JUDSON EIDSON (NPI# 1255722377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255722377 |
| Entity Type | Individual |
| Full Name | JUDSON EIDSON |
| Credential | NP |
| Practice Address |
1221 Merlin Ave Se Atlanta GA 30317-1621 |
| Practice Telephone | 4043129120 |
| Enumeration Date | 2015-02-11 |
| Last Update Date | 2015-02-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
RN184262 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1221 MERLIN AVE SE |
| City | ATLANTA |
| State | GA |
| Zip Code | 30317-1621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497391395 | Tara Lozano Thrutchley | Counselor | 2033 Hosea L Williams Drive Ne, Suite 2, Atlanta, GA 30317 | 2019-11-26 |
| 1689052326 | Pharmworks Group LLC | Pharmacy | 1860 Memorial Dr Se, Atlanta, GA 30317 | 2015-05-14 |
| 1891032157 | Carla Bernita Jones | Licensed Practical Nurse | 2064 Ridgedale Rd Ne, Atlanta, GA 30317 | 2013-01-07 |
| 1154428985 | Dekalb County Board of Health | Public Health or Welfare | 2006 Hosea Williams Dr., Atlanta, GA 30317 | 2006-09-20 |
| 1548228034 | Yuri Okuizumi Wu | Pediatrics | 35 Whitefoord Ave Se, Atlanta, GA 30317 | 2006-05-03 |
| 1093052359 | Third Day Ministry | Religious Nonmedical Practitioner | 2064 Ridgedale Rd Ne, Atlanta, GA 30317 | 2013-01-07 |
| 1548215254 | Adrian Gendell Bonser | Dentist | 30 Warren St, Atlanta, GA 30317 | 2006-05-23 |
| 1245284041 | Magdy Attia | Dentist | 30 Warren St, Atlanta, GA 30317 | 2006-05-19 |
| 1245845288 | Jennie Gray Mulligan | Social Worker | 1911 Hallman St Ne, Atlanta, GA 30317-1001 | 2020-09-15 |
| 1942837125 | Kathryn Caracappa Boulet | Counselor | 1942 Delano Dr Ne, Atlanta, GA 30317-1009 | 2020-03-26 |
| Find all providers in zip 30317 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023636941 | Pamela Patrice Ward | Nurse Practitioner | 789 Hammond Dr Apt 1706, Atlanta, GA 30328-8156 | 2020-07-07 |
| 1124640586 | Lana Wassim Hojeij | Nurse Practitioner | 67 28th St Nw, Atlanta, GA 30309-1842 | 2020-05-08 |
| 1346874021 | Monique Sims Breland | Nurse Practitioner | 993d Johnson Fy Rd Ne Ste 130, Atlanta, GA 30342-1602 | 2020-03-03 |
| 1245860634 | Christy Michelle Apple | Nurse Practitioner | 1900 Chancery Ln, Atlanta, GA 30341-1010 | 2020-01-24 |
| 1366008237 | Melissa Lee Hallman | Nurse Practitioner | 1421 Peachtree St Ne Ste A, Atlanta, GA 30309-3040 | 2019-05-15 |
| 1972075497 | Laura Mcrae | Nurse Practitioner | Emory Center for Critical Care, 550 Peachtree Street, Davis Fischer Building, Office 3245a, Atlanta, GA 30308 | 2018-12-21 |
| 1265902134 | Kyle Brooks Kraft | Nurse Practitioner | 550 Peachtree Road, Davis Fischer Building, Office 3245a, Atlanta, GA 30308 | 2018-12-04 |
| 1770098717 | Tracy Michelle Shelton | Nurse Practitioner | 550 Peachtree St Ne Bldg 3245-a, Atlanta, GA 30308-2247 | 2017-12-13 |
| 1013457845 | Phung Ngoc Lu | Nurse Practitioner | 550 Peachtree Street -, Davis Fischer Building Office 3245a, Atlanta, GA 30308 | 2017-02-27 |
| 1386197457 | Elizabeth Carrington Mitchell | Nurse Practitioner | 373 Brooks Ave Ne, Atlanta, GA 30307-2141 | 2016-07-25 |
| 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.