JESSE ANN SOODALTER (NPI# 1366671711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366671711 |
| Entity Type | Individual |
| Full Name | JESSE ANN SOODALTER |
| Credential | MD |
| Practice Address |
550 Peachtree St Ne Atlanta GA 30308 |
| Mailing Address |
550 Peachtree St Ne Atlanta GA 30308-2245 |
| Practice Telephone | 4046864411 |
| Mailing Telephone | 4046864411 |
| Enumeration Date | 2009-07-07 |
| Last Update Date | 2020-03-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QH0002X |
Family Medicine Specialization: Hospice and Palliative Medicine |
83281 | GA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5841 S Maryland Ave, Rm. E-212 A, Mc2115, Chicago, IL 606371447 | 7737024400 |
| Street Address |
550 PEACHTREE ST NE |
| City | ATLANTA |
| State | GA |
| Zip Code | 30308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871599332 | Merry Ellen Sebelik | Otolaryngology | 550 Peachtree St Ne, Suite 1135, Atlanta, GA 30308-2212 | 2005-06-21 |
| 1275131393 | Anna Weaver | Registered Nurse | 550 Peachtree St Ne, Atlanta, GA 30308-2212 | 2020-10-12 |
| 1629688320 | Shelby Elizabeth Murphy | Anesthesiologist Assistant | 550 Peachtree St Ne, Atlanta, GA 30308-2212 | 2020-08-06 |
| 1508476755 | Ijeabalum Ibezue | Anesthesiologist Assistant | 550 Peachtree St Ne, Atlanta, GA 30308-2212 | 2020-08-03 |
| 1376152744 | Jennifer Mcclure | Anesthesiologist Assistant | 550 Peachtree St Ne, Atlanta, GA 30308-2212 | 2020-07-30 |
| 1831715234 | Ziluo Jaiah | Technician | 550 Peachtree St Ne, Atlanta, GA 30308-2212 | 2020-06-22 |
| 1568088383 | Tonika J Swint | Nurse Practitioner | 550 Peachtree St Ne, Atlanta, GA 30308-2212 | 2020-06-17 |
| 1780204701 | Ethan Emory Perkins | Nurse Practitioner | 550 Peachtree St Ne, Atlanta, GA 30308-2212 | 2020-04-20 |
| 1851920185 | Alexandrea Hyunjee Kim | Student in an Organized Health Care Education/Training Program | 550 Peachtree St Ne, Atlanta, GA 30308-2212 | 2020-04-07 |
| 1467081075 | Uyen Hong Tran | Physician Assistant | 550 Peachtree St Ne, Atlanta, GA 30308-2212 | 2020-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689285165 | Grace Mckinnon Cutchin | Speech-Language Pathologist | 550 Peachtree St. Ne, 9th Floor, Suite 4400, Atlanta, GA 30308 | 2020-08-10 |
| 1063033942 | Life University | Chiropractor | 1 Baltimore P1. Nw, Suite 100, Atlanta, GA 30308 | 2020-05-01 |
| 1184254591 | Jordan Cohen | Specialist | 1075 Peachtree Rd, Suite 300, Atlanta, GA 30308 | 2020-01-24 |
| 1104463819 | Gary Sydney Koech IIi | Registered Nurse | Emory Midtown- Davis Fischer Bld 3rd Floor, Rm 3245a, 550 Peachtree Street, N.e., Atlanta, GA 30308 | 2019-12-02 |
| 1639728207 | Shannon Oliver Sullivan | Counselor | 1 Baltimore Pl Nw, Suite 360, Atlanta, GA 30308 | 2019-09-06 |
| 1477110187 | Ariel Alibey | Preventive Medicine | 550 Peachtree St Ne Bldg 4th, Atlanta, GA 30308 | 2019-05-29 |
| 1972075497 | Laura Mcrae | Nurse Practitioner | Emory Center for Critical Care, 550 Peachtree Street, Davis Fischer Building, Office 3245a, Atlanta, GA 30308 | 2018-12-21 |
| 1265902134 | Kyle Brooks Kraft | Nurse Practitioner | 550 Peachtree Road, Davis Fischer Building, Office 3245a, Atlanta, GA 30308 | 2018-12-04 |
| 1396211025 | Vita Judkins | Pharmacist | 240 Renaissance Pkway Ne, Unit 116, Atlanta, GA 30308 | 2018-10-20 |
| 1407345911 | Caitlin Cundiff | Anesthesiology | 550 Peachtree St Ne Ste 3245b, Atlanta, GA 30308 | 2018-05-09 |
| Find all providers in zip 30308 | ||||
| Taxonomy Code | 207QH0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Hospice and Palliative Medicine |
| A family medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. |
| Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205380995 | Seasons Medical Group of Georgia PC | Family Medicine | 5775 Peachtree Dunwoody Rd Ne, Suite C120, Atlanta, GA 30342-1501 | 2016-08-10 |
| 1871968511 | Prime By Aseracare LLC | Family Medicine | 1117 Perimeter Ctr, N500, Atlanta, GA 30338-5451 | 2015-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548501000 | Bethany Hospice and Palliative Care of Coastal Georgia, LLC | Family Medicine | 8395 Us Highway 301, Claxton, GA 30417-5992 | 2013-03-08 |
| 1205121811 | Ceveland Thompson IIi | Family Medicine | 208 Plantation Dr, Waycross, GA 31501-4269 | 2011-06-10 |
| 1538339726 | Alice Irene Lawver | Family Medicine | 2362 Lawrenceville Highway, Decatur, GA 30033 | 2008-03-04 |
| 1285284893 | Affinity Acquisitions Georgia LLC | Family Medicine | 12 Sammy Mcghee Blvd Ste 202, Jasper, GA 30143-7712 | 2019-09-16 |
| 1013485382 | Alisha Dalila Springer | Family Medicine | 500 Osigian Blvd, Warner Robins, GA 31088-8995 | 2018-11-05 |
| 1194230763 | Grace Hospice Services LLC | Family Medicine | 2398 Lenora Church Rd, Snellville, GA 30078-6921 | 2017-12-05 |
| 1942593959 | Wellstar Medical Group, LLC | Family Medicine | 4040 Hospital West Dr, Austell, GA 30106-8117 | 2011-05-24 |
| 1063665834 | South Georgia Family Medicine Associates | Family Medicine | 1203 Brampton Ave, Statesboro, GA 30458-0850 | 2008-10-24 |
| 1013103423 | Columbus Palliative Care, Inc. | Family Medicine | 7020 Moon Rd, Columbus, GA 31909-4900 | 2007-09-19 |
| 1003006768 | Maureen A Newman | Family Medicine | 3780 Eisenhower Pkwy, Macon, GA 31206-0800 | 2007-07-30 |
| Find all providers with the same taxonomy | ||||
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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.