EMORY CLINIC INC (NPI# 1386165504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386165504 |
Entity Type | Organization |
Organization Name | EMORY CLINIC INC |
Other Organization Name | EMORY AMBULATORY SURGERY CENTER AT SPIVEY STATION |
Practice Address |
7813 Spivey Station Blvd Jonesboro GA 30236-2900 |
Mailing Address |
101 W Ponce De Leon Ave Decatur Plaza Annex - Kim Decatur GA 30030-2942 |
Practice Telephone | 4047783184 |
Mailing Telephone | 4047785014 |
Enumeration Date | 2017-06-28 |
Last Update Date | 2017-06-28 |
Authorized Official Name | MRS. BROOKE MOORE (CFO) |
Authorized Official Telephone | 4047785014 |
Is Organization Subpart | Y |
Parent Organization Name | EMORY CLINIC INC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
EMORY AMBULATORY SURGERY CENTER AT SPIVEY STATION | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306472063 | Emory Clinic Inc | Clinic/Center | 1924 Piedmont Rd Ne, Atlanta, GA 30324-4117 | 2020-03-13 |
1467527671 | Emory Clinic Inc | Chronic Disease Hospital | 101 Woodruff Cir, Room 5105, Atlanta, GA 30322-0001 | 2006-11-22 |
1295748531 | Emory Clinic Inc | Clinic/Center | 1365 Clifton Rd Ne, Atlanta, GA 30322-1013 | 2006-08-15 |
1396798229 | Emory Clinic Inc | Dentist | 1365 Clifton Rd Ne, Atlanta, GA 30322-1013 | 2006-05-19 |
Street Address |
7813 SPIVEY STATION BLVD |
City | JONESBORO |
State | GA |
Zip Code | 30236-2900 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003366873 | Minh Lam Tang | Anesthesiologist Assistant | 7813 Spivey Station Blvd, Jonesboro, GA 30236 | 2016-10-05 |
1487012480 | Lake Spivey Ambulatory Surgery Care, LLC | Clinic/Center | 7813 Spivey Station Blvd, Suite 100, Jonesboro, GA 30236-2900 | 2016-02-04 |
1730556994 | Travis Coats | Physical Medicine & Rehabilitation | 7813 Spivey Station Blvd, Jonesboro, GA 30236-2900 | 2015-08-24 |
1174923478 | Southern Crescent Physicians Group, Inc. | Orthopaedic Surgery | 7813 Spivey Station Blvd, Suite 100, Jonesboro, GA 30236-2900 | 2014-08-25 |
1497006639 | Nsh Cancer Institute Professional Services A LLC | Durable Medical Equipment & Medical Supplies | 7813 Spivey Station Blvd, Suite 210, Jonesboro, GA 30236-2900 | 2012-09-27 |
1508974353 | Southlake Ambulatory Surgery Center, Lllp | Clinic/Center | 7813 Spivey Station Blvd, Suite 100, Jonesboro, GA 30236-0000 | 2006-08-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972123362 | Life Source Counseling & Consulting, LLC | Clinic/Center | 118 North Avenue, Suite A, Jonesboro, GA 30236 | 2020-04-25 |
1639609555 | New Beginnings Behavioral Counseling,llc | Social Worker | 9456 S Main St Ste E2, Jonesboro, GA 30236 | 2017-06-13 |
1437696762 | Clarissa Alexandra Poole | Counselor | 2106 Fair Ridge Ct, Jonesboro, GA 30236 | 2017-01-25 |
1588012892 | Sundance Healthcare Service Inc | In Home Supportive Care | 7861 Collinswood Court, Jonesboro, GA 30236 | 2016-05-26 |
1942669205 | Adrianne Smiley Gurley | Occupational Therapist | 1299 Battlecreek Rd Ste 210, Jonesboro, GA 30236 | 2016-02-15 |
1336505809 | Integrated Health Center | Dentist | 8600 Tara Blvd, Suite D, Jonesboro, GA 30236 | 2016-01-13 |
1467827402 | Surrell Porter | Nurse Practitioner | 1287 Georgia Highway 138 Spur, Suite 8, Jonesboro, GA 30236 | 2015-12-02 |
1740688910 | Jacqueline Carolyn Edwards | Registered Nurse | 8081 Tara Blvd, 265, Jonesboro, GA 30236 | 2014-12-19 |
1770991861 | Lower Extremity Diagnostics, LLC | Podiatrist | 6911 Tara Boulevard, Jonesboro, GA 30236 | 2014-08-01 |
1760899710 | Fresenius Medical Care Jonesboro, LLC | Clinic/Center | 8060 Summitt Business Parkway, Jonesboro, GA 30236 | 2014-07-22 |
Find all providers in zip 30236 |
Taxonomy Code | 261QA1903X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Ambulatory Surgical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285283432 | Jonesboro Ambulatory Surgery Center, LLC | Clinic/Center | 1710 Mayfield Dr, Jonesboro, AR 72401 | 2019-09-10 |
1639615297 | Surgery Center At The Reserve, P.a., Inc. | Clinic/Center | 2241 Hillpark Cove, Suite B, Jonesboro, AR 72401 | 2017-01-06 |
1598758153 | Outpatient Surgery Center of Jonesboro LLC | Clinic/Center | 1100 E Matthews Ave, Jonesboro, AR 72401-4314 | 2005-08-29 |
1487012480 | Lake Spivey Ambulatory Surgery Care, LLC | Clinic/Center | 7813 Spivey Station Blvd, Suite 100, Jonesboro, GA 30236-2900 | 2016-02-04 |
1528478849 | Vein Specialists of Arkansas | Clinic/Center | 2239 S Caraway Rd, Suite N, Jonesboro, AR 72401-6204 | 2014-05-08 |
1558562579 | International Center for Foot & Ankle Surgery | Clinic/Center | 7130 Mount Zion Blvd, Suite 14, Jonesboro, GA 30236-2566 | 2007-05-29 |
1578643607 | Pain Center LLC | Clinic/Center | 505 E Matthews Ave, Suite 103, Jonesboro, AR 72401-3144 | 2006-10-16 |
1508974353 | Southlake Ambulatory Surgery Center, Lllp | Clinic/Center | 7813 Spivey Station Blvd, Suite 100, Jonesboro, GA 30236-0000 | 2006-08-29 |
1457379364 | Jonesboro Surgery Center, LLC | Clinic/Center | 623 E Matthews Ave, Suite C, Jonesboro, AR 72401-3145 | 2006-07-18 |
1720023500 | Center for Reconstructive Surgery | Clinic/Center | 7130 Mount Zion Blvd, Suite 14, Jonesboro, GA 30236-2518 | 2006-06-17 |
Find all providers in JONESBORO |
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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.