DR. SUE A BRENNER (NPI# 1215033758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215033758 |
| Entity Type | Individual |
| Full Name | DR. SUE A BRENNER |
| Credential | M.D. |
| Practice Address |
3807 Clairmont Rd Chamblee GA 30341-4911 |
| Practice Telephone | 4046160700 |
| Mailing Telephone | 4046160700 |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2007-08-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 33803 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
3807 CLAIRMONT RD |
| City | CHAMBLEE |
| State | GA |
| Zip Code | 30341-4911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548260144 | Dekalb Community Service Board | Pharmacist | 3807 Clairmont Rd, Chamblee, GA 30341-4911 | 2005-07-26 |
| 1477985638 | Karen Grannis | Counselor | 3807 Clairmont Rd, Chamblee, GA 30341-4911 | 2013-07-30 |
| 1548603848 | Crystal M Smith | Counselor | 3807 Clairmont Rd, Chamblee, GA 30341 | 2013-04-17 |
| 1386980266 | Andrea K Boc | Social Worker | 3807 Clairmont Rd, Chamblee, GA 30341-4911 | 2012-12-20 |
| 1518203546 | Rita Diane Mathis | Social Worker | 3807 Clairmont Rd, Chamblee, GA 30341-4911 | 2012-12-19 |
| 1366793945 | Mavis K Mensah | Registered Nurse | 3807 Clairmont Rd, Chamblee, GA 30341-4911 | 2012-09-24 |
| 1689925414 | Carlean M Jones | Registered Nurse | 3807 Clairmont Rd, Chamblee, GA 30341-4911 | 2012-09-19 |
| 1629329453 | Phyllisa Dawn Blake | Registered Nurse | 3807 Clairmont Rd, Chamblee, GA 30341-4911 | 2012-09-19 |
| 1871886804 | Shannon M Blankenship | Lactation Consultant, Non-RN | 3807 Clairmont Rd, Chamblee, GA 30341-4911 | 2011-05-24 |
| 1407086879 | Adebayo Kolawole Akinsola | Pediatrics | 3807 Clairmont Rd, Chamblee, GA 30341-4911 | 2009-07-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992207344 | Rabun Marie Robertson | Occupational Therapist | 2320 Perimeter Park Drive, Atlanta, GA 30341 | 2018-03-01 |
| 1568986313 | Charles Edge IIi | Nurse Practitioner | 4770 Buford Highway, Atlanta, GA 30341 | 2017-08-02 |
| 1366971277 | Park Ridge Healthcare and Physical Medicine LLC | Nurse Practitioner | 2896 Chamblee Tucker Road, Suite 4, Atlanta, GA 30341 | 2017-06-06 |
| 1437502937 | Chara Mcgill | Counselor | 13207 Jefferson Circle N, Chamblee, GA 30341 | 2016-07-20 |
| 1982063913 | Stepping Stone of Atlanta | Community/Behavioral Health | 3705 Chamblee Dunwoody Rd, Chamblee, GA 30341 | 2016-02-18 |
| 1013317577 | Marne Day | Counselor | 3720 Chamblee Dunwoody Rd, Chamblee, GA 30341 | 2014-09-02 |
| 1013343680 | Keelan Walker | Speech-Language Pathologist | 4961 Buford Highway Suite 201, Suite 201, Chamblee, GA 30341 | 2013-09-16 |
| 1578901955 | Promonitor LLC | Electrodiagnostic Medicine | 3300 Northwest Expy Bldg 7, Atlanta, GA 30341 | 2013-06-07 |
| 1639415359 | Lawanda B Cooke | Health Educator | 5280 Peachtree Ind Blvd, Chamblee, GA 30341 | 2012-12-28 |
| 1457602773 | Arthur Macrae Wendel | Family Medicine | 4770 Buford Hwy Ms F60, Atlanta, GA 30341 | 2012-09-26 |
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| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275945396 | Omoye Enisegho Imoisili | Internal Medicine | 4770 Buford Hwy Rm 5248, Chamblee, GA 30341-3717 | 2014-05-22 |
| 1417990987 | Nipun Patel | Internal Medicine | 3646 Chamblee Tucker Rd Ste B, Chamblee, GA 30341-4406 | 2006-06-13 |
| 1528113107 | Premier Family Clinic | Internal Medicine | 3646 Chamblee Tucker Rd Ste B, Chamblee, GA 30341-4406 | 2007-01-24 |
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| 1285235036 | Neighbormd of South Atlanta LLC | Internal Medicine | 3885 Princeton Lakes Way Sw Ste 412, Atlanta, GA 30331-5599 | 2020-11-06 |
| 1770182586 | Nuberty Inc | Internal Medicine | 227 Sandy Springs Pl Ste 220, Sandy Springs, GA 30328-5935 | 2020-10-22 |
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| 1659986057 | Herman Medical Solutions, LLC | Internal Medicine | 10700 Medlock Bridge Road, Suite 207, Duluth, GA 30097 | 2020-09-11 |
| 1790399475 | Janice Carol Gould | Internal Medicine | 140 Vann St Ne Ste 350, Marietta, GA 30060-8975 | 2020-09-01 |
| 1952914368 | Hardy Renew Wellness,llc | Internal Medicine | 838 Cannon Run Sw, Marietta, GA 30064-4600 | 2020-08-25 |
| 1013529577 | Willy Armand Yougang Tchoutang | Internal Medicine | 120 Stoney Creek Dr, Kathleen, GA 31047-3120 | 2020-08-17 |
| 1841800679 | Om Primary Care LLC | Internal Medicine | 4300 Westbrook Rd Bldg A, Suwanee, GA 30024-4987 | 2020-08-06 |
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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.