DR. COURTNEY NICOLE GLEASON (NPI# 1154585438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154585438 |
| Entity Type | Individual |
| Full Name | DR. COURTNEY NICOLE GLEASON |
| Credential | M.D. |
| Practice Address |
1968 Hawks Ln Ne Ste 200 Atlanta GA 30329-2283 |
| Practice Telephone | (404) 778-4398 |
| Practice Fax Number | 4047787170 |
| Mailing Telephone | 4047784398 |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2020-01-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | TRN13066 | FL | Allopathic & Osteopathic Physicians |
| Y | 2080S0010X |
Pediatrics Specialization: Sports Medicine |
74734 | GA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 59 Executive Park S, Atlanta, GA 303292208 | 4047784398 | |
| 100 Butler Dr, Providence, RI 029064862 | 4014572188 | 4014572187 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831671890 | Courtney Lynn Gleason | Speech-Language Pathologist | 520 Gary Dr, Bolingbrook, IL 60440-2400 | 2018-09-05 |
| 1659981827 | Courtney Rose Gleason | Nurse Practitioner | 815 Eastern Blvd, Essex, MD 21221-3535 | 2020-08-03 |
| Street Address |
1968 HAWKS LN NE STE 200 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30329-2283 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871084111 | Inner Peace Counseling Services,llc | Counselor | 2801 Bufford Highway, Suite T-10, Atlanta, GA 30329 | 2018-05-22 |
| 1912409392 | Joie De Vivre Counseling and Therapy | Counselor | 2801 Buford Highway, Ne, Atlanta, GA 30329 | 2018-03-01 |
| 1902329105 | Barbara Dunbar | Psychologist | 1777 Northeast Expressway, #175, Atlanta, GA 30329 | 2017-07-19 |
| 1114449048 | Cricket Cheyenne Gullickson | Student in an Organized Health Care Education/Training Program | 1371 Briarvista Way Ne, Atlanta, GA 30329 | 2017-07-12 |
| 1902357866 | Carla Zimmerly | Nurse Practitioner | 1711 Tullie Circle, Atlanta, GA 30329 | 2016-10-17 |
| 1316490808 | Shahzad Ghori | Student in an Organized Health Care Education/Training Program | 1727 Druid Oaks Ne, Atlanta, GA 30329 | 2016-08-01 |
| 1023467768 | Ashley Elliott | Physician Assistant | 59 Executive Park, Atlanta, GA 30329 | 2016-06-03 |
| 1285096115 | Kimberley Fox | Internal Medicine | 1600 Clifton Rd Ne, Ms A-04, Cdc, Atlanta, GA 30329 | 2016-03-21 |
| 1275991648 | Mary Patricia Joyce | Internal Medicine | 1600 Clifton Road, E-47, Centers for Disease Control and Prevention, Atlanta, GA 30329 | 2016-02-01 |
| 1346656618 | Amelia Muniz Hernandez | Pediatrics | 1841 Clifton Rd Ne # 508, Atlanta, GA 30329 | 2014-07-08 |
| Find all providers in zip 30329 | ||||
| Taxonomy Code | 2080S0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Sports Medicine |
| A pediatrician who is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225457518 | Ashley Brouillette | Pediatrics | 5445 Meridian Marks Rd Ste 250, Atlanta, GA 30342 | 2014-04-15 |
| 1942527932 | Steven Perry Schulenborg | Pediatrics | 6 Executive Park Dr Ne, Suite 10, Atlanta, GA 30329-2221 | 2010-04-29 |
| 1386837896 | Jerry Stephen Kroll | Pediatrics | 5445 Meridian Marks Rd Ne, Suite 250, Atlanta, GA 30342-4763 | 2007-08-20 |
| 1023039807 | Jeffrey W. Webb | Pediatrics | 59 Executive Park S, Atlanta, GA 30329-2208 | 2006-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639781768 | Ally Nicole Herrington | Pediatrics | 1275 Stanley Rd Nw, Kennesaw, GA 30152-4359 | 2020-08-19 |
| 1962845099 | Armand Monsour Scurfield | Pediatrics | 175 White St Nw Ste 200, Marietta, GA 30060-7901 | 2013-04-08 |
| 1245278159 | Diane Z Weems | Pediatrics | 1395 Eisenhower Dr, Savannah, GA 31406-3901 | 2006-06-03 |
| 1528040458 | William Angelo Primos Jr. | Pediatrics | 108 Prominence Ct Ste 200, Dawsonville, GA 30534-6340 | 2005-11-16 |
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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.