TENET SOUTH FULTON INC. (NPI# 1326084278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326084278 |
| Entity Type | Organization |
| Organization Name | TENET SOUTH FULTON INC. |
| Other Organization Name | SOUTH FULTON PRIMARY CARE SERVICES |
| Practice Address |
3699 Bakers Ferry Rd Sw Atlanta GA 30331-3712 |
| Mailing Address |
1920 John Wesley Ave College Park GA 30337-3606 |
| Practice Telephone | 4047654164 |
| Practice Fax Number | 4047624897 |
| Mailing Telephone | 4047654164 |
| Mailing Fax Number | 4047624897 |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2016-07-28 |
| Authorized Official Name | MR. WESLEY O. JAMES (REGIONAL CFO, TENET) |
| Authorized Official Telephone | 4042655009 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| South Fulton Primary Care Services | Doing Business As Name - Organization |
| Street Address |
3699 BAKERS FERRY RD SW |
| City | ATLANTA |
| State | GA |
| Zip Code | 30331-3712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497926448 | Elizabeth Ann Bostick | Registered Nurse | 3699 Bakers Ferry Rd Sw, Atlanta, GA 30331-3712 | 2008-03-18 |
| 1366590747 | Adamsville Health Center | Public Health or Welfare | 3699 Bakers Ferry Rd Sw, Atlanta, GA 30331 | 2007-01-08 |
| 1245301118 | Barbara Jean Evans | Registered Nurse | 3699 Bakers Ferry Rd Sw, Atlanta, GA 30331 | 2006-11-13 |
| 1003993189 | Ingrid Fannin | Registered Nurse | 3699 Bakers Ferry Rd Sw, Adamsville Health Center, Atlanta, GA 30331 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861001174 | Whitney Flemister | Social Worker | 3961 Princeton Lakes Way Sw, Atlanta, GA 30331 | 2020-07-23 |
| 1982237400 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 5829 Campbellton Road, S.w, Suite 110, Atlanta, GA 30331 | 2020-02-13 |
| 1295375558 | Drusilla Precious Cudjoe | Behavior Technician | 3800 Camp Creek Parkway Sw, Building 1400, Atlanta, GA 30331 | 2020-01-14 |
| 1497262778 | Champions Pharmacy | Pharmacy | 3886 Princeton Lakes Way Suite 180, Atlanta, GA 30331 | 2018-01-08 |
| 1033629779 | Carmen Ardoin | Counselor | 2636 Martin Luther King Jr. Drive, Suite 12, Atlanta, GA 30331 | 2017-10-09 |
| 1346759974 | Neva R Allison | Nurse Practitioner | 2611 Dayview Ln, Atlanta, GA 30331 | 2017-09-26 |
| 1538678255 | Natalie Mckay | Technician/Technologist | 3915 Cascade Rd, 220, Atlanta, GA 30331 | 2017-09-26 |
| 1700304268 | Tyrone Pipkin | Contractor | 415 Kendrick Terrace Sw, Atlanta, GA 30331 | 2017-09-05 |
| 1073031688 | Kristen Wooldridge | Pharmacist | 3695 Cascade Road, Atlanta, GA 30331 | 2017-09-04 |
| 1548704687 | Advance Pain Management | Health Maintenance Organization | 2950 Stone Hogan Road Connector, Atlanta, GA 30331 | 2016-12-08 |
| Find all providers in zip 30331 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477185221 | Metro Health and Wellness, LLC | Obstetrics & Gynecology | 2950 Stone Hogan Connector Rd Sw Bldg B, Atlanta, GA 30331-2837 | 2020-02-10 |
| 1518464353 | Naws Piedmont, LLC | Obstetrics & Gynecology | 1800 Peachtree St Nw Ste 455, Atlanta, GA 30309-2520 | 2018-04-09 |
| 1174039127 | Karen Hoover | Obstetrics & Gynecology | 1600 Clifton Rd Ne # Mse45, Atlanta, GA 30329-4018 | 2017-12-28 |
| 1659733228 | Cantey Hattink Dogan | Obstetrics & Gynecology | 275 Collier Rd Nw Ste 100a, Atlanta, GA 30309-1700 | 2016-03-23 |
| 1245617505 | Danielle Mccarthur | Obstetrics & Gynecology | 550 Peachtree St Ne Ste 1470, Atlanta, GA 30308 | 2015-05-06 |
| 1316358484 | Graysan Kirk Southern | Obstetrics & Gynecology | 69 Jesse Hill Jr Dr Se Rm 410, Atlanta, GA 30303-3033 | 2014-05-12 |
| 1558781161 | Cunningham and Associates, LLC | Obstetrics & Gynecology | 325 Hammond Dr, Suite 201, Atlanta, GA 30328-5032 | 2014-04-22 |
| 1538507199 | Yeonjung Park | Obstetrics & Gynecology | 5780 Peachtree Dunwoody Rd Ste 200, Atlanta, GA 30342-1558 | 2013-06-05 |
| 1487997664 | Jennifer K Gustafson | Obstetrics & Gynecology | 5673 Peachtree Dunwoody Rd Ste 700, Atlanta, GA 30342-1752 | 2013-04-05 |
| 1194068197 | Jaclyn Friedman | Obstetrics & Gynecology | 960 Johnson Fy Rd Ne Ste 400, Atlanta, GA 30342-4771 | 2013-03-28 |
| 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.