HAMILTON MILL MEDICAL & PHYSICAL THERAPY (NPI# 1295959880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295959880 |
Entity Type | Organization |
Organization Name | HAMILTON MILL MEDICAL & PHYSICAL THERAPY |
Practice Address |
2098 Teron Trce Ste 300 Dacula GA 30019-1662 |
Practice Telephone | 7706144060 |
Enumeration Date | 2007-04-13 |
Last Update Date | 2020-08-22 |
Authorized Official Name | BENJAMIN MITCHELL (CLINIC DIRECTOR) |
Authorized Official Telephone | 7706144060 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
Allopathic & Osteopathic Physicians |
Street Address |
2098 TERON TRCE STE 300 |
City | DACULA |
State | GA |
Zip Code | 30019-1662 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780646083 | Henry S Moon | Family Medicine | 2098 Teron Trce, Ste150, Dacula, GA 30019-1662 | 2006-04-04 |
1346595204 | Covenant Family Medicine Gmg LLC | Family Medicine | 2098 Teron Trce, Suite 150, Dacula, GA 30019-1663 | 2012-07-17 |
1568691046 | Choices Gwinnett, LLC | Community/Behavioral Health | 2098 Teron Trce, Suite 300, Dacula, GA 30019-1663 | 2009-07-06 |
1073786281 | Sleep Services of America | Clinical Medical Laboratory | 2098 Teron Trce, Suite 400, Dacula, GA 30019-1663 | 2008-04-09 |
1669653002 | North Gwinnett Primary Care | Clinic/Center | 2098 Teron Trce, Dacula, GA 30019-1663 | 2007-11-14 |
1659551091 | Cornerstone Family Practice, P.C. | Specialist | 2098 Teron Trce, Suite 400, Dacula, GA 30019-1663 | 2007-11-13 |
1417091471 | Benjamin Caughey Mitchell | Chiropractor | 2098 Teron Trce, Ste 300, Dacula, GA 30019-1667 | 2007-02-16 |
1134262777 | George Quintero | Dentist | 2098 Teron Trce, Suite 600, Dacula, GA 30019-1662 | 2007-02-14 |
1851353098 | Rene Latoni | Family Medicine | 2098 Teron Trce, Ste150, Dacula, GA 30019-1662 | 2006-04-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780228171 | Mackenson Lafortune | Physical Therapy Assistant | 1424 Filigree Pl, Dacula, GA 30019 | 2019-10-29 |
1780167452 | Adenike Alaga | Registered Nurse | 3196 Dolostone Way, Dacula, GA 30019 | 2018-09-10 |
1780160580 | Cielitha Ruffin | Nurse Practitioner | 1223 Bentley Estates Dr., Dacula, GA 30019 | 2018-07-15 |
1386135663 | Anke Mbapeh | Nurse Practitioner | 2100 Browning Bend Ct, Dacula, GA 30019 | 2018-05-23 |
1053820282 | Ethan Zachariah Merrow | Student in an Organized Health Care Education/Training Program | 1701 Mulberry Lake Drive, Dacula, GA 30019 | 2017-09-20 |
1043737547 | Dawn Hedley | Dietitian, Registered | 3567 Vern Way, Dacula, GA 30019 | 2017-08-25 |
1831545367 | Angela Owusu-edusei | Nurse Practitioner | 3226 Dolostone Way, Dacula, GA 30019 | 2016-05-13 |
1528458718 | Philomena Gyamfi | Registered Nurse | 1088 Milford Ln, Dacula, GA 30019 | 2015-01-27 |
1417375247 | Casey Goldman Sommerfeld | Pediatrics | 2240 Hamilton Creek Pkwy Ste 600, Dacula, GA 30019 | 2014-03-29 |
1417398215 | Samia Tahil | Home Health | 2821 Spence Ct, Dacula, GA 30019 | 2013-07-10 |
Find all providers in zip 30019 |
Taxonomy Code | 2083P0901X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Preventive Medicine |
Specialization | Public Health & General Preventive Medicine |
Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730715137 | Ernest E Smith | Preventive Medicine | 115 W Dearborn Cir, Decatur, GA 30030-4474 | 2020-03-17 |
1033749288 | Atlanta Clinical Research Centers LLC | Preventive Medicine | 5673 Peachtree Dunwoody Rd Ste 440a, Atlanta, GA 30342-1797 | 2020-01-16 |
1316433105 | Thomas Boggs Richards | Preventive Medicine | 2067 Amberwood Way Ne, Atlanta, GA 30345-3903 | 2018-07-05 |
1871016592 | Sonja Suzzete Hutchins | Preventive Medicine | 435 Joseph E Lowery Blvd Sw, Atlanta, GA 30310-1471 | 2017-07-25 |
1922453547 | Passport Health Holdings, LLC | Preventive Medicine | 2470 Windy Hill Rd Se Ste 107, Marietta, GA 30067-8614 | 2016-05-02 |
1275988891 | Passport Health Holdings LLC | Preventive Medicine | 315 W Ponce De Leon Ave Ste 585, Decatur, GA 30030-2400 | 2016-05-02 |
1619336286 | Antonio Neri | Preventive Medicine | 1600 Clifton Rd Ne # Mse-92, Atlanta, GA 30329-4018 | 2016-02-11 |
1134597057 | Zachary Taylor IIi | Preventive Medicine | 1710 Whitehouse Ct, Dalton, GA 30720-8523 | 2015-09-09 |
1730557729 | Populations and Interventions Team Company (pitc) | Preventive Medicine | 3182 Berthas Overlook, Douglasville, GA 30135-8458 | 2015-09-08 |
1609252626 | Anthony Robbins | Preventive Medicine | 2707 Whispering Pines Ct, Decatur, GA 30033-1453 | 2015-07-31 |
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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.