LIVE HEALTHY MD LLC (NPI# 1447521661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447521661 |
| Entity Type | Organization |
| Organization Name | LIVE HEALTHY MD LLC |
| Practice Address |
3830 Washington Rd Ste 17 Augusta GA 30907-5064 |
| Mailing Address |
2101 Central Ave Augusta GA 30904-6706 |
| Practice Telephone | 7069220440 |
| Practice Fax Number | 7069220441 |
| Mailing Telephone | 7067383359 |
| Mailing Fax Number | 7067380565 |
| Enumeration Date | 2012-01-19 |
| Last Update Date | 2012-01-30 |
| Authorized Official Name | DR. EDWARD H BOLAND (PHYSICIAN) |
| Authorized Official Telephone | 7069220440 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | LIVE HEALTHY MD LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
40826 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
3830 WASHINGTON RD STE 17 |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30907-5064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124585997 | Tamarkus Baker | Behavior Technician | 3830 Washington Rd, Augusta, GA 30907-5064 | 2019-02-27 |
| 1508321738 | Karen Trotter | Behavior Technician | 3830 Washington Rd, Augusta, GA 30907-5064 | 2019-02-01 |
| 1780149005 | Tasheena Boyd | Behavior Technician | 3830 Washington Rd, Augusta, GA 30907-5064 | 2019-02-01 |
| 1033673694 | Ravin Destinee Taylor | Behavior Technician | 3830 Washington Rd, Augusta, GA 30907-5064 | 2019-01-29 |
| 1992269559 | Danielle Longfellow | Behavior Technician | 3830 Washington Rd, Augusta, GA 30907-5064 | 2019-01-29 |
| 1336603893 | Kayla N Smith | Behavior Technician | 3830 Washington Rd, Augusta, GA 30907-5064 | 2019-01-29 |
| 1477017473 | Angelique Pedraza | Behavior Technician | 3830 Washington Rd, Augusta, GA 30907-5064 | 2019-01-24 |
| 1396209524 | Amber Flicek | Behavior Technician | 3830 Washington Rd, Augusta, GA 30907-5064 | 2019-01-22 |
| 1891285797 | Amanda Brattain | Behavior Technician | 3830 Washington Rd, Augusta, GA 30907-5064 | 2018-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275158156 | Mary Cameron Elizabeth Robert | Dentist | 3226 Washington Rd, Augusta, GA 30907 | 2020-06-16 |
| 1841760451 | Debra E Gibbs | Dental Hygienist | 523 Crystal Creek West, Martinez, GA 30907 | 2018-11-27 |
| 1083183651 | Leslie Yvonne Watkins | Massage Therapist | 3450 River Watch Parkway, Suite 100, Martinez, GA 30907 | 2018-11-13 |
| 1124594718 | Kimberly A Delaigle | Nurse Practitioner | 3475 Riverwatch Parkway, Suite 310, Martinez, GA 30907 | 2018-10-22 |
| 1366960825 | Catherine Lane Hopkins | Speech-Language Pathologist | 435 Cambridge Circle, Martinez, GA 30907 | 2017-09-05 |
| 1518485143 | Challenging Perspectives | Clinic/Center | 3710 Executive Center Dr Suite B, Martinez, GA 30907 | 2017-09-04 |
| 1386168490 | Carlene Elizabeth Lemcke | Speech-Language Pathologist | 3580 Riverwatch Parkway, Martinez, GA 30907 | 2017-07-31 |
| 1619499357 | Orchid Archer | Registered Nurse | 702 Riverbend Drive, Martinez, GA 30907 | 2017-07-14 |
| 1437679339 | Mediator Senior Care, LLC | In Home Supportive Care | 4143 Columbia Rd., Suite B, Martinez, GA 30907 | 2017-06-21 |
| 1518407907 | Augusta Smilecare PC | Dentist | 4200 Columbia Road, Martinez, GA 30907 | 2017-03-03 |
| Find all providers in zip 30907 | ||||
| Taxonomy Code | 2083P0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Preventive Medicine/Occupational Environmental Medicine |
| A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447595731 | Augusta Health & Wellness Center | Preventive Medicine | 401 Walton Way, Augusta, GA 30901-5804 | 2012-11-28 |
| 1902103062 | Kenji Saito | Preventive Medicine | 15 Enterprise Dr, Augusta, ME 04330-7997 | 2011-02-24 |
| 1508928367 | Arnold Ray Christopher | Preventive Medicine | 3624 J Dewey Gray Cir, Suite 110, Augusta, GA 30909-6584 | 2006-12-15 |
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| 1528694452 | Healthstat Onsite Clinic Southern Nuclear | Preventive Medicine | 7825 River Rd, Waynesboro, GA 30830-2965 | 2020-03-23 |
| 1043843535 | Healthstat Onsite Clinic Intelsat Global | Preventive Medicine | 2875 Fork Creek Church Rd, Ellenwood, GA 30294-1224 | 2020-02-13 |
| 1205392305 | Healthstat Onsite Clinic-henry County | Preventive Medicine | 141 Henry Parkway, Healthstat Clinic, Mcdonough, GA 30253 | 2019-02-13 |
| 1679059588 | Healthstat Onsite Hsm Fort Valley | Preventive Medicine | 256 Industrial Blvd, Fort Valley, GA 31030-6285 | 2018-07-13 |
| 1477052173 | Healthstat Onsite Clinic-coats Albany Distribution | Preventive Medicine | 601 Holly Dr, Albany, GA 31705-4314 | 2018-02-08 |
| 1124527007 | Healthstat Onsite Clinic-coats Douglas | Preventive Medicine | 1401 Pope Dr, Douglas, GA 31535-5923 | 2018-02-07 |
| 1114426095 | Healthstat Onsite Clinic Coats Toccoa | Preventive Medicine | 374 Coats Dr, Toccoa, GA 30577-7986 | 2018-02-07 |
| Find all providers with the same taxonomy | ||||
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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.