AXIS HOPE, LLC (NPI# 1194226068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194226068 |
| Entity Type | Organization |
| Organization Name | AXIS HOPE, LLC |
| Practice Address |
2551 Roswell Rd Ste 420 Marietta GA 30062-4761 |
| Practice Telephone | 6786487888 |
| Enumeration Date | 2018-02-26 |
| Last Update Date | 2018-02-26 |
| Authorized Official Name | LATRICE LEE (BILLER) |
| Authorized Official Telephone | 4049471081 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
20130228 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
20171710 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2551 ROSWELL RD STE 420 |
| City | MARIETTA |
| State | GA |
| Zip Code | 30062-4761 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134460207 | Ganielle Hooper | Nurse Practitioner | 2551 Roswell Rd Ste 420, Marietta, GA 30062-4761 | 2013-03-13 |
| 1275049645 | Jordan Hoag Cline | Chiropractor | 2551 Roswell Rd Ste 420, Marietta, GA 30062-4761 | 2017-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578051 | Pamela D Kretzmer | Social Worker | 3855 Shallowford Road, Suite 420, Marietta, GA 30062 | 2020-11-03 |
| 1932714680 | Michelle Chambless | Physical Therapist | Team Rehabilitation Ga01, LLC, 1401 Johnson Ferry Road, Suite 340, Marietta, GA 30062 | 2020-09-10 |
| 1700408887 | Life University | Chiropractor | 1323 Roswell Road, Marietta, GA 30062 | 2020-05-12 |
| 1104451160 | Sno Healthcare Group | Clinic/Center | 2424 Roswell Rd Ste 120, Marietta, GA 30062 | 2020-03-10 |
| 1811536212 | Sandy Plains Dental Group, PC | Dentist | 3460 Sandy Plains Rd, Suite 240, Marietta, GA 30062 | 2020-01-02 |
| 1073159034 | Magdala Tulcie Jodesty-jackson | Social Worker | 4343 Shalloword Road, Building H, Suite 4 Lower Level, Marietta, GA 30062 | 2019-11-25 |
| 1598235178 | Matthew Driggers | Counselor | 4343 Shallowford Rd C2, Marietta, GA 30062 | 2018-11-27 |
| 1750895785 | Emily Grace Minday | Counselor | 4343 Shallowford Road Building C, Suite 1 Lower Level, Marietta, GA 30062 | 2017-11-29 |
| 1477072122 | Jason Lee Amos | Speech-Language Pathologist | 3660 Chestnut Ridge Court, Marietta, GA 30062 | 2017-09-13 |
| 1346761376 | Marian Pomaah Opoku-agyeman | Nurse Practitioner | 4661 Andrea Pointe, Marietta, GA 30062 | 2017-06-29 |
| Find all providers in zip 30062 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194358754 | Beatrice Odero | Nurse Practitioner | 3727 Mill Lake Dr, Marietta, GA 30060-6273 | 2020-02-21 |
| 1407402910 | Augusta Williams | Nurse Practitioner | Attn: Augusta Williams, 2131 Kingston Court Suite 108, Marietta, GA 30067-8929 | 2019-08-12 |
| 1134727696 | Julie Nicole Polcyn | Nurse Practitioner | 207d Colegate Dr, Marietta, OH 45750-2363 | 2020-10-15 |
| 1710595988 | Chinwe Okafor | Nurse Practitioner | 1277 Kennestone Cir, Marietta, GA 30066-6029 | 2020-07-14 |
| 1497372080 | Trisha Leigh Bail | Nurse Practitioner | 207d Colegate Dr, Marietta, OH 45750-2363 | 2020-06-29 |
| 1912460601 | Jasmine Young | Nurse Practitioner | 1640 Powers Ferry Rd Se Ste 330, Marietta, GA 30067-5491 | 2019-04-09 |
| 1720543432 | Lacy Marie Workman | Nurse Practitioner | 401 Matthew St, Marietta, OH 45750-1635 | 2019-02-06 |
| 1598240822 | Maima Fortune | Nurse Practitioner | 2540 Windy Hill Rd Se, Marietta, GA 30067-8605 | 2018-10-02 |
| 1538662622 | Lorna Brown | Nurse Practitioner | 1825 County Services Pkwy Sw, Marietta, GA 30008 | 2018-03-14 |
| 1295275949 | Tanya Camiela Dunkley | Nurse Practitioner | 2540 Windy Hill Rd Se, Marietta, GA 30067-8605 | 2017-02-28 |
| Find all providers in MARIETTA | ||||
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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.