STEPHANIE C MERRITT (NPI# 1164497665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164497665 |
| Entity Type | Individual |
| Full Name | STEPHANIE C MERRITT |
| Credential | DPM |
| Practice Address |
1400 Northside Forsyth Dr Suite 220 Cumming GA 30041-7668 |
| Mailing Address |
300 Village Green Cir Se Suite 200 Smyrna GA 30080-3476 |
| Practice Telephone | 6782080700 |
| Practice Fax Number | 6782080705 |
| Mailing Telephone | 7703840284 |
| Mailing Fax Number | 7704327638 |
| Enumeration Date | 2006-02-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | POD000856 | GA | Podiatric Medicine & Surgery Service Providers |
| Street Address |
1400 NORTHSIDE FORSYTH DR SUITE 220 |
| City | CUMMING |
| State | GA |
| Zip Code | 30041-7668 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639178486 | Joel A. Hoffman | Specialist | 1400 Northside Forsyth Dr, Suite 240, Cumming, GA 30041-7668 | 2005-07-14 |
| 1144832585 | Linda Lilian Adhiambo | Nurse Practitioner | 1400 Northside Forsyth Dr, Cumming, GA 30041-7668 | 2020-08-18 |
| 1821632605 | Charley Whitmire | Nurse Practitioner | 1400 Northside Forsyth Dr, Cumming, GA 30041-7668 | 2019-11-04 |
| 1437601549 | Deborah A Martin, Md, Facs | Surgery | 1400 Northside Forsyth Dr, Suite 340, Cumming, GA 30041-7668 | 2016-10-25 |
| 1528422649 | Amanda Yassin | Pharmacist | 1400 Northside Forsyth Dr, Cumming, GA 30041-7668 | 2016-04-06 |
| 1255733812 | Kimberly Neadow | Nurse Practitioner | 1400 Northside Forsyth Dr, Ste 310, Cumming, GA 30041-7668 | 2014-09-25 |
| 1962843557 | Monica Patterson | Audiologist | 1400 Northside Forsyth Dr, Suite 240, Cumming, GA 30041-7668 | 2013-07-11 |
| 1225477300 | Mandi Charles | Registered Nurse | 1400 Northside Forsyth Dr, Suite 390, Cumming, GA 30041-7668 | 2013-06-21 |
| 1306107982 | Ebony L Sims | Pharmacist | 1400 Northside Forsyth Dr, Cumming, GA 30041-7668 | 2012-05-31 |
| 1538428834 | C Colleen Benson | Audiologist | 1400 Northside Forsyth Dr, Ste 240, Cumming, GA 30041-7668 | 2012-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962036905 | Annie Kyungjin Han | Nurse Practitioner | 1505 Northside Forsyth Drive, Suite 2500, Cumming, GA 30041 | 2020-02-28 |
| 1295388197 | Pamela Edler | Pharmacist | 1200 Northside Forsyth Drive, Pharmacy Department, Cumming, GA 30041 | 2019-07-19 |
| 1720557127 | Dr. Tiffany Lamonde LLC | Physical Therapist | 1445 Haw Creek Circle, Suite 503, Cumming, GA 30041 | 2018-11-15 |
| 1487140893 | Bhbd LLC | Chiropractor | 425 Peachtree Parkway, Suite 315, Cumming, GA 30041 | 2018-07-09 |
| 1891219861 | Anna Gawrys | Pharmacist | 1525 Marketplace Blvd, Cumming, GA 30041 | 2017-08-01 |
| 1679029219 | Square One Dental LLC | Clinic/Center | 3510 Rowe Lane, Cumming, GA 30041 | 2016-09-01 |
| 1720441454 | Pavilion Psychological Services LLC | Psychologist | 1445 Haw Creek Corners Circle East, Suite 501, Cumming, GA 30041 | 2016-03-31 |
| 1346606506 | American Health Imaging of Ga, LLC | Clinic/Center | 1050 Haw Creek Pkwy, Suite 100, Cumming, GA 30041 | 2016-01-04 |
| 1013311307 | Stephen Hartle | Physician Assistant | 2576 Peachtree Pkwy, Suite 100, Cumming, GA 30041 | 2014-10-15 |
| 1063828408 | Stephanie Evans Wellborn | Physician Assistant | 1800 Northside Forsyth Dr Ste 450, Cumming, GA 30041 | 2014-07-07 |
| Find all providers in zip 30041 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942354485 | Keith A Miller | Podiatrist | 416 Pirkle Ferry Rd Ste J500, Cumming, GA 30040-9221 | 2007-01-22 |
| 1356442537 | Village Podiatry Group, LLC. | Podiatrist | 1505 Northside Blvd., Suite 2600, Cumming, GA 30041-6012 | 2006-09-26 |
| 1588620009 | Michael C. Mcglamry | Podiatrist | 102 Mary Alice Park Drive, Suite 502, Cumming, GA 30040-2697 | 2006-04-24 |
| 1801859053 | Mark M Snyder | Podiatrist | 960 Sanders Rd., Ste. 100, Cumming, GA 30041-5962 | 2006-04-10 |
| 1639427487 | Village Podiatry Group, LLC. | Podiatrist | 960 Sanders Rd, Ste. 100, Cumming, GA 30041-5962 | 2012-08-28 |
| 1851609069 | Village Podiatry Group, LLC | Podiatrist | 960 Sanders Rd, Ste.100, Cumming, GA 30041-5962 | 2010-09-22 |
| 1366637399 | Foot and Ankle Wellness Center | Podiatrist | 416 Pirkle Ferry Rd Ste J500, Cumming, GA 30040-9221 | 2007-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427696392 | Trent Lott | Podiatrist | 3045 Brook Dr, Decatur, GA 30033-3937 | 2019-12-11 |
| 1700440401 | Pamela Onderko Dpm LLC | Podiatrist | 5223 Riverside Dr Ste 104, Macon, GA 31210-0889 | 2019-04-28 |
| 1073070579 | Foot and Ankle Reconstruction of North Georgia P.c | Podiatrist | 970 Woodstock Pkwy Ste 200, Woodstock, GA 30188-4869 | 2019-02-21 |
| 1801352190 | Zachary Adam Rohr | Podiatrist | 2314 Emerald Springs Dr, Decatur, GA 30035-2632 | 2019-02-12 |
| 1649741604 | Neville A Alexander Dpm PC | Podiatrist | 535 Aston Hall Way, Alpharetta, GA 30022-6634 | 2018-12-16 |
| 1902371073 | Atlanta Sports Podiatry | Podiatrist | 9700 Medlock Bridge Rd Ste 126, Johns Creek, GA 30097-4408 | 2018-10-04 |
| 1275012254 | Christopher Anthony Martin | Podiatrist | 1075 Lafayette Pkwy Ste 200, Lagrange, GA 30241-3733 | 2018-08-09 |
| 1306323738 | Stride Foot & Ankle Center, LLC | Podiatrist | 4950 Gladstone Pkwy, Suwanee, GA 30024-6945 | 2018-07-28 |
| 1235642026 | Thomas Foot and Ankle Clinic LLC | Podiatrist | 410 Connell Rd Ste E, Valdosta, GA 31602-1898 | 2017-11-15 |
| 1013420413 | Erika Allison | Podiatrist | 3636 Highlands Pkwy Se, Smyrna, GA 30082-5184 | 2017-11-08 |
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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.