ADAMSVILLE HEALTH CENTER (NPI# 1366590747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366590747 |
| Entity Type | Organization |
| Organization Name | ADAMSVILLE HEALTH CENTER |
| Practice Address |
3699 Bakers Ferry Rd Sw Atlanta GA 30331 |
| Mailing Address |
99 Jesse Hill Jr Dr Room 402 Atlanta GA 30303-3030 |
| Practice Telephone | 4046994215 |
| Practice Fax Number | 4045055724 |
| Mailing Telephone | 4047301211 |
| Mailing Fax Number | 4047301233 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2008-10-24 |
| Authorized Official Name | KIM TURNER (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 4047301202 |
| Authorized Official Credential | DO |
| Is Organization Subpart | Y |
| Parent Organization Name | FULTON COUNTY DEPARTMENT OF HEALTH AND WELLNESS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251K00000X | Public Health or Welfare | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PREGNANCY RELATED SERVICE | 000698662R | 01 | |
| GA | FAMILY PLANNING | 000457773AA | 01 |
| GA | HEALTH CHECK FOR MEDICAID | 000051884E | 01 |
| GA | 000457773A | 05 |
| Street Address |
3699 BAKERS FERRY RD SW |
| City | ATLANTA |
| State | GA |
| Zip Code | 30331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326084278 | Tenet South Fulton Inc. | Family Medicine | 3699 Bakers Ferry Rd Sw, Atlanta, GA 30331-3712 | 2006-06-21 |
| 1497926448 | Elizabeth Ann Bostick | Registered Nurse | 3699 Bakers Ferry Rd Sw, Atlanta, GA 30331-3712 | 2008-03-18 |
| 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 | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609158963 | Centers for Disease Control and Prevention, Us Public Health Service | Public Health or Welfare | 1600 Clifton Rd, Ms E46, Atlanta, GA 30306 | 2011-09-13 |
| 1235469875 | Hiv/aids Empowerment Resource Center for Young Women, Inc. | Public Health or Welfare | 230 Peachtree St Nw Ste 1800, Atlanta, GA 30303-1514 | 2010-01-04 |
| 1245377605 | Neighborhood Union Health Center | Public Health or Welfare | 186 Sunset Avenue Nw, Atlanta, GA 30314 | 2007-02-01 |
| 1255477485 | Dunbar Teen Center | Public Health or Welfare | 477 Windsor St Sw, Atlanta, GA 30312-2530 | 2007-01-29 |
| 1043356280 | South Fulton Health Center | Public Health or Welfare | 1225 Capitol Avenue, Se, Atlanta, GA 30315 | 2007-01-29 |
| 1922144161 | Center Hill Health Center | Public Health or Welfare | 3201 Atlanta Industrial Pkwy Nw, Atlanta, GA 30331-1045 | 2007-01-29 |
| 1639225402 | Sandy Springs Health Center | Public Health or Welfare | 330 Johnson Ferry Rd Ne, Atlanta, GA 30328-4128 | 2007-01-26 |
| 1508914995 | Lakewood Health Center | Public Health or Welfare | 1855 Jonesboro Road Se, Atlanta, GA 30315 | 2007-01-08 |
| 1528116993 | Aldredge Health Center | Public Health or Welfare | 99 Jesse Hill Jr Drive Rm 402, Atlanta, GA 30303 | 2007-01-08 |
| 1154428985 | Dekalb County Board of Health | Public Health or Welfare | 2006 Hosea Williams Dr., Atlanta, GA 30317 | 2006-09-20 |
| 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.