AMC FAMILY MEDICINE (NPI# 1215292925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215292925 |
| Entity Type | Organization |
| Organization Name | AMC FAMILY MEDICINE |
| Practice Address |
1000 Corporate Center Dr Ste 200 Morrow GA 30260-4129 |
| Practice Telephone | 7709686460 |
| Mailing Telephone | 7709686460 |
| Enumeration Date | 2012-07-09 |
| Last Update Date | 2012-07-09 |
| Authorized Official Name | DR. GEROGE BROWN (PROGRAM DIRECTOR) |
| Authorized Official Telephone | 770968646064 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | 05745 | GA | Student, Health Care |
| Street Address |
1000 CORPORATE CENTER DR STE 200 |
| City | MORROW |
| State | GA |
| Zip Code | 30260-4129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952558678 | Muktak Mathur | Family Medicine | 1000 Corporate Center Dr Ste 200, Morrow, GA 30260-4129 | 2008-08-25 |
| 1477180602 | Amir Antonios | Student in an Organized Health Care Education/Training Program | 1000 Corporate Center Dr Ste 200, Morrow, GA 30260-4129 | 2020-03-26 |
| 1922635226 | Charles Eaddy II | Student in an Organized Health Care Education/Training Program | 1000 Corporate Center Dr Ste 200, Morrow, GA 30260-4129 | 2020-03-25 |
| 1740782531 | Wellstar Atlanta Medical Center, Inc | Family Medicine | 1000 Corporate Center Dr Ste 200, Morrow, GA 30260-4129 | 2018-03-07 |
| 1093197154 | Daroine Jean-charles | Family Medicine | 1000 Corporate Center Dr Ste 200, Morrow, GA 30260-4129 | 2015-06-25 |
| 1891177382 | Sool Kee Song | Family Medicine | 1000 Corporate Center Dr Ste 200, Morrow, GA 30260-4129 | 2015-06-22 |
| 1992146146 | Atlanta Medical Center | General Acute Care Hospital | 1000 Corporate Center Dr Ste 200, Morrow, GA 30260-4129 | 2013-07-16 |
| 1710328596 | Cierra Yvonne Allen | Family Medicine | 1000 Corporate Center Dr Ste 200, Morrow, GA 30260-4129 | 2013-07-09 |
| 1780971556 | Janeen Clark | Family Medicine | 1000 Corporate Center Dr Ste 200, Morrow, GA 30260-4129 | 2011-06-30 |
| 1912294703 | Christy Huynh | Family Medicine | 1000 Corporate Center Dr Ste 200, Morrow, GA 30260-4129 | 2011-06-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538766605 | C. Alexander Pediatrics LLC | Emergency Medicine | 2180 Rex Road, Morrow, GA 30260 | 2020-10-02 |
| 1578127627 | Osara Dhevmi Malalasekara | Student in an Organized Health Care Education/Training Program | Amc Family Medicine Residency Program, 1000 Corporate Center Dr Suite 200, Morrow, GA 30260 | 2019-04-24 |
| 1902360860 | Katrina Samuels | Technician | 5771 Trammell Rd. Morrow Ga, Morrow, GA 30260 | 2019-01-24 |
| 1679067870 | Atl Sport | Community/Behavioral Health | 5376 Jonesboro Rd, Lake City, GA 30260 | 2018-06-20 |
| 1487184099 | Mamie Rochell Jinks | Driver | 1541 Lakeland Cir, Lake City, GA 30260 | 2017-06-15 |
| 1598202079 | Grace Misi Nteff | Nurse Practitioner | 1000 Clayton Village, Clayton State University, School of Nursing Community, Morrow, GA 30260 | 2017-01-23 |
| 1902357908 | Morrow Family Dentistry, P.C. | Clinic/Center | 6319a Jonesboro Road, Morrow, GA 30260 | 2016-10-14 |
| 1043679418 | Elite Rehab and Weightloss | Chiropractor | 1568 Southlake Pkwy Ste C, Morrow, GA 30260 | 2016-02-15 |
| 1659758985 | Clayton State University | Nurse Practitioner | 5809 Northlake Drive, Bldg 1000, Morrow, GA 30260 | 2015-05-06 |
| 1255731519 | Care First Private Home Care | In Home Supportive Care | 2380 Fairfield Court, Morrow, GA 30260 | 2014-08-23 |
| Find all providers in zip 30260 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578127627 | Osara Dhevmi Malalasekara | Student in an Organized Health Care Education/Training Program | Amc Family Medicine Residency Program, 1000 Corporate Center Dr Suite 200, Morrow, GA 30260 | 2019-04-24 |
| 1639512353 | Frank Frimpong Boafo | Student in an Organized Health Care Education/Training Program | 853 Oak Forest Dr, Morrow, OH 45152-7914 | 2013-04-11 |
| 1437788338 | Naomi Brown | Student in an Organized Health Care Education/Training Program | 1000 Corporate Center Drive, Suite 200, Morrow, GA 30260 | 2020-04-03 |
| 1477180602 | Amir Antonios | Student in an Organized Health Care Education/Training Program | 1000 Corporate Center Dr Ste 200, Morrow, GA 30260-4129 | 2020-03-26 |
| 1922635226 | Charles Eaddy II | Student in an Organized Health Care Education/Training Program | 1000 Corporate Center Dr Ste 200, Morrow, GA 30260-4129 | 2020-03-25 |
| 1609337831 | Verschoyle Hume Clarke Cronyn | Student in an Organized Health Care Education/Training Program | 1000 Corporate Center Drive, Suite 200, Morrow, GA 30260 | 2019-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912508540 | Robert Owen Calvert IIi | Student in an Organized Health Care Education/Training Program | 10734 Bossier Dr, Johns Creek, GA 30022-7977 | 2020-11-02 |
| 1194323469 | Kathlynn Barber | Student in an Organized Health Care Education/Training Program | 248 Sunset Ridge Dr, Newnan, GA 30263-7704 | 2020-10-09 |
| 1063019917 | Shayla Robinson | Student in an Organized Health Care Education/Training Program | 1887 Hudson Xing Apt 9, Tucker, GA 30084-5661 | 2020-10-05 |
| 1639786460 | Clarissa Chamorro | Student in an Organized Health Care Education/Training Program | 840 Old Alabama Rd Sw, Mableton, GA 30126-4108 | 2020-09-25 |
| 1417563909 | Josephine Almanzar | Student in an Organized Health Care Education/Training Program | 199 Armour Dr Ne Ste E, Atlanta, GA 30324-3973 | 2020-09-20 |
| 1942816962 | Kofi Darkwa Seffah | Student in an Organized Health Care Education/Training Program | 1199 Prince Ave #70, 1270 Prince Ave Suite 201, Athens, GA 30606 | 2020-09-16 |
| 1487269338 | Nhu Ai Thi Vo | Student in an Organized Health Care Education/Training Program | 5295 Locomotive Ln, Norcross, GA 30071-2751 | 2020-09-08 |
| 1669087516 | Nurin Ghazzawi | Student in an Organized Health Care Education/Training Program | 1953 Valley Ridge Ln, Duluth, GA 30096-6024 | 2020-09-08 |
| 1871107029 | Ashlie Simmons | Student in an Organized Health Care Education/Training Program | 40 Hardwood Forest Cir, Brunswick, GA 31525-4738 | 2020-09-04 |
| 1427660166 | Kassie Howard | Student in an Organized Health Care Education/Training Program | 2601 Northlake Dr # 1722, Suwanee, GA 30024-2942 | 2020-08-22 |
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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.