MARC TA (NPI# 1366990178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366990178 |
| Entity Type | Individual |
| Full Name | MARC TA |
| Practice Address |
5670 Peachtree Dunwoody Rd Suite 1100 Atlanta GA 30342-1699 |
| Practice Telephone | 4048512368 |
| Enumeration Date | 2016-09-21 |
| Last Update Date | 2016-09-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835X0200X |
Pharmacist Specialization: Oncology |
RPH-024433 | GA | Pharmacy Service Providers |
| Street Address |
5670 PEACHTREE DUNWOODY RD SUITE 1100 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30342-1699 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104810621 | Barry David Silverman | Internal Medicine | 5670 Peachtree Dunwoody Rd, Ste 880, Atlanta, GA 30342-1699 | 2005-09-12 |
| 1043744295 | Leslie Ivory | Specialist/Technologist, Other | 5670 Peachtree Dunwoody Rd, Suite 820, Atlanta, GA 30342-1699 | 2017-04-14 |
| 1124570692 | Janeille Johnson | Pharmacist | 5670 Peachtree Dunwoody Rd, Atlanta, GA 30342-1699 | 2016-10-31 |
| 1710434980 | Toranj Aghaghiri | Pharmacist | 5670 Peachtree Dunwoody Rd, Suite 1100, Atlanta, GA 30342-1699 | 2016-09-06 |
| 1376904623 | Melissa Stewart | Nurse Practitioner | 5670 Peachtree Dunwoody Rd, Suite 1000, Atlanta, GA 30342-1699 | 2016-03-15 |
| 1740660984 | Kimberly Page | Nurse Practitioner | 5670 Peachtree Dunwoody Rd, Suite 1000, Atlanta, GA 30342-1699 | 2015-06-03 |
| 1184003980 | Clayton Young | Physician Assistant | 5670 Peachtree Dunwoody Rd, Suite 880, Atlanta, GA 30342-1699 | 2015-05-26 |
| 1235520545 | Andrea Nicole Penn | Nurse Practitioner | 5670 Peachtree Dunwoody Rd, Suite 1000, Atlanta, GA 30342-1699 | 2015-02-09 |
| 1619392487 | Nsh Cancer Institue Professional Services A, LLC | Nurse Practitioner | 5670 Peachtree Dunwoody Rd, Suite 1100, Atlanta, GA 30342-1699 | 2014-03-03 |
| 1316362262 | Tiffany Davis Pearson | Nurse Practitioner | 5670 Peachtree Dunwoody Rd, Suite 1000, Atlanta, GA 30342-1699 | 2014-03-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820614 | Nia Charnice Griffin | Nurse Practitioner | 5670 Peachtree Dunwoodyroad, Suite 900, Atlanta, GA 30342 | 2020-10-26 |
| 1255945184 | Jennifer Lynne Cole | Behavior Technician | 5555 Glenridge Con Suite 200, Atlanta, GA 30342 | 2020-09-08 |
| 1093336232 | Van Tran | Respiratory Therapist, Registered | 1000 Johnson Ferry Rd Ne, Atlanta, Ga 30342, Atlanta, GA 30342 | 2020-04-28 |
| 1356978340 | Twyla Douglas Jackson I | Clinical Nutrition, 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 | 2020-03-27 | |
| 1760013411 | Emily Hamm | Dietitian, Registered | 933 D Johnson Ferry Road, Suite 250, Atlanta, GA 30342 | 2020-01-31 |
| 1043855984 | Mackenzie Tucker Wayda | Registered Nurse | 1001 Johnson Ferry Rd. Ne, Atlanta, GA 30342 | 2019-11-14 |
| 1386288454 | Tiauna Lashun Cochman | Psychologist | 1307 Glenridge Dr, Sandy Springs, GA 30342 | 2019-11-01 |
| 1164074399 | Stephen J. White | Hearing Instrument Specialist | 5775 Peachtree Dunwoody Rd Suite 600 Fl. 6, Uhc Hearing, Atl., GA 30342 | 2019-07-09 |
| 1144788142 | Jaytyn LLC | Internal Medicine | 4600 Broswell Road, Atlanta, GA 30342 | 2019-03-08 |
| 1760954705 | Mishele Walker LLC | Counselor | 555 Glenridge Connector, Suite 200, Sandy Springs, GA 30342 | 2018-12-31 |
| Find all providers in zip 30342 | ||||
| Taxonomy Code | 1835X0200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Oncology |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in developing, recommending, implementing, monitoring, and modifying pharmacotherapeutic plans to optimize outcomes in patients with malignant diseases. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073919247 | James Lewis | Pharmacist | 805 Peachtree St Ne, #209, Atlanta, GA 30308-6009 | 2014-11-14 |
| 1801430749 | Adam Whitney Gates | Pharmacist | 1100 Johnson Ferry Rd, Atlanta, GA 30342-1709 | 2019-11-04 |
| 1982151866 | Sally Haislip | Pharmacist | 1835 Savoy Dr, Suite 300, Atlanta, GA 30341-1072 | 2016-09-08 |
| 1184171340 | Venetia Perry | Pharmacist | 1835 Savoy Dr, Atlanta, GA 30341-1072 | 2016-09-06 |
| 1124489463 | Victoria Robinson | Pharmacist | 1800 Howell Mill Rd Nw, Atlanta, GA 30318-2538 | 2016-03-15 |
| 1043551898 | James Walter Gilmore Jr. | Pharmacist | 1835 Savoy Dr, Suite 300, Atlanta, GA 30341-1072 | 2013-03-04 |
| 1437222825 | Lori Shifrin | Pharmacist | 5670 Peachtree Dunwoody Rd Ne, Atlanta, GA 30342-1699 | 2006-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376153585 | Rita Ilenre | Pharmacist | 194 Champion Way, Hiram, GA 30141-5247 | 2020-08-03 |
| 1114461571 | Donna Michelle Smith | Pharmacist | 162 Eastfield Ct, Alpharetta, GA 30005-7506 | 2016-12-05 |
| 1760939920 | Katherine Danyo | Pharmacist | 1581 Windsor Pkwy Ne, Brookhaven, GA 30319-2740 | 2016-09-06 |
| 1740454198 | Allison Lindsay Boozer | Pharmacist | 630 Cobb Pkwy N, Ste A, Marietta, GA 30062-3372 | 2008-04-16 |
| 1497393268 | Stephanie Knight Ellis | Pharmacist | 450 Northside Cherokee Blvd, Canton, GA 30115-8015 | 2019-12-12 |
| 1457859365 | Kristina Hazard | Pharmacist | 750 Townpark Ln Nw, Kennesaw, GA 30144-5579 | 2018-01-25 |
| 1063952752 | Kayla Randle | Pharmacist | 2400 Mount Zion Pkwy, Suite 116, Jonesboro, GA 30236-2500 | 2017-03-01 |
| 1063961852 | Yimegnushal Ahmed Ahmed | Pharmacist | 6300 Hospital Parkway, Duluth, GA 30097 | 2016-09-22 |
| 1073061891 | Sima Adlakha | Pharmacist | 1505 Northside Blvd Ste 4600, Cumming, GA 30041-7658 | 2016-09-21 |
| 1487102174 | Kim Phuong Thi Nguyen | Pharmacist | 132 Old Norton Rd Ste 200, Fayetteville, GA 30215-4873 | 2016-09-12 |
| 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.