SCHOLAR IBEZIM (NPI# 1184257404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184257404 |
| Entity Type | Individual |
| Full Name | SCHOLAR IBEZIM |
| Practice Address |
5750 Brook Hollow Pkwy Ste 102 Norcross GA 30071-3515 |
| Mailing Address |
5750 Brook Hollow Pkwy Norcross GA 30071-3504 |
| Practice Telephone | 7706804340 |
| Mailing Telephone | 6789088870 |
| Enumeration Date | 2020-02-14 |
| Last Update Date | 2020-09-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WH1000X |
Registered Nurse Specialization: Hospice |
138544 | GA | Nursing Service Providers |
| Street Address |
5750 BROOK HOLLOW PKWY STE 102 |
| City | NORCROSS |
| State | GA |
| Zip Code | 30071-3515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639704000 | Passionate Care Hospice.llc | Hospice Care, Community Based | 5750 Brook Hollow Pkwy Ste 102, Norcross, GA 30071-3515 | 2020-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477199867 | 1st Senior Cares, LLC | Home Health | 7116 Peachtree Industrial Blvd. Bldg. 4, Ste. B, Peachtree Corners, GA 30071 | 2019-11-21 |
| 1124660048 | Phil Scafidi | Massage Therapist | 50 Skin Alley, Norcross, GA 30071 | 2019-10-11 |
| 1063071454 | Kenanesha Owens | Counselor | 3040 Holcolmb Bridge Rd Suite J2, Norcross, GA 30071 | 2019-06-10 |
| 1407318389 | 1st Senior Homecare, LLC | Home Health | 7116 Peachtree Industrial Blvd., Bldg 4 Suite A, Peachtree Corners, GA 30071 | 2019-04-01 |
| 1982163689 | Jk Acupuncture LLC | Acupuncturist | 5390 Peachtree Industrial Bl #101, Norcross, GA 30071 | 2019-03-13 |
| 1063990778 | First Senior Center | Clinic/Center | 7116 Peachtree Industrial Blvd, Bldg 4, Peachtree Corners, GA 30071 | 2018-08-03 |
| 1952896904 | Sonal P Patel | Physical Therapy Assistant | 4709 Peachtree Ind Blvd, Suite 106, Norcross, GA 30071 | 2018-06-22 |
| 1700392354 | Medlink Ems Inc | Ambulance | 6825 Jimmy Carter Blvd Ste 1303, Norcross, GA 30071 | 2017-12-19 |
| 1205377975 | David Kalisz II | Specialist/Technologist, Other | 1880 Beaver Ridge Circle Suite D, Norcross, GA 30071 | 2017-03-15 |
| 1356792519 | Tiffany Pope | Counselor | 6045 Atlantic Blvd Ste 108, Norcross, GA 30071 | 2016-06-28 |
| Find all providers in zip 30071 | ||||
| Taxonomy Code | 163WH1000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Hospice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043826241 | Jimmequia Lanice Allen | Registered Nurse | 117 James St, Woodbine, GA 31569-3568 | 2020-09-22 |
| 1366084626 | Jeannine St Paul | Registered Nurse | 300 Lester Mill Rd, Locust Grove, GA 30248-5306 | 2019-10-08 |
| 1659837680 | Tropical Health LLC | Registered Nurse | 1500 Carrington Ct, Lawrenceville, GA 30044-8101 | 2019-02-14 |
| 1720272396 | Deidre Camille Malone | Registered Nurse | 103 Old Thomson Rd, Apt B, Grovetown, GA 30813-2639 | 2007-08-28 |
| 1508402330 | Villon Family Hospice | Registered Nurse | 300 Lester Mill Rd, Locust Grove, GA 30248-5306 | 2019-11-27 |
| 1326388430 | Kelly Elizabeth Taylor | Registered Nurse | 541 Historic Hwy 441 N, Demorest, GA 30535-0037 | 2013-02-26 |
Please comment or provide details below to improve the information on SCHOLAR IBEZIM.
| 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.