SLENDER SPA MED ENTERPRISES, LLC (NPI# 1245580174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245580174 |
| Entity Type | Organization |
| Organization Name | SLENDER SPA MED ENTERPRISES, LLC |
| Practice Address |
1475 Holcomb Bridge Rd Suite 165 Roswell GA 30076-2139 |
| Practice Telephone | 6786828600 |
| Mailing Telephone | 6786828600 |
| Mailing Fax Number | 6786828601 |
| Enumeration Date | 2012-09-18 |
| Last Update Date | 2013-01-15 |
| Authorized Official Name | MRS. TANYA GRIZZLE (OWNER) |
| Authorized Official Telephone | 6786828600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities |
| Street Address |
1475 HOLCOMB BRIDGE RD SUITE 165 |
| City | ROSWELL |
| State | GA |
| Zip Code | 30076-2139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447231907 | Donni L. Jester | Nurse Practitioner | 1475 Holcomb Bridge Rd, Suite 129, Roswell, GA 30076-2139 | 2005-11-10 |
| 1598212409 | Jaclyn Allen | Speech-Language Pathologist | 1475 Holcomb Bridge Rd, Roswell, GA 30076-2139 | 2016-09-08 |
| 1619325305 | Melia Maketo | Nurse Practitioner | 1475 Holcomb Bridge Rd, Roswell, GA 30076-2139 | 2016-06-02 |
| 1659646461 | Christine Waller Jones | Occupational Therapist | 1475 Holcomb Bridge Rd, Roswell, GA 30076-2139 | 2012-03-12 |
| 1487954640 | Cynthia Anne Lang | Occupational Therapist | 1475 Holcomb Bridge Rd, Roswell, GA 30076-2139 | 2010-10-21 |
| 1336453448 | Amy Fuhrer | Speech-Language Pathologist | 1475 Holcomb Bridge Rd, Roswell, GA 30076-2139 | 2010-07-30 |
| 1417269804 | Elizabeth Salvi Brown | Occupational Therapist | 1475 Holcomb Bridge Rd, Suite 113, Roswell, GA 30076-2139 | 2010-07-14 |
| 1306074018 | Alison Stephens Hall | Speech-Language Pathologist | 1475 Holcomb Bridge Rd, Suite 113, Roswell, GA 30076-2139 | 2009-07-01 |
| 1578799763 | Darling Pediatric Therapies | Clinic/Center | 1475 Holcomb Bridge Rd, Suite 113, Roswell, GA 30076-2139 | 2009-06-02 |
| 1235395617 | Sarah Crow | Physical Therapist | 1475 Holcomb Bridge Rd, Ste 113, Roswell, GA 30076-2139 | 2008-08-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275505 | Apex Spine and Neurosurgery LLC | Neurological Surgery | 1295 Hembree Rd Ste 200 Bldg B, Roswell, GA 30076 | 2020-11-06 |
| 1841776689 | Scott Gunter Brunson | Hearing Instrument Specialist | 777 Old Roswell Pl # E100, Roswell, GA 30076 | 2018-07-16 |
| 1861998197 | Daniel B Charek | Clinical Neuropsychologist | 11685 Alpharetta Hwy Ste 170, Roswell, GA 30076 | 2018-04-04 |
| 1427575554 | A One Home Care, Inc. | In Home Supportive Care | 1875 Old Alabama Road, Suite 420, Roswell, GA 30076 | 2017-08-29 |
| 1053836023 | Madelon Morgan | Counselor | 555 Sun Valley Dr Bldg F, Roswell, GA 30076 | 2017-08-10 |
| 1245769637 | Family Behavioral Health, LLC | Clinic/Center | 9275 Martin Rd, Roswell, GA 30076 | 2017-06-08 |
| 1093163750 | Ryann Soutar | Counselor | 702 Macy Dr, Roswell, GA 30076 | 2016-06-02 |
| 1447618707 | Concierge Medical Mgmt Group | Contractor | 760 Old Roswell Rd Ste 117, Roswell, GA 30076 | 2016-02-02 |
| 1063877710 | Augustine Young | Community/Behavioral Health | 427 Royal Creek Dr, Roswell, GA 30076 | 2015-12-23 |
| 1710360441 | Currents Massage LLC | Massage Therapist | 760 Old Roswell Road, Suite 230, Roswell, GA 30076 | 2015-06-30 |
| Find all providers in zip 30076 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184127557 | Advanced Diagnostics Atlanta | Clinic/Center | 11660 Alpharetta Hwy Ste 630, Roswell, GA 30076-3891 | 2018-03-13 |
| 1467895359 | Arthritis & Rheumatology Center PC | Clinic/Center | 11685 Alpharetta Hwy, Suite 120, Roswell, GA 30076-4913 | 2013-04-10 |
| 1538458690 | Metamorphosis Medical Group | Clinic/Center | 1792 Woodstock Rd, Bldg 300, Roswell, GA 30075-2199 | 2011-03-29 |
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| 1992331581 | World Spine and Orthopedics LLC | Clinic/Center | 4296 Memorial Dr Ste C, Decatur, GA 30032-1227 | 2020-03-16 |
| 1619517968 | Carroll Total Healthcare,pc | Clinic/Center | 410 Peachtree Pkwy Ste 4226, Cumming, GA 30041-7439 | 2020-01-14 |
| 1528601200 | Blued Consultant Solutions, LLC | Clinic/Center | 256 Rainbow Ln, Mcdonough, GA 30252-4839 | 2019-10-24 |
| 1578113585 | Centro Prenatal De Gwinnett LLC | Clinic/Center | 575 W Pike St Ste 1, Lawrenceville, GA 30046-7685 | 2019-09-12 |
| 1316508815 | Atlanta Health Clinic LLC | Clinic/Center | 2480 Windy Hill Rd Se Ste 404, Marietta, GA 30067-8658 | 2019-06-25 |
| 1659880847 | Jones Medical and Educational Consultants | Clinic/Center | 8954 Hospital Dr Bldg C, Douglasville, GA 30134-2200 | 2017-09-20 |
| 1477005593 | Hirenirali LLC | Clinic/Center | 12390 Beragio Pl, Alpharetta, GA 30004-4188 | 2016-10-25 |
| 1851840961 | Tele Doctor Direct Inc | Clinic/Center | 1250 Powers Ferry Cmn Se, Suite 100, Marietta, GA 30067-6046 | 2016-09-30 |
| 1154870533 | Life Point Medical, LLC | Clinic/Center | 189 Bo James Street, Suite 105, Clayton, GA 30525 | 2016-09-27 |
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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.