CARLOS A LEVY-ELICEIRI (NPI# 1306832639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306832639 |
| Entity Type | Individual |
| Full Name | CARLOS A LEVY-ELICEIRI |
| Credential | MD PA |
| Practice Address |
100 Lakeshore Dr Suite B Saint Marys GA 31558-3800 |
| Practice Telephone | 9128824254 |
| Practice Fax Number | 8128829493 |
| Mailing Telephone | 9128824254 |
| Mailing Fax Number | 8885129114 |
| Enumeration Date | 2005-09-22 |
| Last Update Date | 2018-10-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 019967 | GA | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | 019967 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00176272A | 05 |
| Street Address |
100 LAKESHORE DR SUITE B |
| City | SAINT MARYS |
| State | GA |
| Zip Code | 31558-3800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760703540 | Carlos A. Levy, Md, Pa | Surgery | 100 Lakeshore Dr, Saint Marys, GA 31558-3857 | 2010-06-16 |
| 1497991137 | C A Levy Surgical Inc | Surgery | 100 Lakeshore Dr, Ste B, Saint Marys, GA 31558-3857 | 2008-12-31 |
| 1881761492 | Life Line Home Care Inc | Durable Medical Equipment & Medical Supplies | 100 Lakeshore Dr, Suite A, Saint Marys, GA 31558-3857 | 2006-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942827332 | Primary Care of Coastal Georgia | Clinic/Center | 214a Professional Cir, St Marys, GA 31558 | 2020-07-01 |
| 1922659192 | Christian Bianca Booker | Social Worker | 944 Kings Bay Rd. #247, St. Marys, GA 31558 | 2019-09-27 |
| 1154897296 | Shonta Harper | Counselor | 708 Osborne St Ste 104, Saint Marys, GA 31558 | 2018-10-16 |
| 1174038095 | Camden Behavioral Wellness, Inc | Counselor | 605 Osborne Street, Saint Mary's, GA 31558 | 2017-12-14 |
| 1285149427 | Urgent Care of Coastal Georgia | General Practice | 214 A Professional Circle, St. Marys, GA 31558 | 2017-12-11 |
| 1679975783 | Jeremy Cole | Behavioral Analyst | 921 Charlie Smith Sr. Highway, St. Marys, GA 31558 | 2014-09-19 |
| 1053660738 | Janice Paulino Ramirez | Nurse Practitioner | 2040 Dan Proctor Drive, Suite 170, St Marys, GA 31558 | 2012-09-10 |
| 1174899454 | Light Horse Healthcare Inc | Voluntary or Charitable | 2060 Dan Proctor Drive, Suite 3300, St Marys, GA 31558 | 2012-03-30 |
| 1316215775 | Annette O. Perry | Counselor | 4019 Hwy 40 East, St. Marys, GA 31558 | 2011-12-13 |
| 1932486271 | Sarah Jo Meyers | Speech-Language Pathologist | 2015 Osborne Rd, Unit A, St Marys, GA 31558 | 2011-11-15 |
| Find all providers in zip 31558 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194130278 | George Keck Powell | General Practice | 317 Osprey Cir, Saint Marys, GA 31558-4143 | 2014-06-26 |
| 1164410247 | Teresita P Dejosef | General Practice | 111 Lafayette St, Suite 201, Saint Marys, WV 26170-1059 | 2005-10-12 |
| 1518356658 | Coastline Physical Medicine and Rehabilitation Inc. | General Practice | 4011 Hwy 40, Saint Marys, GA 31558-4067 | 2015-01-13 |
| 1497947998 | Matthew C Riesen | General Practice | 1132 Hager St, Saint Marys, OH 45885-2423 | 2007-08-17 |
| 1992802342 | Jimmy Arturo Malaver-reyes | General Practice | 214 Professional Cir Ste A, Saint Marys, GA 31558-3783 | 2006-09-20 |
| 1407866262 | Michael C Josey | General Practice | 1040 Hager St, Saint Marys, OH 45885-2421 | 2006-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225638166 | Ihealthgp, LLC | General Practice | 10202 Masters Way, Alpharetta, GA 30005-8842 | 2020-10-29 |
| 1447861950 | Phynova Mso, LLC | General Practice | 1718 Peachtree St Nw Ste 380, Atlanta, GA 30309-2498 | 2020-08-10 |
| 1811507247 | Magnolia Medical Center LLC | General Practice | 101 Chase Ct Nw Ste B, Milledgeville, GA 31061-7188 | 2020-07-31 |
| 1952927279 | Total Health Solutions Medical Center | General Practice | 12220 Birmingham Hwy Ste A, Milton, GA 30004-4184 | 2020-06-23 |
| 1386260131 | Midnight Rose, LLC | General Practice | 6380 Bells Ferry Rd, Acworth, GA 30102-5435 | 2020-06-17 |
| 1477176394 | Optimal Choice Telehealth | General Practice | 1227 Rockbidge Rd Sw, Ste 208-354, Stone Mountain, GA 30087 | 2020-05-27 |
| 1053946004 | Proactive Medical Center | General Practice | 3455 Peachtree Industrial Blvd Ste 910, Duluth, GA 30096-6502 | 2020-03-10 |
| 1285265546 | Idea Body Institute Atlanta Asc | General Practice | 371 E Paces Ferry Rd Ne Ste 450, Atlanta, GA 30305-3292 | 2020-01-27 |
| 1730729849 | Summit Health Primary and Urgent Care LLC | General Practice | 120 Handley Rd Bldg 400 Ste #410, Tyrone, GA 30290-3029 | 2020-01-07 |
| 1770121030 | New Life Medical Centers Georgia LLC | General Practice | 3550 Lenox Rd Ne Ste 2100, Atlanta, GA 30326-1810 | 2019-12-18 |
| Find all providers with the same taxonomy | ||||
| City | SAINT MARYS |
| Zip Code | 31558 |
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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.