PETER K ADZUDZOR (NPI# 1417338013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417338013 |
| Entity Type | Individual |
| Full Name | PETER K ADZUDZOR |
| Credential | MA |
| Practice Address |
127 Church St Ne Suite 350 Marietta GA 30060-8637 |
| Mailing Address |
3540 Garden Mist Cir Auburn GA 30011-2375 |
| Practice Telephone | 4048280087 |
| Mailing Telephone | 6782018859 |
| Enumeration Date | 2015-06-09 |
| Last Update Date | 2015-06-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| Street Address |
127 CHURCH ST NE SUITE 350 |
| City | MARIETTA |
| State | GA |
| Zip Code | 30060-8637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003822073 | Jeffrey John Pipe | Psychologist | 127 Church St Ne, Suite 350, Marietta, GA 30060-8637 | 2006-07-31 |
| 1770094922 | Sarah Kathryn Collier | Counselor | 127 Church St Ne, Marietta, GA 30060-8637 | 2017-10-16 |
| 1750831541 | Tapestry Psychological Associates | Community/Behavioral Health | 127 Church St Ne, Ste 350, Marietta, GA 30060-8637 | 2016-10-05 |
| 1235578451 | Mary Kathryn Breshears | Counselor | 127 Church St Ne, Suite 350, Marietta, GA 30060-8637 | 2013-06-20 |
| 1780998732 | Jason Scott Peters | Counselor | 127 Church St Ne, Suite 350, Marietta, GA 30060-8637 | 2010-08-02 |
| 1710152483 | Danette R Noldy | Counselor | 127 Church St Ne, Suite 350, Marietta, GA 30060-8637 | 2008-04-24 |
| 1245435668 | Bonnie Ann Bassett | Counselor | 127 Church St Ne, Marietta, GA 30060-8637 | 2007-06-16 |
| 1265659163 | Tapestry Psychological Associates, Inc | Psychologist | 127 Church St Ne, Suite 350, Marietta, GA 30060-8637 | 2007-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144845116 | Legacy Center for Spinal Surgery, LLC | Neurological Surgery | 1900 The Exchange, Ne, Suite 600, Marietta, GA 30060 | 2020-06-15 |
| 1407477193 | Michael Cynil Daniel | Counselor | 698 N Marietta, Pkwy, Marietta, GA 30060 | 2020-05-04 |
| 1285253401 | Cameron Thomas Kennelly | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne Attn:gme, Marietta, GA 30060 | 2020-04-09 |
| 1922640739 | Jeremiah George Blair | Physician Assistant | 61 Whitcher St Suite 2100, Marietta, GA 30060 | 2019-10-14 |
| 1164064945 | Denise Alicia Mick | Registered Nurse | 677 Church St Wellstar Kennestone Hospital, Marietta, GA 30060 | 2019-10-12 |
| 1184283772 | Iora Health Georgia, P.C. | Internal Medicine | 280 Cobb Pkwy Se, Suite 60, Marietta, GA 30060 | 2019-06-07 |
| 1346703212 | Caitlin Virginia Mueller | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne, Attn: Gme, Marietta, GA 30060 | 2019-04-08 |
| 1184187205 | Adero Francis | Student in an Organized Health Care Education/Training Program | Wellstar Kennestone Gme Internal Medicine Clinic, 833 Campbell Hill St Nw, Suite 250, Marietta, GA 30060 | 2019-04-08 |
| 1659832749 | Matthew Mozzo | Student in an Organized Health Care Education/Training Program | 677 Church Street / Lower Level, Gme Department / I.m., Marietta, GA 30060 | 2019-03-29 |
| 1245797430 | La'myia Spentz | Specialist | 109 Anderson St Ne, Suite 608, Marietta, GA 30060 | 2019-02-25 |
| Find all providers in zip 30060 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659987238 | Kimberly Wallace Lpc LLC | Counselor | 2852 Johnson Ferry Rd Ste 100, Marietta, GA 30062-5686 | 2020-09-19 |
| 1073128609 | Alyssa May Rodriguez | Counselor | 2064 S Cove Trl, Marietta, GA 30066-1922 | 2020-09-10 |
| 1225642374 | April G Lewis | Counselor | 1640 Powers Ferry Rd Se Bldg 20, Marietta, GA 30067-5491 | 2020-09-06 |
| 1336751890 | Brandi Lynne Neogra | Counselor | 207 Colegate Dr Ste D, Marietta, OH 45750-2363 | 2020-08-17 |
| 1427672575 | Monique T Jones | Counselor | 2480 Windy Hill Rd Se Ste 105, Marietta, GA 30067-8608 | 2020-06-04 |
| 1588288864 | Patrick Wilson | Counselor | 1744 Roswell Rd Ste 102, Marietta, GA 30062-3979 | 2020-06-03 |
| 1407477193 | Michael Cynil Daniel | Counselor | 698 N Marietta, Pkwy, Marietta, GA 30060 | 2020-05-04 |
| 1851928857 | Patricia Li Zerman | Counselor | 1373 Old Virginia Ct Se, Marietta, GA 30067-8461 | 2020-03-27 |
| 1467089227 | Catherine Ibarra | Counselor | 1640 Powers Ferry Rd Se # 300, Marietta, GA 30067-5491 | 2020-03-23 |
| 1306487970 | Brooke Lopes | Counselor | 2655 Dallas Hwy Sw Ste 230, Marietta, GA 30064-2597 | 2019-10-03 |
| Find all providers in MARIETTA | ||||
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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.