MR. EDWARD J. REILLY III (NPI# 1255350898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255350898 |
| Entity Type | Individual |
| Full Name | MR. EDWARD J. REILLY III |
| Credential | PA |
| Practice Address |
1005 W Taylor St Griffin GA 30223-2607 |
| Mailing Address |
6051 Kenbrook Cir Nw Acworth GA 30101-8482 |
| Practice Telephone | 7702270333 |
| Mailing Telephone | 7703759204 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2016-10-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 05269-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363A00000X | Physician Assistant | 004794 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 939150895A | 05 | |
| GA | 939150895B | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255303657 | Edward G Reilly | Chiropractor | 2 Fairview Hills Dr, Fairview, NC 28730-9777 | 2006-02-02 |
| 1578545083 | Edward L. Reilly | Psychiatry & Neurology | 2800 S Macgregor Way, Houston, TX 77021-1032 | 2005-11-18 |
| Street Address |
1005 W TAYLOR ST |
| City | GRIFFIN |
| State | GA |
| Zip Code | 30223-2607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841337524 | Andrew John Hartpence | Chiropractor | 1005 W Taylor St, Griffin, GA 30223-2607 | 2007-01-31 |
| 1902943590 | Griffin Wellness Center | Internal Medicine | 1005 W Taylor St, Griffin, GA 30223-2607 | 2007-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235783036 | Jennifer Lashawn Stevenson | Registered Nurse | 1071 Highway 16 West, Griffin, GA 30223 | 2019-07-30 |
| 1992357644 | Nikki Petty | Behavior Technician | 185 Grady Street, Griffin, GA 30223 | 2019-07-12 |
| 1568940146 | Brenda Pope | Counselor | 1710 Highway 16 West, Griffin, GA 30223 | 2018-08-05 |
| 1073025151 | Vonita Clowers | Specialist | 1424 N. Expy, Suite 115, Griffin, GA 30223 | 2017-10-30 |
| 1912427592 | Sheena Murphy | Registered Nurse | 109 N. 10th Street, Griffin, GA 30223 | 2017-06-23 |
| 1033639612 | Taralyn Rae Sams | Registered Nurse | 109 North 10th Street, Griffin, GA 30223 | 2017-06-23 |
| 1326594656 | Wendell Robinson | Registered Nurse | 109 N.10th Street, Griffin, GA 30223 | 2016-08-28 |
| 1508235466 | Trenisha Jones Mccall | Counselor | 1815 North Expressway, Griffin, GA 30223 | 2015-09-22 |
| 1104224948 | Dawn Tyus | Counselor | 424 W. Taylor Street, Griffin, GA 30223 | 2014-12-10 |
| 1003173030 | Ingles Markets Inc | Pharmacy | 1735 Zebulon Rd, Griffin, GA 30223 | 2012-04-16 |
| Find all providers in zip 30223 | ||||
| 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 |
|---|---|---|---|---|
| 1497303531 | Xiaohui Zhang Brotzge | Physician Assistant | 601 S 8th Street, Griffin, GA 30224 | 2019-09-02 |
| 1376578583 | Anthony N Rives | Physician Assistant | 1657 N Expressway, Griffin, GA 30223-1276 | 2006-07-12 |
| 1619592284 | Emily Heape Burns | Physician Assistant | 619 S 8th St Ste 200, Griffin, GA 30224-4260 | 2020-06-10 |
| 1174085385 | Zeshan Velani | Physician Assistant | 601 S 8th St, Griffin, GA 30224-4213 | 2019-04-05 |
| 1639657778 | Lauren Embry | Physician Assistant | 616a S 8th St, Griffin, GA 30224-4214 | 2018-07-31 |
| 1285157883 | Shannon Ann Makin | Physician Assistant | 601 S 8th St, Griffin, GA 30224 | 2017-07-25 |
| 1437561370 | Shae Ala Robinson | Physician Assistant | 1661 W Mcintosh Rd, Griffin, GA 30223-1717 | 2014-05-27 |
| 1346675063 | Elizabeth Ann King | Physician Assistant | 601 S 8th St, Griffin, GA 30224-4213 | 2013-09-12 |
| 1134567209 | Ashley Ficklen Johnson | Physician Assistant | 231 Graefe St, Griffin, GA 30224-4222 | 2013-06-11 |
| 1679839500 | Andrew Duffy | Physician Assistant | 601 S 8th St, Griffin, GA 30224-4213 | 2012-04-04 |
| Find all providers in GRIFFIN | ||||
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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.