MBS CONNECTION LLC (NPI# 1154586667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154586667 |
Entity Type | Organization |
Organization Name | MBS CONNECTION LLC |
Practice Address |
3400 Mcclure Bridge Rd Bldg F, Ste A Duluth GA 30096-6675 |
Mailing Address |
Po Box 956901 Duluth GA 30095-9516 |
Practice Telephone | 6783716463 |
Enumeration Date | 2008-07-24 |
Last Update Date | 2009-09-27 |
Authorized Official Name | TIFFANY H TAFT (OWNER) |
Authorized Official Telephone | 6783716463 |
Authorized Official Credential | LMT |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
MT000400 | GA | Ambulatory Health Care Facilities |
Street Address |
3400 MCCLURE BRIDGE RD BLDG F, STE A |
City | DULUTH |
State | GA |
Zip Code | 30096-6675 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912903485 | Philip R Kennedy | Psychiatry & Neurology | 3400 Mcclure Bridge Rd, Suite D401, Duluth, GA 30096-6675 | 2005-06-21 |
1063860740 | Alpha Recovery Group Inc | Health Maintenance Organization | 3400 Mcclure Bridge Rd, Building C, Suit A&b, Duluth, GA 30096-6675 | 2016-06-02 |
1679960884 | Allys Sernior Services, Inc. | Health Maintenance Organization | 3400 Mcclure Bridge Rd, Building C-301, Duluth, GA 30096-6675 | 2015-04-26 |
1972889491 | Hand To Shoulder Therapy Specialists of Duluth | Occupational Therapist | 3400 Mcclure Bridge Rd, F601, Duluth, GA 30096-6675 | 2011-10-28 |
1164614608 | Community Neurological Clinic | Specialist | 3400 Mcclure Bridge Rd, Suite D401, Duluth, GA 30096-6675 | 2007-08-17 |
1285793372 | Glen C Mcintosh | Dentist | 3400 Mcclure Bridge Rd, Building G, Suite B, Duluth, GA 30096-6675 | 2006-12-06 |
1871688317 | James Clinton Cronan Jr. | Plastic Surgery | 3400 Mcclure Bridge Rd, Building B201, Duluth, GA 30096-6675 | 2006-10-03 |
1902818032 | Michelle Morante | Physician Assistant | 3400 Mcclure Bridge Rd, Building B, Duluth, GA 30096-6675 | 2006-08-13 |
1578574455 | Choice Chiropractic and Wellness, Inc. | Chiropractor | 3400 Mcclure Bridge Rd, Building B, Suite C, Duluth, GA 30096-6675 | 2006-08-10 |
1417977885 | Surgical Assistants of America, Inc. | Physician Assistant | 3400 Mcclure Bridge Rd, Building B201, Duluth, GA 30096-6675 | 2006-07-20 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922615897 | Georgia Eye Optical, LLC | Ophthalmology | 3800 Pleasant Hill Rd Ste 3, Duluth, GA 30096 | 2020-09-25 |
1568090868 | Positive Behavior Services, Inc | Behavior Technician | 3765 Crestwood Pkwy Nw, Duluth, GA 30096 | 2020-03-31 |
1861031940 | Elizabeth Ashley Edouard | Counselor | 3464 Duluth Hwy 120, Duluth, GA 30096 | 2020-01-06 |
1245701044 | Kathryn Irene Vaughn | Social Worker | 3968 Mainsail Court, Duluth, GA 30096 | 2018-12-06 |
1083184626 | Aica Orthopedics, P.C. | Orthopaedic Surgery | 3775 Venture Drive Bldg F, Duluth, GA 30096 | 2018-11-27 |
1245709799 | Positive Impact Health Centers, Inc. | Pharmacy | 3350 Breckinridge Blvd, Suite 200a, Duluth, GA 30096 | 2018-11-14 |
1235611724 | Katherine Winstead Knott | Counselor | 3460 Summit Ridge Parkway, Suite 503, Duluth, GA 30096 | 2018-08-31 |
1710467857 | Envision Optics LLC | Optometrist | 1943 Pleasant Hill Rd, Duluth, GA 30096 | 2018-08-17 |
1104314202 | Erin Mckernan Scupham | Chiropractor | 3820 Pleasant Hill Rd. Ne, Suite 4, Duluth, GA 30096 | 2018-04-25 |
1053839456 | Rogers Bridge Pediatric Therapy, LLC | Clinic/Center | 2845 Summercrest Ln, Duluth, GA 30096 | 2017-09-06 |
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Taxonomy Code | 261QH0100X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Health Service |
Definition to come... |
Notes: [7/1/2006: modified title] |
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1871767129 | Kims Eyeland Optical, Inc. | Clinic/Center | 3751 Satellite Blvd, Suite 200, Duluth, GA 30096-8840 | 2008-04-17 |
1386824357 | Arrowhead Juvenile | Clinic/Center | 1918 N Arlington Ave, Duluth, MN 55811-2034 | 2007-11-07 |
1609204379 | Sears Holding | Clinic/Center | 215 N Central Ave, Duluth, MN 55807-2402 | 2013-10-16 |
1164608089 | Circle of Life Chiropractic | Clinic/Center | 31 W Superior St, Suite 501, Duluth, MN 55802-2063 | 2008-01-10 |
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1992321301 | Hope Harbor Wellness LLC | Clinic/Center | 126 Enterprise Path Ste 208, Hiram, GA 30141-2654 | 2020-06-22 |
1447875307 | Georgia Palliative Services, LLC | Clinic/Center | 3660 Cedarcrest Rd Ste 120, Acworth, GA 30101-8928 | 2020-06-16 |
1548884000 | 2 Wolves Inc | Clinic/Center | 783 S Main St Ste 5, Cleveland, GA 30528-4519 | 2020-06-01 |
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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.