SOUTH FULTON MEDICAL CENTER, LLC (NPI# 1225204423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225204423 |
| Entity Type | Organization |
| Organization Name | SOUTH FULTON MEDICAL CENTER, LLC |
| Other Organization Name | SOUTH FULTON MEDICAL CENTER |
| Practice Address |
777 Cleveland Ave Sw Suite 406 Atlanta GA 30315-7129 |
| Practice Telephone | 4047610332 |
| Practice Fax Number | 4047630135 |
| Mailing Telephone | 4047610332 |
| Mailing Fax Number | 4047630135 |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2008-05-31 |
| Authorized Official Name | DR. ABDO M IBRAHIM (CHIROPRACTOR) |
| Authorized Official Telephone | 4047610332 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111NR0400X |
Chiropractor Specialization: Rehabilitation |
CHIR006333 | GA | Chiropractic Providers |
| Y | 111NR0400X |
Chiropractor Specialization: Rehabilitation |
CHIR007116 | GA | Chiropractic Providers |
| Other Name | Type Code |
|---|---|
| south fulton medical center | Doing Business As Name - Organization |
| Street Address |
777 CLEVELAND AVE SW SUITE 406 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30315-7129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063410173 | Anthony Edward Barnes | Urology | 777 Cleveland Ave Sw, Suite 604, Atlanta, GA 30315-7129 | 2005-07-12 |
| 1588169759 | Treken Primary Care Inc | Internal Medicine | 777 Cleveland Ave Sw, Atlanta, GA 30315-7129 | 2018-03-28 |
| 1700307139 | Gloria Mixon | Occupational Therapist | 777 Cleveland Ave Sw, Atlanta, GA 30315-7129 | 2017-07-06 |
| 1407211139 | Trisha Brown | Counselor | 777 Cleveland Ave Sw, Suite 204, Atlanta, GA 30315-7129 | 2015-12-22 |
| 1972976348 | Safira Zayas | Massage Therapist | 777 Cleveland Ave Sw, Atlanta, GA 30315-7129 | 2015-11-07 |
| 1609246800 | Jeannette Hokanson | Counselor | 777 Cleveland Ave Sw, Suite 301, Atlanta, GA 30315-7129 | 2015-09-30 |
| 1801270335 | Serene Reflections for Holistic Behavior Wellness, LLC | Community/Behavioral Health | 777 Cleveland Ave Sw, Suite 204, Atlanta, GA 30315-7129 | 2015-07-15 |
| 1144665415 | Eric Alexander Lohman | Social Worker | 777 Cleveland Ave Sw, Suite 316, Atlanta, GA 30315-7129 | 2013-05-01 |
| 1851657167 | Pathways Career Services | Day Training, Developmentally Disabled Services | 777 Cleveland Ave Sw, 316, Atlanta, GA 30315-7129 | 2012-04-11 |
| 1710284435 | Gates Rapid Diagnostic Laboratory of Atlanta | General Practice | 777 Cleveland Ave Sw, Suite 100, Atlanta, GA 30315-7129 | 2011-02-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083181341 | Erin Cole | Specialist/Technologist | Lakewood Ave Se, Atlanta, GA 30315 | 2018-10-25 |
| 1942701081 | Julie Crocker | Dental Hygienist | 1046 Ridge Ave. Sw, Atlanta, GA 30315 | 2018-02-23 |
| 1457695850 | Dominica Aquino Morales-gibson | Physical Therapist | 2850 Springdale Road Sw, Atlanta, GA 30315 | 2012-11-26 |
| 1912264813 | Maxwell Uhakheme | Internal Medicine | 6875 Douglas Blvd, Suite A, Kaiser Permanente Douglasville Medical Center, Douglasville, GA 30315 | 2012-04-16 |
| 1427329093 | Sulonda Smith | Counselor | 34 Atlanta Ave. Se, Hank Aaron Blvd, Atlanta, GA 30315 | 2012-01-13 |
| 1407152507 | Gerald Leroy Griffin | Pharmacist | 520 Boulevard, Atlanta, GA 30315 | 2011-02-07 |
| 1245404854 | Tunisia Finch Cornelius | Dermatology | 1039 Grant St Se Ste A-11, Atlanta, GA 30315 | 2008-04-15 |
| 1356512180 | Chandra Blakely | Counselor | 215 Lakewood Way, Suite 205, Atlanta, GA 30315 | 2008-03-19 |
| 1104043967 | Alvin H. Clair, M.d.p.c. | Dermatology | 777 Cleveland Ave.,sw Ste.500, Atlanta, GA 30315 | 2007-04-20 |
| 1396877742 | Scott M Russell | Speech-Language Pathologist | 1364 Clifton Road, Atlanta, GA 30315 | 2007-03-12 |
| Find all providers in zip 30315 | ||||
| Taxonomy Code | 111NR0400X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Rehabilitation |
| Rehabilitation is the discipline focused on restoring a patient's functional abilities to pre-injury or pre-disease status. Functional abilities are defined as those activities in one's daily life, work, or sports and recreational activities that an individual participates in. Relevant impairments (e.g. strength, endurance, flexibility, motor control, etc.) are often intermediate goals of rehabilitation, but the final goal of successful care is return to participation in activities in which the patient was successful before the onset of the injury or disease. Essential to a rehabilitation approach is a focus on patient-centered outcomes such as independence and self-management or self-care skills. |
| Notes: Source: The American Chiropractic Association (ACA) and the ACA Council on Physiological Therapeutics [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982218087 | Tiara Eady | Chiropractor | 2605 Paces Rdg Apt A, Atlanta, GA 30339-4037 | 2020-09-04 |
| 1598274656 | Sveinn Bjornsson | Chiropractor | 17 Lenox Pointe Ne Ste A, Atlanta, GA 30324-7418 | 2017-09-21 |
| 1700138484 | Jpk,inc. | Chiropractor | 2233 Peachtree Rd Ne Unit 1001, Atlanta, GA 30309-1191 | 2012-10-05 |
| 1790018554 | Dream Medical & Rehab Center, LLC | Chiropractor | 2024 Powers Ferry Rd. Se, Ste# 110, Atlanta, GA 30339 | 2009-09-11 |
| 1053543033 | Cleve R. Taylor | Chiropractor | 1100 Spring St Nw, Suite 150, Atlanta, GA 30309-2846 | 2009-08-10 |
| 1265673172 | Caleb Mark Eudy | Chiropractor | 214 Randolph St Ne Apt 10, Atlanta, GA 30312-1462 | 2009-03-23 |
| 1770752230 | John George Vatistas | Chiropractor | 5252 Roswell Rd, Suite 102, Atlanta, GA 30342-1969 | 2008-02-28 |
| 1871795328 | Ali R Hakami | Chiropractor | 550 Fairburn Road, Sw, Suite B-4, Atlanta, GA 30331 | 2007-06-05 |
| 1730395005 | John Patrick Kennedy | Chiropractor | 1280 W Peachtree St Nw, Suite 130, Atlanta, GA 30309-3445 | 2007-05-15 |
| 1730392267 | William James Pascoe | Chiropractor | 3079 Campbellton Rd Sw, 206, Atlanta, GA 30311-5400 | 2007-05-08 |
| 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.