FOURTH AND BEECH, INC. (NPI# 1316392541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316392541 |
| Entity Type | Organization |
| Organization Name | FOURTH AND BEECH, INC. |
| Other Organization Name | MEDI-WEIGHTLOSS |
| Practice Address |
5475 Chamblee Dunwoody Rd Dunwoody GA 30338-4114 |
| Mailing Address |
5024 Vernon Springs Dr Dunwoody GA 30338-4653 |
| Practice Telephone | 6783791300 |
| Practice Fax Number | 6788023209 |
| Mailing Telephone | 4042299048 |
| Enumeration Date | 2016-04-25 |
| Last Update Date | 2016-07-19 |
| Authorized Official Name | IKUSUKE NAKADA (CEO/OWNER) |
| Authorized Official Telephone | 4042299048 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | RN108447 | GA | Allopathic & Osteopathic Physicians |
| N | 133V00000X | Dietitian, Registered | LD004684 | GA | Dietary & Nutritional Service Providers |
| Y | 207Q00000X | Family Medicine | 56363 | GA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Medi-Weightloss | Doing Business As Name - Organization |
| Street Address |
5475 CHAMBLEE DUNWOODY RD |
| City | DUNWOODY |
| State | GA |
| Zip Code | 30338-4114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396198925 | Candace Crowley | Dietitian, Registered | 5475 Chamblee Dunwoody Rd, #880, Dunwoody, GA 30338-4114 | 2016-07-19 |
| 1891140026 | Jennifer Clair | Family Medicine | 5475 Chamblee Dunwoody Rd, Dunwoody, GA 30338-4114 | 2016-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629606264 | Jasmine Donesha Shackelford | Student in an Organized Health Care Education/Training Program | Emory Family Medicine, 4500 North Shallowford Road, Atlanta, GA 30338 | 2020-03-30 |
| 1558907774 | Brianna Harding | Pharmacist | 4608 Devonshire Road, Dunwoody, GA 30338 | 2019-11-22 |
| 1194382135 | Kadan Corporation | In Home Supportive Care | 1848 Independence Square, Suite A, Dunwoody, GA 30338 | 2019-05-24 |
| 1144789553 | Carla Fabiola Nunez | Dentist | 5200 Roberts Dr, Atlanta, GA 30338 | 2019-03-15 |
| 1861978793 | Uhs of Peachford Lp | Pharmacy | 2150 Peachford Rd Ste D, Atlanta, GA 30338 | 2018-07-13 |
| 1275047474 | Mary Rose Ziemba | Physical Therapist | 4516 Chamblee Dunwoody Rd # 22, Dunwoody, GA 30338 | 2017-11-27 |
| 1992223531 | Joel Moorhead | Physical Medicine & Rehabilitation | 1521 Eidson Hall Drive, Dunwoody, GA 30338 | 2017-09-05 |
| 1336667997 | Absolute Holistic Medicine | Clinic/Center | 1868 Independence Sq, Suite A, Atlanta, GA 30338 | 2017-09-05 |
| 1164947115 | Modern Dermatology Atlanta | Dermatology | 5696 Whitehall Walk, Dunwoody, GA 30338 | 2017-08-11 |
| 1366972150 | A Caring Approach To Home Health Services Inc. | In Home Supportive Care | 200 Ashford Center North, Suite 370, Atlanta, GA 30338 | 2017-06-14 |
| Find all providers in zip 30338 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982964219 | Mt Vernon Family Medicine | Family Medicine | 1705 Mount Vernon Rd Ste A, Dunwoody, GA 30338-4257 | 2012-05-21 |
| 1518261742 | Douglas Howard Hamilton | Family Medicine | 1824 Village Mill Rd, Dunwoody, GA 30338-5139 | 2011-01-03 |
| 1487746483 | Moinuddin Kazi | Family Medicine | 4480 N Shallowford Rd, Ste 200, Dunwoody, GA 30338 | 2006-09-28 |
| 1326544255 | Christine I Tolu-ajayi | Family Medicine | 4500 N Shallowford Rd Ste B, Dunwoody, GA 30338 | 2018-03-31 |
| 1891140026 | Jennifer Clair | Family Medicine | 5475 Chamblee Dunwoody Rd, Dunwoody, GA 30338-4114 | 2016-04-25 |
| 1013302280 | Torrance Christopher Laury | Family Medicine | 4500 N Shallowford Rd, Suite B, Dunwoody, GA 30338 | 2015-04-03 |
| 1265785745 | Better Medical Care of Atlanta LLC | Family Medicine | 11 Dunwoody Park, Suite 140, Dunwoody, GA 30338-7408 | 2012-10-20 |
| 1760778591 | Mirtha Yobana Aguilar Alvarado | Family Medicine | 4500 N Shallowford Rd, Dunwoody, GA 30338-6476 | 2011-06-20 |
| 1588976500 | Isabel Lowell | Family Medicine | 4500 N Shallowford Rd, Dunwoody, GA 30338-6476 | 2010-07-07 |
| 1295050987 | Immune Recovery Institute Inc | Family Medicine | 4536 Chamblee Dunwoody Rd, Ste 250, Dunwoody, GA 30338-6200 | 2010-04-06 |
| Find all providers in DUNWOODY | ||||
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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.