MARIA DE FREITAS


Address: 805 Sandy Plains Rd, Wellstar Medical Group, Marietta, GA 30066-6340
Phone: 7707925211

MARIA DE FREITAS (NPI# 1164796009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164796009
Entity Type Individual
Full Name MARIA DE FREITAS
Credential PA-C
Practice Address 805 Sandy Plains Rd
Wellstar Medical Group
Marietta
GA 30066-6340
Mailing Address 2471 Shoreline Pkwy
Villa Rica
GA 30180-3486
Practice Telephone 7707925211
Mailing Telephone 7704565477
Enumeration Date 2012-02-23
Last Update Date 2012-02-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 004588 GA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 805 SANDY PLAINS RD
WELLSTAR MEDICAL GROUP
City MARIETTA
State GA
Zip Code 30066-6340

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417935701 Wellstar Homecare Billing, LLC Pharmacy 805 Sandy Plains Rd, Marietta, GA 30066-6340 2006-01-06
1275992240 Wellstar Medical Group, LLC Clinic/Center 805 Sandy Plains Rd, Marietta, GA 30066-6340 2016-02-18
1457743304 Seibattu Kallon Nurse Practitioner 805 Sandy Plains Rd, Marietta, GA 30066-6340 2015-03-02
1518139195 Wellstar Professional Services, LLC Internal Medicine 805 Sandy Plains Rd, Wpg-cbo, Marietta, GA 30066-6340 2008-03-24
1043405905 Sherlyne Sidney Physical Therapist 805 Sandy Plains Rd, Marietta, GA 30066-6340 2007-09-12
1447442314 Donald H Campbell Surgery 805 Sandy Plains Rd, Marietta, GA 30066-6340 2007-08-15
1437219656 Wellstar Health System, Inc. Point of Service 805 Sandy Plains Rd, Marietta, GA 30066-6340 2006-12-11
1750489720 Richard Hart Internal Medicine 805 Sandy Plains Rd, Marietta, GA 30066-6340 2006-09-21
1215035548 Marcia Lee Delk Internal Medicine 805 Sandy Plains Rd, Marietta, GA 30066-6340 2006-09-20
1073591376 Wellstar Home Health, LLC Home Health 805 Sandy Plains Rd, Marietta, GA 30066-6340 2006-01-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598253684 Comfort Community Center, LLC Skilled Nursing Facility 2440 Sandy Plains Road, Blvd 21, Suite 100, Marietta, GA 30066 2018-04-25
1538681994 Passionate Care In Home Supportive Care 1110 Renfro Ln., Marietta, GA 30066 2017-07-07
1437510443 Steven Caras Internal Medicine 2682 Bonaire Terrace, Marietta, GA 30066 2016-03-18
1275918781 Latifat Bolajoko Asemota Nurse Practitioner 410 Nottingham Dr, Marietta, GA 30066 2015-07-26
1497094205 Changing Phases Behavioral Support, Inc Internal Medicine 3655 Canton Rd Ste 201, Marietta, GA 30066 2013-02-14
1659618916 Alison Nicole Sims Occupational Therapist 2465 Canopy Drive, Marietta, GA 30066 2013-01-07
1790044907 Antoine Jose Davenport Massage Therapist 4686 Jamerson Creek Dr, Marietta, GA 30066 2012-05-08
1174898548 Angel Elizabeth Nofziger Nurse Practitioner 3750 Palladian Village Dr Ste 300, Marietta, GA 30066 2012-03-18
1912298019 Nancy Jean Slack Pharmacist 2833 Canton Road, Marietta, GA 30066 2011-04-22
1336456078 Mario B Miller Sr. Chiropractor 50 Barrett Parkway, Suite 3005#126, Marietta, GA 30066 2010-09-01
Find all providers in zip 30066

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053928721 Lynn Xinhui Guan Physician Assistant 1121 Johnson Ferry Rd Ste 420, Marietta, GA 30068-5420 2020-09-28
1902416035 Courtney Taylor Warfel Physician Assistant 4561 Trickum Rd Ne, Marietta, GA 30066-1364 2020-08-04
1750914867 Julea Grace Radford Physician Assistant 2421 Shiloh Dr Sw, Marietta, GA 30064-4257 2020-02-17
1447880984 Madison Alice Dooley Physician Assistant 3084 Moss Stone Ln, Marietta, GA 30064-6415 2020-01-23
1538704820 Spencer David Wenzel Physician Assistant 919 Rosedale Dr, Marietta, GA 30066-5431 2019-11-11
1578044046 Michelle Han Physician Assistant 2520 Windy Hill Rd Se Ste 301, Marietta, GA 30067-8695 2018-08-23
1932624434 David Johann Hoover Physician Assistant 400 Matthew St Ste 208, Marietta, OH 45750-1656 2017-08-07
1174059877 Thomas Ryan Cooke Physician Assistant 2169 Freydale Rd Se, Marietta, GA 30067-7070 2017-05-02
1790168284 Alissa R. Mcgee Physician Assistant 790 Church Street, Suite 335, Marietta, GA 30060-7282 2015-07-02
1063832749 Patricia Chu Mulder Physician Assistant 2639 Morgan Lake Dr Ne, Marietta, GA 30066-5611 2014-04-22
Find all providers in MARIETTA

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City MARIETTA
Zip Code 30066

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Dataset Information

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.

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