ADELIENE G ISAAC DAVID (NPI# 1457682809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457682809 |
| Entity Type | Individual |
| Full Name | ADELIENE G ISAAC DAVID |
| Practice Address |
5329 Memorial Dr Suite A Stone Mountain GA 30083-3212 |
| Practice Telephone | 7703599592 |
| Practice Fax Number | 4042967696 |
| Mailing Telephone | 7703599592 |
| Mailing Fax Number | 4042967696 |
| Enumeration Date | 2010-01-25 |
| Last Update Date | 2010-01-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
IN PROGRESS | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5329 MEMORIAL DR SUITE A |
| City | STONE MOUNTAIN |
| State | GA |
| Zip Code | 30083-3212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477599314 | Nicholas Kemdi Ihenacho | Internal Medicine | 5329 Memorial Dr, Suite A, Stone Mountain, GA 30083-3212 | 2006-06-21 |
| 1730653619 | Chidi D Ikeokwu | Nurse Practitioner | 5329 Memorial Dr, Stone Mountain, GA 30083-3212 | 2019-01-14 |
| 1063807634 | Veritas Dialysis Inc. | Clinic/Center | 5329 Memorial Dr, Suite B, Stone Mountain, GA 30083-3212 | 2015-04-01 |
| 1477827079 | Renal Carepartners of Stone Mountain LLC | Clinic/Center | 5329 Memorial Dr, Suite B, Stone Mountain, GA 30083-3212 | 2012-02-28 |
| 1518146877 | Nova Dialysis Clinic Inc | Clinic/Center | 5329 Memorial Dr, Stone Mountain, GA 30083-3212 | 2007-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558830919 | Patriot Healthcare of Georgia, LLC | Family Medicine | 833 Hairston Road, Stone Mountain, GA 30083 | 2018-11-15 |
| 1710403431 | Trans Med Ems,llc | Ambulance | 4683 Redan Rd, Stone Mountain, GA 30083 | 2017-08-15 |
| 1447770482 | Dispatched Angels Home Care | In Home Supportive Care | 619 El Prado Court, Stone Mountain, GA 30083 | 2017-06-21 |
| 1396191086 | Suzanne Carter | Chore Provider | 1036 Allgood Rd, Stone Mountain, GA 30083 | 2016-05-11 |
| 1437520087 | Meaza Dada | Pharmacist | 1043 Thornwoode Lane, Stone Mountain, GA 30083 | 2015-10-08 |
| 1427436500 | Raeanne Elizabeth Gialanella | Occupational Therapist | 5839 Memorial Drive, Stone Mountain, GA 30083 | 2015-05-11 |
| 1265829824 | Latore Williams | Licensed Practical Nurse | 5300 Ridge Forest Drive, Stone Mountain, GA 30083 | 2015-04-22 |
| 1144625922 | Granville Theodore Freeman IIi | Counselor | 5000 Brittany Drive, Stone Mountain, GA 30083 | 2014-10-23 |
| 1588974208 | Terri R Collins | Counselor | 1020 Strap Hinge Trail, Stone Mountain, GA 30083 | 2010-10-15 |
| 1104064815 | Vistas Medical Center,pc | Clinic/Center | 5329 Memorial Dr Ste A, Stone Mountain, GEORGIA 30083 | 2009-02-03 |
| Find all providers in zip 30083 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902331895 | Sharon Mccoy Henderson | Nurse Practitioner | 547 Wynbrooke Pkwy, Stone Mountain, GA 30087-4767 | 2017-04-27 |
| 1902357510 | Tamika Crawford | Nurse Practitioner | 733 Trigg Lake Ct, Stone Mountain, GA 30087-6529 | 2016-10-18 |
| 1750416061 | Shona R. Alexander | Nurse Practitioner | 500 Springhouse Cir, Stone Mountain, GA 30087-6718 | 2007-02-23 |
| 1437567815 | Chelsea Bianca Robinson | Nurse Practitioner | 5582 Memorial Dr, Stone Mountain, GA 30083-3215 | 2014-07-29 |
| 1679706501 | Dian Thornton-sheffield | Nurse Practitioner | 770 Village Square Dr, Stone Mountain, GA 30083-3380 | 2009-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154110 | Christina Danielle Palau Vaccari | Nurse Practitioner | 712 Pasley Ave Se, Atlanta, GA 30316-2158 | 2020-11-07 |
| 1427657113 | Cynthia Diane Prather | Nurse Practitioner | 3264 Lower Boston Rd, Thomasville, GA 31757-1311 | 2020-10-22 |
| 1932706728 | Alecia Ann Czarnecki | Nurse Practitioner | 6240 Crooked Creek Dr, Rex, GA 30273-5006 | 2020-10-05 |
| 1801401112 | Cotenna D. Clark | Nurse Practitioner | 1857 Cameo Ct, Tucker, GA 30084-7002 | 2020-09-14 |
| 1487264370 | Helen Young Yates | Nurse Practitioner | 40 Red Rock Ct Ne, Ludowici, GA 31316-6280 | 2020-08-05 |
| 1982214334 | Jasmine Alecia Henderson | Nurse Practitioner | 52 Roseberry Cir, Port Wentworth, GA 31407-5612 | 2020-07-31 |
| 1275142994 | Theresia Richardson | Nurse Practitioner | 2033 Buford Hwy Ste 109, Buford, GA 30518-8802 | 2020-07-28 |
| 1063021277 | Elsa Duncan Duncan | Nurse Practitioner | 1822 E Gwinnett St, Savannah, GA 31404-1853 | 2020-07-24 |
| 1154941946 | Joy P Wharton | Nurse Practitioner | 182 Silver Arrow Cir, Austell, GA 30168-7490 | 2020-04-21 |
| 1235769985 | Michelle Brack | Nurse Practitioner | 502 Hall Rd, Thomasville, GA 31757-8105 | 2020-01-22 |
| Find all providers with the same taxonomy | ||||
| City | STONE MOUNTAIN |
| Zip Code | 30083 |
Please comment or provide details below to improve the information on ADELIENE G ISAAC DAVID.
| 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.