MERIDIAN CORPORATE HEALTHCARE OF GEORGIA P C (NPI# 1477032340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477032340 |
| Entity Type | Organization |
| Organization Name | MERIDIAN CORPORATE HEALTHCARE OF GEORGIA P C |
| Other Organization Name | MICROMERITICS HEALTH AND WELLNESS CENTER |
| Practice Address |
4356 Communications Dr Norcross GA 30093-2901 |
| Mailing Address |
5500 Maryland Way Ste 400 Brentwood TN 37027-7048 |
| Practice Telephone | 7706243384 |
| Practice Fax Number | 7707097116 |
| Enumeration Date | 2018-08-10 |
| Last Update Date | 2018-08-10 |
| Authorized Official Name | DR. JAMES MICHAEL THIEL (PRESIDENT) |
| Authorized Official Telephone | 6154686248 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Micromeritics Health and Wellness Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174154496 | Meridian Corporate Healthcare of Georgia P C | Clinic/Center | 2305 Abutment Rd, Dalton, GA 30721-4881 | 2020-01-27 |
| 1447881768 | Meridian Corporate Healthcare of Georgia P C | Clinic/Center | 2225 S Hamilton St, Dalton, GA 30721-4975 | 2020-01-27 |
| 1477192219 | Meridian Corporate Healthcare of Georgia P C | Clinic/Center | 5163 Thompson Bridge Rd, Murrayville, GA 30564-1930 | 2019-12-26 |
| 1881173821 | Meridian Corporate Healthcare of Georgia P C | Clinic/Center | 809 E 11th Ave, Cordele, GA 31015-3422 | 2018-08-10 |
| 1447739545 | Meridian Corporate Healthcare of Georgia P C | Clinic/Center | 1122 North St W, Vidalia, GA 30474-3214 | 2018-08-09 |
| 1073092169 | Meridian Corporate Healthcare of Georgia P C | Clinic/Center | 342 E Brazell St, Reidsville, GA 30453-5046 | 2018-08-09 |
| 1114406295 | Meridian Corporate Healthcare of Georgia P C | Clinic/Center | 801 W Barnard St, Glennville, GA 30427-3030 | 2018-08-09 |
| 1588143663 | Meridian Corporate Healthcare of Georgia P C | Clinic/Center | 21971 Us Highway 319 N, Coolidge, GA 31738-3743 | 2018-08-09 |
| 1073090791 | Meridian Corporate Healthcare of Georgia P C | Clinic/Center | 1110 Farr Rd Ste C, Columbus, GA 31907-8627 | 2018-07-25 |
| 1891207536 | Meridian Corporate Healthcare of Georgia P C | Clinic/Center | 107 E Star St, Bethlehem, GA 30620-2119 | 2017-11-03 |
| Street Address |
4356 COMMUNICATIONS DR |
| City | NORCROSS |
| State | GA |
| Zip Code | 30093-2901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740612985 | Amy Carmichael Maresca | Nurse Practitioner | 4356 Communications Dr, Norcross, GA 30093-2901 | 2013-07-30 |
| 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 |
| 1457802902 | Audrey Fernandes | Dentist | 4846 Jimmy Carter Blvd, Suite 203, Norcross, GA 30093 | 2016-10-19 |
| 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 |
| Find all providers in zip 30093 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265880348 | Tory Banks | Clinic/Center | 1091 Ashmore Trce, Norcross, GA 30093-4645 | 2016-05-30 |
| 1669756292 | Stay Well Pediatrics LLC | Clinic/Center | 5139 Jimmy Carter Blvd, Suite # 205, Norcross, GA 30093-1680 | 2011-09-30 |
| 1841571213 | La Vista Norcross Clinic | Clinic/Center | 2625 Beaver Ruin Rd Ste B, Norcross, GA 30071-4136 | 2011-08-30 |
| 1598383754 | Norcross Pediatric and Family Medicine | Clinic/Center | 4608 Jimmy Carter Blvd Ste 7, Norcross, GA 30093-3758 | 2020-07-13 |
| 1255831293 | Good Samaritan Health Center | Clinic/Center | 4864 Jimmy Carter Blvd, Norcross, GA 30093-3701 | 2018-02-16 |
| 1316495021 | Good Samaritan Health Center of Gwinnett | Clinic/Center | 5949 Buford Hwy, Norcross, GA 30071-2472 | 2016-09-12 |
| 1427443217 | Absolute Care Pediatrics, Lp | Clinic/Center | 3459 Holcomb Bridge Rd, Suite 100, Norcross, GA 30092-3102 | 2015-03-30 |
| 1013321702 | Lifeline Medical Center, LLC | Clinic/Center | 3330 Peachtree Corners Cir Ste H, Norcross, GA 30092-3657 | 2014-06-20 |
| 1770995946 | Stone Mountain Skin Health Center | Clinic/Center | 5430 Jimmy Carter Blvd, Norcross, GA 30093 | 2014-05-22 |
| 1245658285 | Lifeline Medical Center, LLC | Clinic/Center | 3330 Peachtree Corners Cir, Norcross, GA 30092-3695 | 2014-04-06 |
| 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.