GEORGIA PALLIATIVE SERVICES, LLC


Address: 3660 Cedarcrest Rd Ste 120, Acworth, GA 30101-8928
Phone: 7705992477

GEORGIA PALLIATIVE SERVICES, LLC (NPI# 1447875307) 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) 1447875307
Entity Type Organization
Organization Name GEORGIA PALLIATIVE SERVICES, LLC
Practice Address 3660 Cedarcrest Rd Ste 120
Acworth
GA 30101-8928
Practice Telephone 7705992477
Practice Fax Number 6783240548
Mailing Telephone 7705992477
Mailing Fax Number 6783240548
Enumeration Date 2020-06-16
Last Update Date 2020-06-16
Authorized Official Name DR. DURIEL GRAY (OWNER)
Authorized Official Telephone 7705992477
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QH0100X Clinic/Center
Specialization: Health Service
Ambulatory Health Care Facilities

Office Location

Street Address 3660 CEDARCREST RD STE 120
City ACWORTH
State GA
Zip Code 30101-8928

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952931552 A3j Incorporated Registered Nurse 3905 Cobb Pkwy Nw Ste 305, Acworth, GA 30101 2020-01-22
1043869852 Sharron Leigh Lipscomb Acupuncturist 3661 Cedarcrest Rd Ste 320, Acworth, GA 30101 2019-09-05
1699322933 Cowry Home Dialysis LLC Durable Medical Equipment & Medical Supplies 4450 Calibre Crossings Nw, Suite # 1122, Acworth, GA 30101 2019-08-21
1760979595 Sandra Jeanetta Pugh Counselor 118 Clubhouse Crossing, Acworth, GA 30101 2018-04-17
1679926950 Cindy Hatfield Fruits Psychologist 4839 N. Main Street, Acworth, GA 30101 2016-07-21
1396192563 Philip Young Specialist/Technologist 4841 Lake Park Lane, Acworth, GA 30101 2016-05-18
1770960619 Karen Fuller Marriage & Family Therapist 2487 Cedarcrest Rd Ste 722, Acworth, GA 30101 2015-04-29
1366830333 Willard Hogan IIi Physician Assistant 1720 Mars Hill Rd Nw Ste 8-175, Acworth, GA 30101 2014-12-29
1386042083 Sebastian Diaz Fischer Chiropractor 2639 Hickory Grove Rd, Suit 150, Ackworth, GA 30101 2014-12-11
1841699337 J Chappell Md PC Dermatology 4450 Calibre Crossings, Suite 1208, Acworth, GA 30101 2014-08-20
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Taxonomy Information

Taxonomy Code 261QH0100X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Health Service

Taxonomy Definition

Definition to come...
Notes: [7/1/2006: modified title]

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1255600565 Clinica Santa Maria LLC Clinic/Center 6158 Highway 92 Ste 101, Acworth, GA 30102-2332 2011-12-16
1346385192 Dignity Place, Inc Clinic/Center 252 Kingsford Xing, Acworth, GA 30101-2669 2007-02-20
1992111280 Lifequest Kennesaw, LLC Clinic/Center 3362 Acworth Summit Blvd Nw, Acworth, GA 30101-5770 2014-07-08

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1558974709 Medlife Healthcare Clinic/Center 2129 Friendship Rd, Flowery Branch, GA 30542 2020-08-27
1851909857 100 Percent Nutrition LLC Clinic/Center 8425 Waldrip Rd, Gainesville, GA 30506-5774 2020-07-16
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1992321301 Hope Harbor Wellness LLC Clinic/Center 126 Enterprise Path Ste 208, Hiram, GA 30141-2654 2020-06-22
1548884000 2 Wolves Inc Clinic/Center 783 S Main St Ste 5, Cleveland, GA 30528-4519 2020-06-01
1245860816 The Wellness Sanctuary, Inc Clinic/Center 206 Rogers St Ne Apt 117, Atlanta, GA 30317-1035 2020-01-22
1083256804 Thelwell Immediate Care Clinic Inc Clinic/Center 1400 Veterans Memorial Highway Se Suite 134 #176, Mableton, GA 30126 2019-10-14
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Competitor

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City ACWORTH
Zip Code 30101

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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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