ROCKDALE PHYSICIAN PRACTICES, LLC (NPI# 1346587581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346587581 |
| Entity Type | Organization |
| Organization Name | ROCKDALE PHYSICIAN PRACTICES, LLC |
| Other Organization Name | PREMIER HEALTHCARE ALLIANCE |
| Practice Address |
1039 E Freeway Dr Se Conyers GA 30094-5965 |
| Mailing Address |
Po Box 116202 Atlanta GA 30368-6202 |
| Practice Telephone | 7709220076 |
| Practice Fax Number | 7709220734 |
| Mailing Telephone | 7709220734 |
| Mailing Fax Number | 7709220734 |
| Enumeration Date | 2013-01-08 |
| Last Update Date | 2013-01-08 |
| Authorized Official Name | DANIEL SYKES (VICE PRESIDENT) |
| Authorized Official Telephone | 6153728505 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 032107 | GA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Premier Healthcare Alliance | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326489089 | Rockdale Physician Practices, LLC | Family Medicine | 2215 Exchange Pl Se, Conyers, GA 30013-6723 | 2013-07-10 |
| Street Address |
1039 E FREEWAY DR SE |
| City | CONYERS |
| State | GA |
| Zip Code | 30094-5965 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033102868 | Alvin V Griffin | Family Medicine | 1039 E Freeway Dr Se, Conyers, GA 30094-5965 | 2005-08-26 |
| 1720146301 | Family Practice of Conyers | Family Medicine | 1039 E Freeway Dr Se, Conyers, GA 30094-5965 | 2006-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164029054 | Darlene Fletcher | Counselor | 827 St. Clair Dr., Conyers, GA 30094 | 2020-10-05 |
| 1194363366 | Clara A Matthews | Physician Assistant | 1930 Windsor Creek Drive Sw, Conyers, GA 30094 | 2019-12-18 |
| 1659838571 | Sensitive Home Care Agency Inc. | PACE Provider Organization | 2225 Morning Dew, Conyers, GA 30094 | 2019-02-27 |
| 1679097992 | Sheira Dennis | Case Management | 3828 Martingale Dr Se, Conyers, GA 30094 | 2017-07-28 |
| 1730571399 | Wellness and Trauma Recovery Center | Counselor | 1775 Parker Rd. Building C, Suite 210, Conyers, GA 30094 | 2015-02-19 |
| 1760870612 | Michael Terrell | Technician/Technologist | 806 Cambridge Creek Dr, Conyers, GA 30094 | 2014-12-30 |
| 1538567466 | Jennifer Angela Johnson | Registered Nurse | 2240 Wren Rd Se, Conyers, GA 30094 | 2014-12-09 |
| 1225445208 | Wanda Marcella Rainey-reed | Counselor | 1453 Klondike Rd Sw Ste D, Conyers, GA 30094 | 2014-07-22 |
| 1508155268 | Nicklaus Trent Rice | Obstetrics & Gynecology | 2750 Owens Dr, Conyers, GA 30094 | 2011-04-04 |
| 1720219660 | Candace Alexander | Dentist | 863 Flat Shoals Rd Se, Suite C #220, Conyers, GA 30094 | 2009-07-27 |
| Find all providers in zip 30094 | ||||
| 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 |
|---|---|---|---|---|
| 1912361809 | Loreli Garnica Moya | Family Medicine | 1910 Highway 20 Se Suite 270, Conyers, GA 30013 | 2016-04-07 |
| 1013281948 | Family & Occupational Medicine of Conyers | Family Medicine | 905 Flat Shoals Rd Se, Conyers, GA 30094-5911 | 2012-02-23 |
| 1598061293 | Vohra Wound Physicians of Fl, LLC | Family Medicine | 2385 Wall St Se Ste 116, Conyers, GA 30013-2187 | 2011-01-28 |
| 1346478732 | Susan Thomas | Family Medicine | 1478 Dogwood Dr, Se Suites B & C, Kaiser Permanente Conyers Medical Office, Conyers, GA 30013 | 2009-06-24 |
| 1144483744 | Eagles Landing Family Practice, LLC | Family Medicine | 1101 Nortec Dr Se, Conyers, GA 30013-5835 | 2008-07-03 |
| 1316165665 | Conyers Family Practice Inc | Family Medicine | 1080 Green Street Se, Conyers, GA 30012 | 2007-04-23 |
| 1023103744 | Virginia Birnbach Hyland | Family Medicine | 2800 Highway 138 Sw Ste A, Conyers, GA 30094-3929 | 2006-10-04 |
| 1851496939 | Clinica Agave Clinic | Family Medicine | 425 Sigman Road, Suite #109, Conyers, GA 30012 | 2006-09-14 |
| 1568473809 | Kinzi V Shewmake | Family Medicine | 1301 Sigman Rd Ne Ste 230, Conyers, GA 30012 | 2006-08-11 |
| 1902859044 | Jacek Eustachy Lyszkowicz | Family Medicine | 1366 Wellbrook Cir Ne, Suite B, Conyers, GA 30012-3872 | 2006-05-18 |
| Find all providers in CONYERS | ||||
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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.