DR. RICHARD RANDALL RICKETTS (NPI# 1326131681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326131681 |
| Entity Type | Individual |
| Full Name | DR. RICHARD RANDALL RICKETTS |
| Credential | MD |
| Practice Address |
1975 Century Blvd Ne Suite 6 Atlanta GA 30345-3316 |
| Mailing Address |
3287 Alton Rd Atlanta GA 30341-4305 |
| Practice Telephone | 4049829938 |
| Practice Fax Number | 4049829136 |
| Mailing Telephone | 7704528817 |
| Enumeration Date | 2006-10-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
021580 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
1975 CENTURY BLVD NE SUITE 6 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30345-3316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760583710 | Megan Marie Durham | Surgery | 1975 Century Blvd Ne, Suite 6, Atlanta, GA 30345-3316 | 2006-09-25 |
| 1730515925 | Ashley Foster Daraei | Nurse Practitioner | 1975 Century Blvd Ne, Suite 6, Atlanta, GA 30345-3316 | 2013-09-19 |
| 1699951657 | Atlanta Pediatric Surgery PC | Specialist | 1975 Century Blvd Ne, Suite 6, Atlanta, GA 30345-3316 | 2008-01-21 |
| 1588751754 | Paul Mackie Parker | Surgery | 1975 Century Blvd Ne, Atlanta, GA 30345-3316 | 2006-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306358726 | Marian Barton Kalvert | Counselor | 2300 Henderson Mill Rd Ne Ste 310, Atlanta, GA 30345 | 2017-10-25 |
| 1417478439 | Reexist Counseling LLC | Clinic/Center | 1955 Vance Drive Ne, Atlanta, GA 30345 | 2017-06-29 |
| 1366862930 | Creative Behavior Consulting | Counselor | 6212 Northlake Circle Ne, Atlanta, GA 30345 | 2014-04-22 |
| 1215375209 | Shakeia Cowan | Counselor | 2302 Parklake Drive, Suite 350, Atlanta, GA 30345 | 2013-06-12 |
| 1154673259 | Phyllis Carrera | Counselor | 1788-b Century Blvd, Atlanta, GA 30345 | 2012-10-12 |
| 1417216128 | Procare Pharmacy, LLC | Pharmacy | 2700 Northeast Expy Ne, Suite B-800, Atlanta, GA 30345 | 2012-05-15 |
| 1962794479 | Nicole Renee Buttery | Behavioral Analyst | 1776 Century Blvd Ne Ste A, Atlanta, GA 30345 | 2011-05-03 |
| 1972839371 | Barbara Lopes Cardozo | Psychiatry & Neurology | 2500 Century Blvd, Mailstop V 25-1, Atlanta, GA 30345 | 2009-10-20 |
| 1568615193 | Zouheir A Shama Sr. | Surgery | 2536 Cosmos Drive N.e., Atlanta, GA 30345 | 2008-10-28 |
| 1396930558 | Munir Kashlan | Dentist | 4800 Briarcliff Rd, Ste 2037 American Dental Group Dba Great Expressions, Atlanta, GA 30345 | 2007-09-11 |
| Find all providers in zip 30345 | ||||
| Taxonomy Code | 2086S0120X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Pediatric Surgery |
| A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184948739 | Morgan Richards | Surgery | 1405 Clifton Rd Ne Dept Of, Atlanta, GA 30322 | 2010-03-24 |
| 1720278856 | Jonathan A Meisel | Surgery | 1400 Tullie Rd Ne Fl 1, Atlanta, GA 30329 | 2007-07-25 |
| 1326135591 | Kurt Frederick Heiss | Surgery | 1975 Century Center, Suite #6, Atlanta, GA 30345 | 2006-10-06 |
| 1528151859 | Amina Mira Bhatia | Surgery | 1975 Century Blvd Ne Ste 6, Atlanta, GA 30345-3316 | 2006-09-30 |
| 1760583710 | Megan Marie Durham | Surgery | 1975 Century Blvd Ne, Suite 6, Atlanta, GA 30345-3316 | 2006-09-25 |
| 1366441941 | John Christopher Bleacher | Surgery | 5455 Meridian Marks Rd Ne, Suite 570, Atlanta, GA 30342-1654 | 2005-07-18 |
| 1932427291 | Robert Julian Vandewalle | Surgery | 1405 Clifton Rd Ne, Atlanta, GA 30322 | 2010-05-12 |
| 1427209725 | Samiksha Bansal | Surgery | 1001 Johnson Fy Rd Ne, Atlanta, GA 30342-1605 | 2008-10-06 |
| 1851423438 | Daniel Sangyol Kim | Surgery | 5455 Meridian Marks Rd Ne, Suite 570, Atlanta, GA 30342-1654 | 2007-03-10 |
| 1588751754 | Paul Mackie Parker | Surgery | 1975 Century Blvd Ne, Atlanta, GA 30345-3316 | 2006-10-06 |
| 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.