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).
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 |
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 |
Street Address |
6001 PROFESSIONAL PKWY STE 2020 |
City | DOUGLASVILLE |
State | GA |
Zip Code | 30134-5632 |
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 |
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 |
Find all providers in zip 30134 |
Taxonomy Code | 207RC0200X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Critical Care Medicine |
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. |
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 |
Find all providers with the same taxonomy |
City | DOUGLASVILLE |
Zip Code | 30134 |
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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.