REAGAN MEDICAL CENTER (NPI# 1467771832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467771832 |
| Entity Type | Organization |
| Organization Name | REAGAN MEDICAL CENTER |
| Practice Address |
10160 Medlock Bridge Rd Suite 100 Johns Creek GA 30097-4419 |
| Mailing Address |
2878 Five Forks Trickum Rd Suite 2a Lawrenceville GA 30044-5896 |
| Practice Telephone | 6783448700 |
| Practice Fax Number | 6783448600 |
| Mailing Telephone | 6783448700 |
| Mailing Fax Number | 6783448600 |
| Enumeration Date | 2010-05-25 |
| Last Update Date | 2020-08-19 |
| Authorized Official Name | MR. SATISH PODDAR (CEO) |
| Authorized Official Telephone | 6783448700 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | REAGAN MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457968372 | Reagan Medical Center | Neurological Surgery | 1295 Hembree Rd Ste 200, Roswell, GA 30076-5721 | 2020-09-24 |
| 1699388231 | Reagan Medical Center | Clinic/Center | 426 Exchange Blvd Ste 500, Bethlehem, GA 30620-1797 | 2020-08-24 |
| 1003426628 | Reagan Medical Center | Neurological Surgery | 1241 Friendship Rd Ste 110, Braselton, GA 30517-5609 | 2020-08-07 |
| 1285255216 | Reagan Medical Center | Neurological Surgery | 11780 Northfall Ln, Alpharetta, GA 30009-7964 | 2020-04-30 |
| 1649365750 | Reagan Medical Center | Family Medicine | 2696 Lawrenceville Suwanee Rd, Suwanee, GA 30024-2535 | 2006-10-04 |
| 1952316747 | Reagan Medical Center | Neurological Surgery | 2878 Five Forks Trickum Rd, Ste 2a, Lawrenceville, GA 30044-5896 | 2006-07-30 |
| Street Address |
10160 MEDLOCK BRIDGE RD SUITE 100 |
| City | JOHNS CREEK |
| State | GA |
| Zip Code | 30097-4419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477587475 | Stephen Nicholas Arroyo | Physical Therapist | 10160 Medlock Bridge Rd, Ste B, Johns Creek, GA 30097-4419 | 2006-07-10 |
| 1861700247 | Denice Moughamian | Physician Assistant | 10160 Medlock Bridge Rd, Suite A, Johns Creek, GA 30097-4419 | 2010-09-20 |
| 1508006503 | Atlanta Urgent Care Clinic | Clinic/Center | 10160 Medlock Bridge Rd, Ste 200, Johns Creek, GA 30097-4419 | 2009-03-03 |
| 1194887315 | Therasport Physical Therapy Inc. | Clinic/Center | 10160 Medlock Bridge Rd, Ste B, Johns Creek, GA 30097-4419 | 2006-12-14 |
| 1942362256 | Cimarron Physical Therapy Inc | Clinic/Center | 10160 Medlock Bridge Rd, Ste B, Johns Creek, GA 30097-4419 | 2006-12-14 |
| 1811088842 | Neela R Bakane | Family Medicine | 10160 Medlock Bridge Rd, Suie 100, Johns Creek, GA 30097-4419 | 2006-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659986057 | Herman Medical Solutions, LLC | Internal Medicine | 10700 Medlock Bridge Road, Suite 207, Duluth, GA 30097 | 2020-09-11 |
| 1649808619 | Kirsty Amber Ramirez | Behavior Technician | 218 Premiere Pkwy #500, Duluth, GA 30097 | 2020-03-27 |
| 1386277820 | Cristina Madalina Niculas | Pharmacist | Kroger Pharmacy 476, 6555 Sugarloaf Parkway, Duluth, GA 30097 | 2020-02-12 |
| 1619514924 | Opesdei Health Solutions | Home Health Aide | 6615 Abbotts Bridge Road, 6615 Abbotts Bridge Road Unit 1111, Johns Creek, GA 30097 | 2019-12-05 |
| 1700422979 | Ria Alexander | Nurse Practitioner | 6300 Hospital Parkway Ste 300, Johns Creek, GA 30097 | 2019-11-22 |
| 1043867765 | Mosesal Zakia White | Nurse Practitioner | 10680 Medlock Bridge Rd #102, Johns Creek, GA 30097 | 2019-08-19 |
| 1982187068 | Lighthouse Clinical Counseling, LLC | Counselor | 3883 Rogers Bridge Road, Suite 601, Duluth, GA 30097 | 2018-09-13 |
| 1376025643 | Faithe Beanne Kimsey | Counselor | 3883 Rogers Bridge Road Nw, Suite 601, Duluth, GA 30097 | 2018-09-04 |
| 1306330303 | Denise Jackson | Prosthetist | 11720 Medlock Bridge Rd Ste 155, Johns Creek, GA 30097 | 2018-06-21 |
| 1407363328 | Berkeley Van Dyke | Physical Therapist | 6335 Hospital Pkwy Ste 316, Johns Creek, GA 30097 | 2017-12-30 |
| Find all providers in zip 30097 | ||||
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144630575 | Luna Plastic Surgery, PC | Specialist | 6335 Hopsital Parkway, Suite 216, Johns Creek, GA 30097 | 2014-05-07 |
| 1609102730 | Melinda K. Maitland | Specialist | 125 Old Chartwell Dr, Johns Creek, GA 30022-8511 | 2009-10-23 |
| 1831577568 | Orthoatlanta | Specialist | 6300 Hospital Pkwy, Johns Creek, GA 30097-1828 | 2015-05-14 |
| 1003112970 | Digestive Care Physicians, LLC | Specialist | 6300 Hospital Pkwy, Suite 450, Johns Creek, GA 30097-1828 | 2011-02-09 |
| 1306984927 | Complete Womens Healthcare LLC | Specialist | 10710 Medlock Bridge Rd, Ste 200, Johns Creek, GA 30097 | 2007-02-03 |
| 1649262577 | Mark I. Harris | Specialist | 6300 Hospital Pkwy, Suite 260, Johns Creek, GA 30097-1828 | 2005-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073113718 | Jennifer Lynn Harper | Specialist | 46 Rice Lewis Gilliard Dr, Toccoa, GA 30577-3683 | 2020-10-30 |
| 1265030407 | Sandra W Paul | Specialist | 4185 Glad Morning Dr, Atlanta, GA 30349-3902 | 2020-10-10 |
| 1851907992 | Diana Rowe | Specialist | 35 Homeplace Dr, Covington, GA 30016-8539 | 2020-09-23 |
| 1053926154 | Idoc Virtual Neuro Critical Care LLC | Specialist | 159 E Wesley Rd Ne, Atlanta, GA 30305-3707 | 2020-09-15 |
| 1649885179 | Rakiya Parker | Specialist | 4814 Stone Mountain Hwy Ste 9, Lilburn, GA 30047-4649 | 2020-09-11 |
| 1649888785 | Valeria Kim West | Specialist | 204 W Oglethorpe Hwy, Hinesville, GA 31313-3615 | 2020-07-15 |
| 1225658511 | Louis P Towles IIi | Specialist | 755 Commerce Dr Ste 600, Decatur, GA 30030-2619 | 2020-04-16 |
| 1316566755 | Kindle-simone Friedlander | Specialist | 13988 Sunfish Bnd, Alpharetta, GA 30004-0605 | 2020-04-15 |
| 1184252595 | Peachtree Surgical Assistants Inc | Specialist | 59 Anderson Ave Apt 127, Canton, GA 30114-2330 | 2020-03-31 |
| 1164056859 | Bimal R Shah Md PC | Specialist | 820 Saint Sebastian Way Ste 2a, Augusta, GA 30901-2636 | 2020-03-03 |
| Find all providers with the same taxonomy | ||||
| City | JOHNS CREEK |
| Zip Code | 30097 |
Please comment or provide details below to improve the information on REAGAN MEDICAL CENTER.
| 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.