STANSTON D. SPENCE M.D., P.C. (NPI# 1447553292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447553292 |
| Entity Type | Organization |
| Organization Name | STANSTON D. SPENCE M.D., P.C. |
| Practice Address |
777 Cleveland Ave Sw Suite 305 Atlanta GA 30315-7129 |
| Practice Telephone | 4047617482 |
| Practice Fax Number | 4047618398 |
| Mailing Telephone | 4047617482 |
| Mailing Fax Number | 4047618398 |
| Enumeration Date | 2010-12-17 |
| Last Update Date | 2010-12-17 |
| Authorized Official Name | DR. STANSTON D'ANDREA SPENCE (PROVIDER) |
| Authorized Official Telephone | 4047617482 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 032474 | GA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000415599B | 05 |
| Street Address |
777 CLEVELAND AVE SW SUITE 305 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30315-7129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063410173 | Anthony Edward Barnes | Urology | 777 Cleveland Ave Sw, Suite 604, Atlanta, GA 30315-7129 | 2005-07-12 |
| 1588169759 | Treken Primary Care Inc | Internal Medicine | 777 Cleveland Ave Sw, Atlanta, GA 30315-7129 | 2018-03-28 |
| 1700307139 | Gloria Mixon | Occupational Therapist | 777 Cleveland Ave Sw, Atlanta, GA 30315-7129 | 2017-07-06 |
| 1407211139 | Trisha Brown | Counselor | 777 Cleveland Ave Sw, Suite 204, Atlanta, GA 30315-7129 | 2015-12-22 |
| 1972976348 | Safira Zayas | Massage Therapist | 777 Cleveland Ave Sw, Atlanta, GA 30315-7129 | 2015-11-07 |
| 1609246800 | Jeannette Hokanson | Counselor | 777 Cleveland Ave Sw, Suite 301, Atlanta, GA 30315-7129 | 2015-09-30 |
| 1801270335 | Serene Reflections for Holistic Behavior Wellness, LLC | Community/Behavioral Health | 777 Cleveland Ave Sw, Suite 204, Atlanta, GA 30315-7129 | 2015-07-15 |
| 1144665415 | Eric Alexander Lohman | Social Worker | 777 Cleveland Ave Sw, Suite 316, Atlanta, GA 30315-7129 | 2013-05-01 |
| 1851657167 | Pathways Career Services | Day Training, Developmentally Disabled Services | 777 Cleveland Ave Sw, 316, Atlanta, GA 30315-7129 | 2012-04-11 |
| 1710284435 | Gates Rapid Diagnostic Laboratory of Atlanta | General Practice | 777 Cleveland Ave Sw, Suite 100, Atlanta, GA 30315-7129 | 2011-02-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083181341 | Erin Cole | Specialist/Technologist | Lakewood Ave Se, Atlanta, GA 30315 | 2018-10-25 |
| 1942701081 | Julie Crocker | Dental Hygienist | 1046 Ridge Ave. Sw, Atlanta, GA 30315 | 2018-02-23 |
| 1457695850 | Dominica Aquino Morales-gibson | Physical Therapist | 2850 Springdale Road Sw, Atlanta, GA 30315 | 2012-11-26 |
| 1912264813 | Maxwell Uhakheme | Internal Medicine | 6875 Douglas Blvd, Suite A, Kaiser Permanente Douglasville Medical Center, Douglasville, GA 30315 | 2012-04-16 |
| 1427329093 | Sulonda Smith | Counselor | 34 Atlanta Ave. Se, Hank Aaron Blvd, Atlanta, GA 30315 | 2012-01-13 |
| 1407152507 | Gerald Leroy Griffin | Pharmacist | 520 Boulevard, Atlanta, GA 30315 | 2011-02-07 |
| 1245404854 | Tunisia Finch Cornelius | Dermatology | 1039 Grant St Se Ste A-11, Atlanta, GA 30315 | 2008-04-15 |
| 1356512180 | Chandra Blakely | Counselor | 215 Lakewood Way, Suite 205, Atlanta, GA 30315 | 2008-03-19 |
| 1104043967 | Alvin H. Clair, M.d.p.c. | Dermatology | 777 Cleveland Ave.,sw Ste.500, Atlanta, GA 30315 | 2007-04-20 |
| 1396877742 | Scott M Russell | Speech-Language Pathologist | 1364 Clifton Road, Atlanta, GA 30315 | 2007-03-12 |
| Find all providers in zip 30315 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
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| 1225566300 | Aspire Fertility Georgia, LLC | Specialist | 6 Concourse Pkwy Ste 250, Atlanta, GA 30328-6117 | 2017-06-01 |
| 1376086256 | Integrated Healthcare Center of Dunwoody LLC | Specialist | 6115 Peachtree Dunwoody Rd, Atlanta, GA 30328-5546 | 2016-11-28 |
| 1063960748 | Lynda Louise Parrish | Specialist | 842 N Highland Ave Ne Ste 223, Atlanta, GA 30306-4530 | 2016-09-12 |
| 1922551118 | Shelley Fondren | Specialist | 5817 Jamerson Dr, Atlanta, GA 30349-7018 | 2016-07-25 |
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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.