ACCIDENT CENTERS OF ATLANTA, LLC (NPI# 1184939456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184939456 |
| Entity Type | Organization |
| Organization Name | ACCIDENT CENTERS OF ATLANTA, LLC |
| Practice Address |
3890 Redwine Rd Sw Suite 200 Atlanta GA 30331-5582 |
| Mailing Address |
3645 Marketplace Blvd Suite 130-382 East Point GA 30344-5747 |
| Practice Telephone | 6789043172 |
| Practice Fax Number | 4043936091 |
| Mailing Telephone | 6789043172 |
| Mailing Fax Number | 4043936091 |
| Enumeration Date | 2010-08-11 |
| Last Update Date | 2011-02-16 |
| Authorized Official Name | DR. SHAWN GERARD JONES (CHIROPRACTOR/OWNER) |
| Authorized Official Telephone | 6789043172 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | CHIRO007059 | GA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | PTAN | 6476050001 | 01 |
| Street Address |
3890 REDWINE RD SW SUITE 200 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30331-5582 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588659908 | Dara Paul | Specialist | 3890 Redwine Rd Sw, Ste 210, Atlanta, GA 30331-5509 | 2005-09-12 |
| 1538616305 | Marion Bianca Tyson | Physical Therapist | 3890 Redwine Rd Sw, Suite 114, Atlanta, GA 30331-5582 | 2016-09-08 |
| 1871853606 | Paddyson Chukwuka Chidi | Physical Therapist | 3890 Redwine Rd Sw, Suite 114, Atlanta, GA 30331-5582 | 2012-05-27 |
| 1447529342 | Pain Management of The South | Anesthesiology | 3890 Redwine Rd Sw, Suite 200, Atlanta, GA 30331-5582 | 2011-12-21 |
| 1487957924 | Pinnacle Diagnostic and Dme Services, LLC | Durable Medical Equipment & Medical Supplies | 3890 Redwine Rd Sw, Suite 200, Atlanta, GA 30331-5582 | 2010-12-06 |
| 1598072910 | Willis C Jenkins | Physical Therapy Assistant | 3890 Redwine Rd Sw, Suite 114, Atlanta, GA 30331-5582 | 2010-09-07 |
| 1770811713 | Camp Creek Smiles Family Dentistry | Clinic/Center | 3890 Redwine Rd Sw, Ste 108, Atlanta, GA 30331-5582 | 2009-12-03 |
| 1922269612 | Camp Creek Pediatrics LLC | Clinic/Center | 3890 Redwine Rd Sw, Suite 100, Atlanta, GA 30331-5582 | 2008-06-24 |
| 1700072485 | Premier Eye Physicians PC | Clinic/Center | 3890 Redwine Rd Sw, Suite 212, Atlanta, GA 30331-5582 | 2007-09-17 |
| 1861600520 | Genesis Sports Medicine and Rehabilitation, LLC | Clinic/Center | 3890 Redwine Rd Sw, Atlanta, GA 30331-5582 | 2007-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861001174 | Whitney Flemister | Social Worker | 3961 Princeton Lakes Way Sw, Atlanta, GA 30331 | 2020-07-23 |
| 1982237400 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 5829 Campbellton Road, S.w, Suite 110, Atlanta, GA 30331 | 2020-02-13 |
| 1295375558 | Drusilla Precious Cudjoe | Behavior Technician | 3800 Camp Creek Parkway Sw, Building 1400, Atlanta, GA 30331 | 2020-01-14 |
| 1497262778 | Champions Pharmacy | Pharmacy | 3886 Princeton Lakes Way Suite 180, Atlanta, GA 30331 | 2018-01-08 |
| 1033629779 | Carmen Ardoin | Counselor | 2636 Martin Luther King Jr. Drive, Suite 12, Atlanta, GA 30331 | 2017-10-09 |
| 1346759974 | Neva R Allison | Nurse Practitioner | 2611 Dayview Ln, Atlanta, GA 30331 | 2017-09-26 |
| 1538678255 | Natalie Mckay | Technician/Technologist | 3915 Cascade Rd, 220, Atlanta, GA 30331 | 2017-09-26 |
| 1700304268 | Tyrone Pipkin | Contractor | 415 Kendrick Terrace Sw, Atlanta, GA 30331 | 2017-09-05 |
| 1073031688 | Kristen Wooldridge | Pharmacist | 3695 Cascade Road, Atlanta, GA 30331 | 2017-09-04 |
| 1548704687 | Advance Pain Management | Health Maintenance Organization | 2950 Stone Hogan Road Connector, Atlanta, GA 30331 | 2016-12-08 |
| Find all providers in zip 30331 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407473002 | Unite Medical, LLC | Durable Medical Equipment & Medical Supplies | 3350 Riverwood Pkwy Se Ste 1955, Atlanta, GA 30339-6401 | 2020-06-30 |
| 1215550793 | Amber Enterprises, Inc. | Durable Medical Equipment & Medical Supplies | 3103 Clairmont Road, Suite A, Atlanta, GA 30329-1043 | 2020-05-19 |
| 1477173276 | Pillowsheets, LLC | Durable Medical Equipment & Medical Supplies | 2445 Church Rd Se, Atlanta, GA 30339-1967 | 2020-04-21 |
| 1700414729 | All Nations Dme | Durable Medical Equipment & Medical Supplies | 751 Fairburn Rd Sw Apt 4303, Atlanta, GA 30331-8557 | 2020-03-27 |
| 1982237400 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 5829 Campbellton Road, S.w, Suite 110, Atlanta, GA 30331 | 2020-02-13 |
| 1952931628 | Richard Damon Reed | Durable Medical Equipment & Medical Supplies | 3350 Riverwood Pkwy Se Ste 1953, Atlanta, GA 30339-6401 | 2020-01-22 |
| 1376180257 | Celebrity Fashion Hair Inc | Durable Medical Equipment & Medical Supplies | 3350 Riverwood Pkwy Se Ste 1951, Atlanta, GA 30339-6401 | 2019-12-10 |
| 1144864844 | Surgical Evolution LLC | Durable Medical Equipment & Medical Supplies | 4516 Collins Ave, Atlanta, GA 30342-4125 | 2019-11-05 |
| 1376185686 | Kmb Diagnostics | Durable Medical Equipment & Medical Supplies | 941 Flat Shoals Rd, Atlanta, GA 30349 | 2019-10-09 |
| 1316594948 | Spinal Supply Partners LLC | Durable Medical Equipment & Medical Supplies | 1440 Chipley St Ne, Atlanta, GA 30307-2815 | 2019-08-19 |
| Find all providers in ATLANTA | ||||
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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.