ALICE F. FAZEKAS (NPI# 1295824324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295824324 |
| Entity Type | Individual |
| Full Name | ALICE F. FAZEKAS |
| Other Name | ALICE E. FISHER |
| Credential | PA |
| Practice Address |
3903 S Cobb Dr Se Suite 200 Smyrna GA 30080-8504 |
| Practice Telephone | 7708014646 |
| Practice Fax Number | 7708015280 |
| Mailing Telephone | 7708014646 |
| Mailing Fax Number | 7708015280 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2010-06-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
004858 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3903 S COBB DR SE SUITE 200 |
| City | SMYRNA |
| State | GA |
| Zip Code | 30080-8504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568433498 | David Nam Young Kim | Family Medicine | 3903 S Cobb Dr Se, Suite 200, Smyrna, GA 30080-8504 | 2006-01-30 |
| 1679053805 | Samuel Chukwuma | Physical Therapist | 3903 S Cobb Dr Se, Smyrna, GA 30080-8504 | 2018-08-16 |
| 1326443284 | Crystal Shantae Johnson | Nurse Practitioner | 3903 S Cobb Dr Se, Suite 225, Smyrna, GA 30080-8504 | 2014-11-04 |
| 1245575638 | Georgia Urology Pa | Urology | 3903 S Cobb Dr Se, Suite 200, Smyrna, GA 30080-8504 | 2012-12-11 |
| 1386988301 | Innovative Women's Healthcare Solutions, LLC | Obstetrics & Gynecology | 3903 S Cobb Dr Se, #105, Smyrna, GA 30080-8504 | 2012-11-15 |
| 1427309681 | Camille Chapleau | Counselor | 3903 S Cobb Dr Se, Suite 235, Smyrna, GA 30080-8504 | 2012-09-27 |
| 1073864237 | Megan Allen | Social Worker | 3903 S Cobb Dr Se, Suite 235, Smyrna, GA 30080-8504 | 2012-09-27 |
| 1083971691 | Keerat Singh | Orthopaedic Surgery | 3903 S Cobb Dr Se, Smyrna, GA 30080-8504 | 2012-04-19 |
| 1013206952 | Georgia Spine Specialists | Specialist | 3903 S Cobb Dr Se, Ste 105, Smyrna, GA 30080-8504 | 2011-03-31 |
| 1285942102 | Karin Denise Brown | Registered Nurse | 3903 S Cobb Dr Se, Suite 220, Smyrna, GA 30080-8504 | 2010-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881205169 | Suny Varughese | Nurse Practitioner | Minute Clinic, 2994 Atlanta Rd, Se, Smyrna, GA 30080 | 2020-08-11 |
| 1891287645 | Provident Group - Creekside Properties LLC | Alzheimer Center (Dementia Center) | 4838 South Cobb Drive, Smyrna, GA 30080 | 2018-06-06 |
| 1710490743 | Alina Rim | Registered Nurse | 4532 Chelton Ct Se, Smyrna, GA 30080 | 2017-11-13 |
| 1932626488 | Richard Kyle Davis | Pharmacist | 2955 Atlanta Rd Se, Smyrna, GA 30080 | 2017-08-25 |
| 1982071163 | Amelia Rafaela Turrubiates-huacuja | Counselor | 1246-c Concord Rd, Suite 101, Smyrna, GA 30080 | 2015-08-24 |
| 1275919755 | Anne Waldner Rohling | Physical Therapist | 1155 Concord Rd Se Ste 210, Smyrna, GA 30080 | 2015-08-06 |
| 1790167856 | Kay Yetunde Johnson | Nurse Practitioner | 3001 Lusk Dr, Smyrna, GA 30080 | 2015-06-25 |
| 1689055436 | Anew You Couneling, LLC | Community/Behavioral Health | 3188 Atlanta Rd, Smyrna, GA 30080 | 2015-06-17 |
| 1457766370 | Trondi Jerry | Counselor | 3381 Atlanta Rd Se, Smyrna, GA 30080 | 2014-06-30 |
| 1093081903 | Ashish Kapila | Podiatrist | Wellstar Podiatry, 4441 Atlanta Rd Se Suite 215, Smyrna, GA 30080 | 2012-03-25 |
| Find all providers in zip 30080 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427442680 | Jeffrey Dinizio | Physician Assistant | 515 Stonecrest Pkwy Ste 100, Smyrna, TN 37167-6827 | 2015-03-26 |
| 1053717850 | Deena Altman Spital | Physician Assistant | 400 Technology Ct, Suite J, Smyrna, GA 30082 | 2014-11-06 |
| 1487989695 | Anthony P Ferrara | Physician Assistant | 3040 Highlands Pkwy Se, Ste E, Smyrna, GA 30082-5176 | 2009-10-05 |
| 1386737922 | Michael Allen | Physician Assistant | 3903 S Cobb Dr., Suite 200, Smyrna, GA 30080 | 2006-10-02 |
| 1083251243 | Jordan Cunningham | Physician Assistant | 1181 Paddock Rd, Smyrna, DE 19977-9679 | 2019-12-06 |
| 1962850446 | Brenda Terry | Physician Assistant | 4015 S Cobb Dr Se, Suite 115, Smyrna, GA 30080-6303 | 2016-05-25 |
| 1285048371 | Timothy Alan Hatt | Physician Assistant | 4441 Atlanta Rd Se Ste 216, Smyrna, GA 30080 | 2014-06-17 |
| 1508171125 | Justin Toppins | Physician Assistant | 739 President Pl, Suite 220, Smyrna, TN 37167-6844 | 2010-08-09 |
| 1245360247 | Richard Thomas Schick | Physician Assistant | 1314 Concord Rd Se, Smyrna, GA 30080-4361 | 2007-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245838374 | Erica Elizabeth West | Physician Assistant | 1155 Mount Vernon Hwy Ste 101, Atlanta, GA 30338-5439 | 2020-10-12 |
| 1801402888 | Meredith Gaines | Physician Assistant | 603 W 1st St Unit 1, Rome, GA 30161-3067 | 2020-09-16 |
| 1770108805 | Kelsey Lynne Greeff | Physician Assistant | 3400 Old Milton Pkwy Ste C, Alpharetta, GA 30005-3707 | 2020-06-15 |
| 1518596733 | Rebecca Faye Tsyrlin | Physician Assistant | 2655 Dallas Hwy Sw Ste 340, Marietta, GA 30064-7518 | 2020-04-08 |
| 1487291878 | Ashley Cohen | Physician Assistant | 250 E Ponce De Leon Ave Ste 800, Decatur, GA 30030-3438 | 2019-12-04 |
| 1932757606 | Andrea J Holley | Physician Assistant | 1629 Austin Meadows Dr, Decatur, GA 30032-3888 | 2019-08-27 |
| 1265089759 | Alexis Chester Jones | Physician Assistant | 3000 Old Alabama Rd # 128, Johns Creek, GA 30022-5860 | 2019-08-20 |
| 1841851680 | Lauren Price Fogarty | Physician Assistant | 5445 Meridian Marks Rd Ste 430, Atlanta, GA 30342-4755 | 2019-06-24 |
| 1386208262 | Jessica A Drews | Physician Assistant | 2342 Cortez Way Ne, Brookhaven, GA 30319-3914 | 2019-04-26 |
| 1174187421 | Krisna Patel | Physician Assistant | 1805 Honey Creek Cmns Se Ste B, Conyers, GA 30013-5829 | 2019-04-23 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ALICE F. FAZEKAS.
| 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.