AUDREY FERNANDES (NPI# 1457802902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457802902 |
| Entity Type | Individual |
| Full Name | AUDREY FERNANDES |
| Practice Address |
4846 Jimmy Carter Blvd Suite 203 Norcross GA 30093 |
| Mailing Address |
6211 Hickory Lane Cir Union City GA 30291-5506 |
| Practice Telephone | 7708060162 |
| Mailing Telephone | 6787363020 |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2020-01-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DN015306 | GA | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 600 W St Nw, Washington, DC 200591022 | 2028060068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922043330 | Audrey M Fernandes | Radiology | 7253 Ambassador Rd, Baltimore, MD 21244-2710 | 2006-06-19 |
| Street Address |
4846 JIMMY CARTER BLVD SUITE 203 |
| City | NORCROSS |
| State | GA |
| Zip Code | 30093 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013517465 | Tequila Olivia Banks | Counselor | 8303 Dunleaf Arc Way Nw, Norcross, GA 30093 | 2020-10-27 |
| 1922643485 | Anthony Ervin | Case Manager/Care Coordinator | 6251 Smithpoint Dr. Bldg B, Peachtree Corners, GA 30093 | 2019-11-08 |
| 1164908885 | Marianne Altares | Speech-Language Pathologist | 1709 Oakbrook Lake Dr, Norcross, GA 30093 | 2018-07-16 |
| 1518480763 | Braces Now 14, LLC | Dentist | 4141 Steve Reynolds Blvd, Suite 2, Norcross, GA 30093 | 2017-07-19 |
| 1922456318 | Diana Lleras | Counselor | 6020 Dawson Bld Suite I, Norcross, GA 30093 | 2016-05-26 |
| 1376941500 | Katerine Velez | Counselor | 6020 Dawson Blvd., Siute I, Norcross, GA 30093 | 2014-12-22 |
| 1679979017 | Allison Ballay Donnelly | Speech-Language Pathologist | 1626 Jeurgens Ct., Norcross, GA 30093 | 2014-11-12 |
| 1588913701 | Sunrise Pharmacy | Pharmacy | 1235 Indian Trail Rd, Suite 200a, Norcross, GA 30093 | 2012-09-04 |
| 1821347154 | Shakirah Forde | Counselor | 1770 Indian Trail Lilburn Rd Ste 120, Norcross, GA 30093 | 2012-08-31 |
| 1487953741 | Avala Dental Providers | Dentist | 5495 Jimmy Carter Blvd., Suite A-14, Norcross, GA 30093 | 2011-03-24 |
| Find all providers in zip 30093 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285242693 | Georgia Dental Professionals, PC | Dentist | 5185 Peachtree Pkwy Ste 201, Norcross, GA 30092-6539 | 2020-07-22 |
| 1528617289 | Safa Shamim Dalwai | Dentist | 6141 Peachtree Pkwy, Norcross, GA 30092-3304 | 2019-09-05 |
| 1023662194 | Lauren Crawford Weant | Dentist | 3850 Holcomb Bridge Rd Ste 200, Norcross, GA 30092-5223 | 2019-07-28 |
| 1184043143 | Dammer Armando Salazar | Dentist | 1650 Oakbrook Dr Ste 440, Norcross, GA 30093-1817 | 2014-04-07 |
| 1265872014 | To Nga Thi Dinh | Dentist | 1514 Glenleaf Dr, Norcross, GA 30092-6114 | 2013-06-26 |
| 1487953741 | Avala Dental Providers | Dentist | 5495 Jimmy Carter Blvd., Suite A-14, Norcross, GA 30093 | 2011-03-24 |
| 1538318894 | Hannah Lee | Dentist | 6185 Buford Hwy # G, Norcross, GA 30071-2350 | 2008-09-11 |
| 1205084944 | Zina Aaron | Dentist | 1004 Carroll Ct, Norcross, GA 30071-5010 | 2008-09-07 |
| 1144481987 | Norcross Dental Associates | Dentist | 6270 Smithpointe Dr, Norcross, GA 30092-2754 | 2008-06-24 |
| 1881868727 | International Family Dental Center P.C. | Dentist | 5495 Jimmy Carter Blvd Ste A14, Norcross, GA 30093-1518 | 2008-04-22 |
| Find all providers in NORCROSS | ||||
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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.