AVC ATLANTA (NPI# 1164631099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164631099 |
| Entity Type | Organization |
| Organization Name | AVC ATLANTA |
| Other Organization Name | THE ATLANTA VISION CLINIC |
| Practice Address |
5445 Meridian Marks Rd Ne Suite 370 Atlanta GA 30342-4763 |
| Practice Telephone | 7068643074 |
| Practice Fax Number | 7068643075 |
| Mailing Telephone | 7068643074 |
| Mailing Fax Number | 7068643075 |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. JANICE ZINK (BILLER) |
| Authorized Official Telephone | 6098959700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| The Atlanta Vision Clinic | Other Name - Individual/Organization |
| Street Address |
5445 MERIDIAN MARKS RD NE SUITE 370 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30342-4763 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528053816 | Kathryn Horton Jackson | Pharmacist | 5445 Meridian Marks Rd Ne, Suite 190, Atlanta, GA 30342-4763 | 2005-09-13 |
| 1265772776 | Keri Liles | Physician Assistant | 5445 Meridian Marks Rd Ne, Suite 250, Atlanta, GA 30342-4763 | 2013-02-20 |
| 1225375652 | Brain Stimullation Clinic, LLC | Health Maintenance Organization | 5445 Meridian Marks Rd Ne, Suite 370, Atlanta, GA 30342-4763 | 2013-01-04 |
| 1487926440 | Kirsten Halle Warnock | Nurse Practitioner | 5445 Meridian Marks Rd Ne, Suite 250, Atlanta, GA 30342-4763 | 2012-02-06 |
| 1073881777 | Veronica Hill | Nurse Practitioner | 5445 Meridian Marks Rd Ne, Suite 250, Atlanta, GA 30342-4763 | 2011-12-08 |
| 1851607220 | Ashley S Reid | Registered Nurse | 5445 Meridian Marks Rd Ne, Suite 350, Atlanta, GA 30342-4763 | 2010-08-24 |
| 1659682789 | Melanie L. Turco | Nurse Practitioner | 5445 Meridian Marks Rd Ne, Ste 430, Atlanta, GA 30342-4763 | 2010-06-23 |
| 1689818312 | Piedmont Ear Nose & Throat Associates | Otolaryngology | 5445 Meridian Marks Rd Ne, Suite 125, Atlanta, GA 30342-4763 | 2009-04-24 |
| 1437319134 | Pediatric Eye Consultants of Atlanta, LLC | Ophthalmology | 5445 Meridian Marks Rd Ne, Suite 220, Atlanta, GA 30342-4763 | 2008-06-16 |
| 1689840852 | Childrens Care Pediatrics, PC | Pediatrics | 5445 Meridian Marks Rd Ne, Suite380, Atlanta, GA 30342-4763 | 2008-05-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820614 | Nia Charnice Griffin | Nurse Practitioner | 5670 Peachtree Dunwoodyroad, Suite 900, Atlanta, GA 30342 | 2020-10-26 |
| 1255945184 | Jennifer Lynne Cole | Behavior Technician | 5555 Glenridge Con Suite 200, Atlanta, GA 30342 | 2020-09-08 |
| 1093336232 | Van Tran | Respiratory Therapist, Registered | 1000 Johnson Ferry Rd Ne, Atlanta, Ga 30342, Atlanta, GA 30342 | 2020-04-28 |
| 1356978340 | Twyla Douglas Jackson I | Clinical Nutrition, 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 | 2020-03-27 | |
| 1760013411 | Emily Hamm | Dietitian, Registered | 933 D Johnson Ferry Road, Suite 250, Atlanta, GA 30342 | 2020-01-31 |
| 1043855984 | Mackenzie Tucker Wayda | Registered Nurse | 1001 Johnson Ferry Rd. Ne, Atlanta, GA 30342 | 2019-11-14 |
| 1386288454 | Tiauna Lashun Cochman | Psychologist | 1307 Glenridge Dr, Sandy Springs, GA 30342 | 2019-11-01 |
| 1164074399 | Stephen J. White | Hearing Instrument Specialist | 5775 Peachtree Dunwoody Rd Suite 600 Fl. 6, Uhc Hearing, Atl., GA 30342 | 2019-07-09 |
| 1144788142 | Jaytyn LLC | Internal Medicine | 4600 Broswell Road, Atlanta, GA 30342 | 2019-03-08 |
| 1760954705 | Mishele Walker LLC | Counselor | 555 Glenridge Connector, Suite 200, Sandy Springs, GA 30342 | 2018-12-31 |
| Find all providers in zip 30342 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972151462 | Rahul Assa Sharma | Ophthalmology | Emory Eye Center 1365 Clifton Rd B, Atlanta, GA 30322-0001 | 2019-08-28 |
| 1821589441 | Thomas Eye Group PC | Ophthalmology | 1110 W Peachtree St Nw Ste 860, Atlanta, GA 30309-3609 | 2018-05-21 |
| 1609363878 | Patricia Anne Bentley | Ophthalmology | 4712 Polo Ln Se, Atlanta, GA 30339-5328 | 2018-04-13 |
| 1437544061 | Leonid Zlotcavitch | Ophthalmology | 800 Mount Vernon Hwy Ne Ste 125, Atlanta, GA 30328-4294 | 2015-03-31 |
| 1497147680 | Joseph Lewis Licht | Ophthalmology | 1365 Clifton Rd Ne Ste B, Atlanta, GA 30322-4701 | 2015-02-24 |
| 1558781955 | Joshua Jerrett Busscher | Ophthalmology | 1365 Clifton Rd Ne Ste 4400, Atlanta, GA 30322 | 2014-04-24 |
| 1952739153 | Joseph Citron | Ophthalmology | 1351 Paces Forest Dr Nw, Atlanta, GA 30327-2235 | 2013-10-24 |
| 1104168400 | Bruce Harlan Becker | Ophthalmology | 5365 N Powers Ferry Rd Nw, Atlanta, GA 30327-4627 | 2013-03-25 |
| 1902169345 | Southeast Eye Professionals LLC | Ophthalmology | 800 Mt Vernon Hwy Ne, Suite 120, Atlanta, GA 30328 | 2012-06-20 |
| 1003181231 | William Martin | Ophthalmology | 8 Mooregate Sq Nw, Atlanta, GA 30327-1539 | 2012-03-21 |
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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.