SOUTHERN HEALTH CARE OF GEORGIA (NPI# 1225462864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225462864 |
| Entity Type | Organization |
| Organization Name | SOUTHERN HEALTH CARE OF GEORGIA |
| Practice Address |
2790 Sandy Plains Rd Suite 202 Marietta GA 30066-4373 |
| Practice Telephone | 7705095920 |
| Practice Fax Number | 7705095922 |
| Mailing Telephone | 7705095920 |
| Mailing Fax Number | 7705095922 |
| Enumeration Date | 2013-08-31 |
| Last Update Date | 2013-08-31 |
| Authorized Official Name | MR. JERRY D BLACKMON (OWNER) |
| Authorized Official Telephone | 7705095920 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
2790 SANDY PLAINS RD SUITE 202 |
| City | MARIETTA |
| State | GA |
| Zip Code | 30066-4373 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497740229 | Mathew M. John | Podiatrist | 2790 Sandy Plains Rd, Suite 300, Marietta, GA 30066-4378 | 2005-09-19 |
| 1912340670 | S. I. T. E. Healthcare, Inc | Chiropractor | 2790 Sandy Plains Rd, Ste. 201, Marietta, GA 30066-4373 | 2013-04-12 |
| 1073639464 | Better Health Naturally, LLC | Chiropractor | 2790 Sandy Plains Rd, Suite 100, Marietta, GA 30066-4373 | 2007-03-21 |
| 1154480564 | Christopher William Carver | Chiropractor | 2790 Sandy Plains Rd, Suite 100, Marietta, GA 30066-4373 | 2006-12-08 |
| 1932274008 | Ankle and Foot Centers Inc | Podiatrist | 2790 Sandy Plains Rd, Suite 300, Marietta, GA 30066-4378 | 2006-11-22 |
| 1831105071 | Judy Schulman Greenberg | Social Worker | 2790 Sandy Plains Rd, Suite 203, Marietta, GA 30066-4373 | 2006-07-31 |
| 1578515565 | Ralph Schipske | Chiropractor | 2790 Sandy Plains Rd, Marietta, GA 30066-4373 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598253684 | Comfort Community Center, LLC | Skilled Nursing Facility | 2440 Sandy Plains Road, Blvd 21, Suite 100, Marietta, GA 30066 | 2018-04-25 |
| 1538681994 | Passionate Care | In Home Supportive Care | 1110 Renfro Ln., Marietta, GA 30066 | 2017-07-07 |
| 1437510443 | Steven Caras | Internal Medicine | 2682 Bonaire Terrace, Marietta, GA 30066 | 2016-03-18 |
| 1275918781 | Latifat Bolajoko Asemota | Nurse Practitioner | 410 Nottingham Dr, Marietta, GA 30066 | 2015-07-26 |
| 1497094205 | Changing Phases Behavioral Support, Inc | Internal Medicine | 3655 Canton Rd Ste 201, Marietta, GA 30066 | 2013-02-14 |
| 1659618916 | Alison Nicole Sims | Occupational Therapist | 2465 Canopy Drive, Marietta, GA 30066 | 2013-01-07 |
| 1790044907 | Antoine Jose Davenport | Massage Therapist | 4686 Jamerson Creek Dr, Marietta, GA 30066 | 2012-05-08 |
| 1174898548 | Angel Elizabeth Nofziger | Nurse Practitioner | 3750 Palladian Village Dr Ste 300, Marietta, GA 30066 | 2012-03-18 |
| 1912298019 | Nancy Jean Slack | Pharmacist | 2833 Canton Road, Marietta, GA 30066 | 2011-04-22 |
| 1336456078 | Mario B Miller Sr. | Chiropractor | 50 Barrett Parkway, Suite 3005#126, Marietta, GA 30066 | 2010-09-01 |
| Find all providers in zip 30066 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104286707 | B Webb, Inc | Specialist | 1675 Lower Roswell Rd, Marietta, GA 30318 | 2016-02-25 |
| 1982077889 | Jane A Cases Md Comprehensive Lifestyle Center LLC | Specialist | 242 Pike St, Marietta, OH 45750-3322 | 2015-11-02 |
| 1578971180 | April Harris | Specialist | 3015 Canton Rd Ste 11, Marietta, GA 30066-3878 | 2014-07-27 |
| 1306259031 | Gary Studenic | Specialist | 1395 S Marietta Pkwy Se Ste 102, Marietta, GA 30067-7852 | 2014-06-10 |
| 1992115448 | Strategic Billing Solutions, LLC | Specialist | 1205 Wynnes Ridge Cir Se, Marietta, GA 30067-8452 | 2014-05-06 |
| 1912326349 | Kayla Kendall | Specialist | 219 2nd St, Suite 206, Marietta, OH 45750-8062 | 2014-04-14 |
| 1235569401 | Mitchell Jablow | Specialist | 3641 Clubland Dr, Marietta, GA 30068-4003 | 2013-11-25 |
| 1336579101 | Christine Thomas | Specialist | 406 Scammel St, Marietta, OH 45750-2009 | 2013-11-15 |
| 1922379304 | The Injury Wellness Surgical and Procedure Institute LLC | Specialist | 2483 Powder Springs Rd Sw, Ste C, Marietta, GA 30064-4573 | 2012-01-18 |
| 1235440264 | Silasmasih In-home Therapy Services,llc | Specialist | 184 Parkstone Way, Marietta, GA 30066-4977 | 2010-06-24 |
| 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.