ELIZABETH JEAN REARDON (NPI# 1174765853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174765853 |
| Entity Type | Individual |
| Full Name | ELIZABETH JEAN REARDON |
| Credential | N.P. |
| Practice Address |
4480 N Cooper Lake Rd Se Suite 201 Smyrna GA 30082-4622 |
| Practice Telephone | 7703332035 |
| Practice Fax Number | 7703332059 |
| Mailing Telephone | 7703332035 |
| Mailing Fax Number | 7703332059 |
| Enumeration Date | 2009-03-27 |
| Last Update Date | 2014-03-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN077989 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922567429 | Elizabeth Reardon | Developmental Therapist | 30 Old Lyman Rd, South Hadley, MA 01075-2630 | 2019-03-14 |
| 1396149548 | Elizabeth Reardon | Behavioral Analyst | 231 Se Barrington Dr Ste 203, Oak Harbor, WA 98277-3200 | 2014-10-17 |
| 1144377524 | Elizabeth Zarcone Reardon | Dietitian, Registered | 1500 Sw 1st Ave, Munroe Regional Medical Center, Ocala, FL 34474-4004 | 2007-01-05 |
| Street Address |
4480 N COOPER LAKE RD SE SUITE 201 |
| City | SMYRNA |
| State | GA |
| Zip Code | 30082-4622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205823184 | Michael D Simpson | Internal Medicine | 4480 N Cooper Lake Rd Se, Smyrna, GA 30082-4622 | 2005-10-05 |
| 1669767364 | Wellstar Medical Group, LLC | Clinic/Center | 4480 N Cooper Lake Rd Se, Suite 100, Smyrna, GA 30082-4622 | 2011-06-10 |
| 1023301033 | Wellstar Medical Group, LLC | Internal Medicine | 4480 N Cooper Lake Rd Se, Suite 201, Smyrna, GA 30082-4622 | 2011-05-24 |
| 1538467303 | Wellstar Medical Group, LLC | Allergy & Immunology | 4480 N Cooper Lake Rd Se, Ste. 101, Smyrna, GA 30082-4622 | 2011-03-03 |
| 1780985739 | Nanette Cook Md Ob-gyn PC | Clinic/Center | 4480 N Cooper Lake Rd Se, Suite 220, Smyrna, GA 30082-4622 | 2010-11-08 |
| 1528386349 | Wellstar Rheumatology, LLC | Internal Medicine | 4480 N Cooper Lake Rd Se, Suite 201, Smyrna, GA 30082-4622 | 2010-05-05 |
| 1205987815 | Spencer Alexander Patrick | Dentist | 4480 N Cooper Lake Rd Se, Suite 210, Smyrna, GA 30082-4621 | 2007-01-12 |
| 1295832004 | James K Smith | Internal Medicine | 4480 N Cooper Lake Rd Se, Smyrna, GA 30082 | 2006-09-20 |
| 1841245719 | Surabhi Arjunan | Internal Medicine | 4480 N Cooper Lake Rd Se, Suite 201, Smyrna, GA 30082-4622 | 2006-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528600335 | Arden Constance Mobley | Occupational Therapist | 3200 Highlands Parkway Suite 150, Smyrna, GA 30082 | 2019-10-14 |
| 1386185916 | Nicholas Andrews | Behavior Technician | 5034 Laurel Bridge, Smyrna, GA 30082 | 2017-03-15 |
| 1518331362 | Shannon Wilkerson | Counselor | 3040 Highlands Pkwy, Ste G, Smyrna, GA 30082 | 2015-11-17 |
| 1235529611 | Frances Offiah Idowu | Nurse Practitioner | 3240 South Cobb Drive, Smyrna, GA 30082 | 2015-01-23 |
| 1053717850 | Deena Altman Spital | Physician Assistant | 400 Technology Ct, Suite J, Smyrna, GA 30082 | 2014-11-06 |
| 1487964193 | Revive Athletics, Inc | Counselor | 460 Bourne Drive, Smyrna, GA 30082 | 2010-10-15 |
| 1386956746 | Kalpit C Patel | Family Medicine | 4480 N Cooper Lake Rd Se Ste 100, Smyrna, GA 30082 | 2010-07-13 |
| 1285826800 | David Goziem Nwabunor | Emergency Medicine | 415 Oak Brook Ct Se, Smyrna, GA 30082 | 2007-08-16 |
| 1437357373 | Amit M Patel | Plastic Surgery | 3968 Felton Hill Rd Sw, Ste 100, Smyrna, GA 30082 | 2007-07-03 |
| 1225103849 | Daniel C Norris Dds PC | Dentist | 620 Concord Rd, Smyrna, GA 30082 | 2006-11-21 |
| Find all providers in zip 30082 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487260972 | Olivia Sims Michel | Nurse Practitioner | 3375 Spring Hill Pkwy Se Apt 1729, Smyrna, GA 30080-6867 | 2020-09-20 |
| 1881205169 | Suny Varughese | Nurse Practitioner | Minute Clinic, 2994 Atlanta Rd, Se, Smyrna, GA 30080 | 2020-08-11 |
| 1336606060 | Eunice Carreen Boyd-gant | Nurse Practitioner | 249 Arrowood Dr, Smyrna, DE 19977-4443 | 2019-02-28 |
| 1801351564 | Nicole Howard | Nurse Practitioner | 100 S Main St Ste 205, Smyrna, DE 19977-1479 | 2019-02-07 |
| 1104390491 | Lydia Al-awabdy | Nurse Practitioner | 501 Tackett Farms Rd, Smyrna, GA 30082-3918 | 2019-01-19 |
| 1346714094 | Angelica Marie Epps | Nurse Practitioner | 1505 Countryside Pl Se, Smyrna, GA 30080-8247 | 2019-01-16 |
| 1871085530 | Jessica Rose Goergen | Nurse Practitioner | 4441 Atlanta Rd Se Ste 317, Smyrna, GA 30080-6443 | 2018-05-30 |
| 1063965168 | Tehri Kellie Roberts | Nurse Practitioner | 300 Stonecrest Blvd Ste 210, Smyrna, TN 37167-6800 | 2016-07-26 |
| 1164885935 | Jullie Sweetser | Nurse Practitioner | 4452 Oakdale Rd Se, Smyrna, GA 30080-6934 | 2016-03-30 |
| 1790167856 | Kay Yetunde Johnson | Nurse Practitioner | 3001 Lusk Dr, Smyrna, GA 30080 | 2015-06-25 |
| Find all providers in SMYRNA | ||||
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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.