 | Patriot Healthcare of Georgia, LLC | Family Medicine | 833 Hairston Road, Stone Mountain, GA 30083 | 2018-11-15 |
| 1710403431 | Trans Med Ems,llc | Ambulance | 4683 Redan Rd, Stone Mountain, GA 30083 | 2017-08-15 |
| 1447770482 | Dispatched Angels Home Care | In Home Supportive Care | 619 El Prado Court, Stone Mountain, GA 30083 | 2017-06-21 |
| 1396191086 | Suzanne Carter | Chore Provider | 1036 Allgood Rd, Stone Mountain, GA 30083 | 2016-05-11 |
| 1437520087 | Meaza Dada | Pharmacist | 1043 Thornwoode Lane, Stone Mountain, GA 30083 | 2015-10-08 |
| 1427436500 | Raeanne Elizabeth Gialanella | Occupational Therapist | 5839 Memorial Drive, Stone Mountain, GA 30083 | 2015-05-11 |
| 1265829824 | Latore Williams | Licensed Practical Nurse | 5300 Ridge Forest Drive, Stone Mountain, GA 30083 | 2015-04-22 |
| 1144625922 | Granville Theodore Freeman IIi | Counselor | 5000 Brittany Drive, Stone Mountain, GA 30083 | 2014-10-23 |
| 1588974208 | Terri R Collins | Counselor | 1020 Strap Hinge Trail, Stone Mountain, GA 30083 | 2010-10-15 |
| 1104064815 | Vistas Medical Center,pc | Clinic/Center | 5329 Memorial Dr Ste A, Stone Mountain, GEORGIA 30083 | 2009-02-03 |
| Find all providers in zip 30083 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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|---|---|---|---|---|
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| 1790027688 | Robert Fanning Eaves Jr. | General Practice | 5394 Leatherstocking Lane, Stone Mountain, GA 30087 | 2013-03-19 |
| 1679785919 | William Walter Noyd | General Practice | 1755 E Park Place Blvd, Stone Mountain, GA 30087-3459 | 2007-05-07 |
| 1497955678 | Mountain Park Primary Care Center | General Practice | 1755 E Park Place Blvd, Stone Mountain, GA 30087-3459 | 2007-07-24 |
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| 1770121030 | New Life Medical Centers Georgia LLC | General Practice | 3550 Lenox Rd Ne Ste 2100, Atlanta, GA 30326-1810 | 2019-12-18 |
| 1659919066 | Ivydale Wellness Center | General Practice | 361 Resource Pkwy, Winder, GA 30680-8364 | 2019-12-16 |
| Find all providers with the same taxonomy | ||||
| City | STONE MOUNTAIN |
| Zip Code | 30083 |
Please comment or provide details below to improve the information on HOPE MEDICAL GROUP INC.
| 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.