SAMUEL GREY BARNHOUSE DURRETT


Address: 6001 Professional Pkwy Ste 2020, Douglasville, GA 30134-5632
Phone: 7704221372

SAMUEL GREY BARNHOUSE DURRETT (NPI# 1417395088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417395088
Entity Type Individual
Full Name SAMUEL GREY BARNHOUSE DURRETT
Credential M.D.
Practice Address 6001 Professional Pkwy Ste 2020
Douglasville
GA 30134-5632
Practice Telephone 7704221372
Mailing Telephone 7704221372
Enumeration Date 2013-06-05
Last Update Date 2019-10-03
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RC0200X Internal Medicine
Specialization: Critical Care Medicine
83086 GA Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 6001 PROFESSIONAL PKWY STE 2020
City DOUGLASVILLE
State GA
Zip Code 30134-5632

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558347807 Marshaleen N. Henriques King Internal Medicine 6001 Professional Pkwy Ste 2020, Douglasville, GA 30134-5632 2005-12-19
1013192384 Safal Shetty Internal Medicine 6001 Professional Pkwy Ste 2020, Douglasville, GA 30134-5632 2008-01-07

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851915631 Lilian Pereira Nurse Practitioner Bethesda Medical Group, LLC, 9280 Hwy 5 - Suite D, Douglasville, GA 30134 2020-06-08
1548822901 Sweet Resolve LLC Nurse Practitioner 4318 Ridge Rd, Ste 111 Pmb 1017, Douglasville, GA 30134 2019-07-05
1598328791 Straight Street Life Center Inc Case Manager/Care Coordinator 12461 Veterans Memorial, Douglasville, GA 30134 2019-04-15
1174014930 Caitlin Waldrip Chiropractor 8326a Office Park Dr., Douglasville, GA 30134 2018-05-28
1861901050 Michelle Denise Winston Licensed Practical Nurse 6497 E Strickland, Douglasville, GA 30134 2017-09-20
1518335843 Willis Anthony Rogers Durable Medical Equipment & Medical Supplies 7094 Rose Lake Circle, Douglasville, GA 30134 2015-09-03
1497135131 Patricia Warren Social Worker 8317 Office Park Drive Ste.#e, Douglasville, GA 30134 2015-06-08
1457747321 Kidz Rock Therapy Services, LLC Occupational Therapist 6732 West Spring Street, Douglasville, GA 30134 2015-04-08
1386068476 Naa Y Oden Psychologist 4813 Ridge Rd Ste 111-639, Douglasville, GA 30134 2014-02-10
1467893271 American Ems Ambulance 7240 Bankhead Hwy, Douglasville, GA 30134 2013-07-09
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Taxonomy Information

Taxonomy Code 207RC0200X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Critical Care Medicine

Taxonomy Definition

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1255812731 Pierre David Villain Internal Medicine 9192 Dover St, Lithia Springs, GA 30122-3813 2018-08-23
1447790514 Burn Critical Care Associates, LLC Internal Medicine 3614 J. Dewey Gray Circle, Bldg B., Augusta, GA 30909 2017-03-08
1093060303 Jrmdinc Internal Medicine 4300 Southern Pines Dr, Evans, GA 30809-4287 2012-07-23
1275896896 Nicholas M. Maurice Internal Medicine 1670 Clairmont Rd # 12c-189, Decatur, GA 30033-4004 2012-06-19
1457626913 Seema S Tekwani Internal Medicine 49 Jesse Hill Jr Dr Se # 2c001, Division of Pulmonary and Critical Care Medicine, Atlanta, GA 30303-3049 2012-03-16
1033381900 Andre Lavar Holder Internal Medicine 80 Jesse Hill Jr Dr Se Rm 2d012, Atlanta, GA 30303-3031 2008-03-31
1164607974 David Emerson Green Internal Medicine 1670 Clairmont Rd, (rm 12c 193-mail Stop 151p), Atlanta Va Medical Center / Emory University, Decatur, GA 30033 2007-12-31
1538380464 Ram Mohan Subramanian Internal Medicine 1365 Clifton Rd Ne Bldg B-1, Atlanta, GA 30322-1059 2007-05-01
1639259666 Juan Carlos Armstrong Internal Medicine 4550 Cobb Parkway North Nw Ste 210, Acworth, GA 30101-4182 2006-10-16
1558374041 John Wesley King, Jr. Internal Medicine 641 W Thomas St, Milledgeville, GA 31061-2337 2006-08-14
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Competitor

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City DOUGLASVILLE
Zip Code 30134

Improve Information

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Dataset Information

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.

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