ALLAN B IMES JR. (NPI# 1245237700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245237700 |
| Entity Type | Individual |
| Full Name | ALLAN B IMES JR. |
| Credential | P.A. |
| Practice Address |
1631 Highway 20 W Mcdonough GA 30253-7311 |
| Practice Telephone | 7702882822 |
| Practice Fax Number | 7706928177 |
| Mailing Telephone | 7702882822 |
| Mailing Fax Number | 7706928177 |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2015-10-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 004088 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 238603985A | 05 |
| Street Address |
1631 HIGHWAY 20 W |
| City | MCDONOUGH |
| State | GA |
| Zip Code | 30253-7311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740721521 | Jorge Roberto Menjivar | Nurse Practitioner | 1631 Highway 20 W, Mcdonough, GA 30253-7311 | 2017-03-14 |
| 1225587280 | Family Medical Associates, LLC | Family Medicine | 1631 Highway 20 W, Mcdonough, GA 30253-7311 | 2016-09-30 |
| 1871982124 | Vladimir Odinets | Physician Assistant | 1631 Highway 20 W, Mcdonough, GA 30253-7311 | 2015-01-09 |
| 1023406162 | Stephanie E Chandler | Clinical Nurse Specialist | 1631 Highway 20 W, Mcdonough, GA 30253-7311 | 2014-12-23 |
| 1346505179 | Robert T Sikes | Physician Assistant | 1631 Highway 20 W, Mcdonough, GA 30253-7311 | 2012-07-09 |
| 1427146125 | Jeffrey Scott Reed | Family Medicine | 1631 Highway 20 W, Mcdonough, GA 30253-7311 | 2006-10-10 |
| 1922040781 | Coral Rochelle Benge | Physician Assistant | 1631 Highway 20 W, Mcdonough, GA 30253-7311 | 2006-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565159 | First Choice Home Health Care LLC | In Home Supportive Care | 600 Westridge Parkway, Suite 707, Mcdonough, GA 30253 | 2020-10-15 |
| 1164033783 | Tanequa S Dorsey | Counselor | 40 Macon Street, Suite D, Mcdonough, GA 30253 | 2020-08-17 |
| 1396369195 | Ikponmwosa Obakpolor | Physical Therapist | 234 Village Drive, Mcdonough, GA 30253 | 2020-06-08 |
| 1205392305 | Healthstat Onsite Clinic-henry County | Preventive Medicine | 141 Henry Parkway, Healthstat Clinic, Mcdonough, GA 30253 | 2019-02-13 |
| 1588128557 | Vernette R Mathurin | Licensed Practical Nurse | 97 Atl Street Suite 100, Mcdonough, GA 30253 | 2019-01-24 |
| 1083196836 | Peta-gaye C Pilote | Registered Nurse | 319 Regal Way E, Mcdonough, GA 30253 | 2018-08-29 |
| 1275021586 | Heritage Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 155 Westridge Pkwy Ste 217, Mcdonough, GA 30253 | 2018-04-23 |
| 1457853236 | Sherrille Greene | Counselor | 609 Autumn Leaf Circle, Mcdonough, GA 30253 | 2018-03-07 |
| 1376052696 | Kendra Oreggio | Private Vehicle | 117 Janney Circle, Mcdonough, GA 30253 | 2017-09-29 |
| 1245758788 | Pamela Hobbs | Home Health Aide | 5011 Monarch Dr, Mcdonough, GA 30253 | 2017-09-05 |
| Find all providers in zip 30253 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588150429 | Brittni B Chitwood | Physician Assistant | 101 Regency Park Dr Ste 130, Mcdonough, GA 30253-7076 | 2018-07-03 |
| 1962487538 | John Mark Lidell | Physician Assistant | 101 Regency Park Dr Ste 110, Mcdonough, GA 30253-7076 | 2005-12-07 |
| 1023091964 | John Augustave Carlson | Physician Assistant | 259 Jonesboro Rd, Mcdonough, GA 30253-3769 | 2005-11-23 |
| 1497222962 | Lyna B Tran | Physician Assistant | 2200 Highway 155 N, Mcdonough, GA 30252-4846 | 2018-11-01 |
| 1013469329 | Lisa Neff Butters | Physician Assistant | 4303 Jodeco Rd, Mcdonough, GA 30253 | 2016-11-03 |
| 1982096236 | Takeia Horton | Physician Assistant | 259 Jonesboro Rd, Mcdonough, GA 30253-3769 | 2015-02-24 |
| 1851521140 | Raymond Scott Dickerson | Physician Assistant | 2200 Highway 155 N, Mcdonough, GA 30252 | 2009-07-21 |
| 1497819098 | Wade Holloway | Physician Assistant | 259 Jonesboro Rd, Mcdonough, GA 30253-3769 | 2006-12-20 |
| 1790895340 | Rob Gray | Physician Assistant | 50 Kelly Rd, Mcdonough, GA 30253-6012 | 2006-08-30 |
| 1922040781 | Coral Rochelle Benge | Physician Assistant | 1631 Highway 20 W, Mcdonough, GA 30253-7311 | 2006-06-12 |
| Find all providers in MCDONOUGH | ||||
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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.