OAKHURST MEDICAL CENTERS, INC. (NPI# 1417011487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417011487 |
| Entity Type | Organization |
| Organization Name | OAKHURST MEDICAL CENTERS, INC. |
| Practice Address |
5582 Memorial Dr Stone Mountain GA 30083-3215 |
| Practice Telephone | 4042988998 |
| Practice Fax Number | 4042987658 |
| Mailing Telephone | 4042988998 |
| Mailing Fax Number | 4042987658 |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2014-03-18 |
| Authorized Official Name | JEFFERY Q TAYLOR (CEO) |
| Authorized Official Telephone | 4042988998 |
| Is Organization Subpart | Y |
| Parent Organization Name | OAKHURST MEDICAL CENTERS, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000446388A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609374842 | Oakhurst Medical Centers, Inc. | Clinic/Center | 5910 Hillandale Dr Ste 102, Lithonia, GA 30058-1877 | 2018-01-23 |
| 1790821023 | Oakhurst Medical Centers, Inc. | Clinic/Center | 1760 Candler Rd, Decatur, GA 30032-3254 | 2007-01-30 |
| 1023537321 | Oakhurst Medical Centers, Inc. | Clinic/Center | 2140 Peachtree Rd Nw Ste 232, Atlanta, GA 30309-1316 | 2017-09-18 |
| 1053856856 | Oakhurst Medical Centers, Inc. | Clinic/Center | 2295 Parklake Dr Ne, Suite 275, Atlanta, GA 30375-2844 | 2017-01-03 |
| 1225573025 | Oakhurst Medical Centers, Inc. | Clinic/Center | 550 Peachtree St Ne, Atlanta, GA 30308-2212 | 2017-01-03 |
| 1255779468 | Oakhurst Medical Centers, Inc. | Clinic/Center | 5582 Memorial Dr, Stone Mountain, GA 30083-3215 | 2013-06-10 |
| 1467727354 | Oakhurst Medical Centers, Inc. | Clinic/Center | 445 Winn Way, Decatur, GA 30030-1707 | 2012-03-12 |
| 1144515354 | Oakhurst Medical Centers, Inc. | Clinic/Center | 4151 Memorial Dr, Suite 110 C, Decatur, GA 30032-1504 | 2011-06-15 |
| Street Address |
5582 MEMORIAL DR |
| City | STONE MOUNTAIN |
| State | GA |
| Zip Code | 30083-3215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972600922 | Shaveanda L. Queen | Pediatrics | 5582 Memorial Dr, Stone Mountain, GA 30083-3215 | 2006-09-20 |
| 1538784103 | Lori Fran Abramson | Counselor | 5582 Memorial Dr, Stone Mountain, GA 30083-3215 | 2020-06-10 |
| 1417415738 | Ashley Smallwood | Registered Nurse | 5582 Memorial Dr, Stone Mountain, GA 30083-3215 | 2019-03-05 |
| 1205360732 | Rodneysha Brown | Family Medicine | 5582 Memorial Dr, Stone Mountain, GA 30083-3215 | 2017-04-11 |
| 1437567815 | Chelsea Bianca Robinson | Nurse Practitioner | 5582 Memorial Dr, Stone Mountain, GA 30083-3215 | 2014-07-29 |
| 1255779468 | Oakhurst Medical Centers, Inc. | Clinic/Center | 5582 Memorial Dr, Stone Mountain, GA 30083-3215 | 2013-06-10 |
| 1699097857 | Nirag Nagada | Family Medicine | 5582 Memorial Dr, Stone Mountain, GA 30083-3215 | 2010-02-15 |
| 1912163684 | Virna Lisa Simmons | Family Medicine | 5582 Memorial Dr, Stone Mountain, GA 30083-3215 | 2008-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558830919 | Patriot Healthcare of Georgia, LLC | Family Medicine | 833 Hairston Road, Stone Mountain, GA 30083 | 2018-11-15 |
| 1710403431 | Trans Med Ems,llc | Ambulance | 4683 Redan Rd, Stone Mountain, GA 30083 | 2017-08-15 |
| 1447770482 | Dispatched Angels Home Care | In Home Supportive Care | 619 El Prado Court, Stone Mountain, GA 30083 | 2017-06-21 |
| 1396191086 | Suzanne Carter | Chore Provider | 1036 Allgood Rd, Stone Mountain, GA 30083 | 2016-05-11 |
| 1437520087 | Meaza Dada | Pharmacist | 1043 Thornwoode Lane, Stone Mountain, GA 30083 | 2015-10-08 |
| 1427436500 | Raeanne Elizabeth Gialanella | Occupational Therapist | 5839 Memorial Drive, Stone Mountain, GA 30083 | 2015-05-11 |
| 1265829824 | Latore Williams | Licensed Practical Nurse | 5300 Ridge Forest Drive, Stone Mountain, GA 30083 | 2015-04-22 |
| 1144625922 | Granville Theodore Freeman IIi | Counselor | 5000 Brittany Drive, Stone Mountain, GA 30083 | 2014-10-23 |
| 1588974208 | Terri R Collins | Counselor | 1020 Strap Hinge Trail, Stone Mountain, GA 30083 | 2010-10-15 |
| 1104064815 | Vistas Medical Center,pc | Clinic/Center | 5329 Memorial Dr Ste A, Stone Mountain, GEORGIA 30083 | 2009-02-03 |
| Find all providers in zip 30083 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255779468 | Oakhurst Medical Centers, Inc. | Clinic/Center | 5582 Memorial Dr, Stone Mountain, GA 30083-3215 | 2013-06-10 |
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|---|---|---|---|---|
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| 1417597238 | The Family Health Centers of Georgia, Inc | Clinic/Center | 19 John Maddox Dr Nw Ste B, Rome, GA 30165-1477 | 2020-01-09 |
| 1649810714 | Careconnect Health, Inc. | Clinic/Center | 254 Wright Avenue, Roberta, GA 31078 | 2020-01-07 |
| 1437798725 | Careconnect Health, Inc. | Clinic/Center | 414 S Frontage Rd Lot 53, Forsyth, GA 31029-3025 | 2020-01-03 |
| 1285277608 | Saint Joseph's Mercy Care Services, Inc. | Clinic/Center | 1976 Flat Shoals Rd Se Ste B, Atlanta, GA 30316-2857 | 2019-10-18 |
| Find all providers with the same taxonomy | ||||
| City | STONE MOUNTAIN |
| Zip Code | 30083 |
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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.