DR. HILLERY BAVANI (NPI# 1487073110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487073110 |
| Entity Type | Individual |
| Full Name | DR. HILLERY BAVANI |
| Other Name | MISS HILLERY HALL |
| Credential | D.O. |
| Practice Address |
852 Dacula Rd Dacula GA 30019-3185 |
| Mailing Address |
Po Box 742616 Atlanta GA 30374-2616 |
| Practice Telephone | 7708489360 |
| Mailing Telephone | 7702198420 |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2019-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 82342 | GA | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 0102203694 | VA | Allopathic & Osteopathic Physicians |
| Y | 208M00000X | Hospitalist | 82342 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
852 DACULA RD |
| City | DACULA |
| State | GA |
| Zip Code | 30019-3185 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386690923 | Minkailu Sesay | Family Medicine | 852 Dacula Rd, Dacula, GA 30019-3185 | 2006-05-25 |
| 1720627748 | Northeast Georgia Physicians Group-urgent Care, LLC | Clinic/Center | 852 Dacula Rd, Dacula, GA 30019-3185 | 2019-12-23 |
| 1740754381 | Julie Thach | Nurse Practitioner | 852 Dacula Rd, Dacula, GA 30019-3185 | 2019-01-16 |
| 1184079196 | Jennifer B. Cobernus | Family Medicine | 852 Dacula Rd, Dacula, GA 30019 | 2016-04-27 |
| 1750675955 | Linu Chandy Joseph | Family Medicine | 852 Dacula Rd, Dacula, GA 30019-3185 | 2011-06-06 |
| 1215268040 | Ndubuisi Apu Ndukwe | Family Medicine | 852 Dacula Rd, Dacula, GA 30019 | 2010-01-18 |
| 1215178355 | Victoria Lynn Albanese | Social Worker | 852 Dacula Rd, Dacula, GA 30019-3185 | 2009-03-19 |
| 1063663326 | David Robert Peck | Physician Assistant | 852 Dacula Rd, Dacula, GA 30019 | 2008-10-06 |
| 1275731580 | Amy E. Bailey | Family Medicine | 852 Dacula Rd, Dacula, GA 30019-3185 | 2007-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780228171 | Mackenson Lafortune | Physical Therapy Assistant | 1424 Filigree Pl, Dacula, GA 30019 | 2019-10-29 |
| 1780167452 | Adenike Alaga | Registered Nurse | 3196 Dolostone Way, Dacula, GA 30019 | 2018-09-10 |
| 1780160580 | Cielitha Ruffin | Nurse Practitioner | 1223 Bentley Estates Dr., Dacula, GA 30019 | 2018-07-15 |
| 1386135663 | Anke Mbapeh | Nurse Practitioner | 2100 Browning Bend Ct, Dacula, GA 30019 | 2018-05-23 |
| 1053820282 | Ethan Zachariah Merrow | Student in an Organized Health Care Education/Training Program | 1701 Mulberry Lake Drive, Dacula, GA 30019 | 2017-09-20 |
| 1043737547 | Dawn Hedley | Dietitian, Registered | 3567 Vern Way, Dacula, GA 30019 | 2017-08-25 |
| 1831545367 | Angela Owusu-edusei | Nurse Practitioner | 3226 Dolostone Way, Dacula, GA 30019 | 2016-05-13 |
| 1528458718 | Philomena Gyamfi | Registered Nurse | 1088 Milford Ln, Dacula, GA 30019 | 2015-01-27 |
| 1417375247 | Casey Goldman Sommerfeld | Pediatrics | 2240 Hamilton Creek Pkwy Ste 600, Dacula, GA 30019 | 2014-03-29 |
| 1417398215 | Samia Tahil | Home Health | 2821 Spence Ct, Dacula, GA 30019 | 2013-07-10 |
| Find all providers in zip 30019 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033770771 | Your Hospitalist Team LLC | Hospitalist | 2215 Autumn Ridge Ln, Cumming, GA 30041-1358 | 2019-06-24 |
| 1780194183 | Mobin Shah Inc | Hospitalist | 352 Langshire Dr, Mcdonough, GA 30253-8055 | 2017-10-11 |
| 1972036721 | Getnet Alemu Tioum | Hospitalist | 1267 Pounds Ln, Clarkston, GA 30021-2830 | 2017-04-08 |
| 1720531692 | Zahraa Rabeeah | Hospitalist | 390 17th St Nw Unit 5031, Atlanta, GA 30363-2015 | 2016-07-27 |
| 1245614973 | Donovan Philbrick | Hospitalist | 743 Spring Street, Office of Inpatient Medicine, Gainesville, GA 30501 | 2015-07-13 |
| 1932529732 | Munir Chaudhuri | Hospitalist | 1364 Clifton Road Ne Box M7, Atlanta, GA 30322-1029 | 2014-04-18 |
| 1982979373 | Rianot Amzat | Hospitalist | 5665 Peachtree Dunwoody # Ga, Suite 500, Atlanta, GA 30342-1701 | 2012-03-19 |
| 1780970921 | Christopher Thomas Middendorf | Hospitalist | 1400 River Place, Braselton, GA 30517 | 2011-06-27 |
| 1043528268 | Medcare Physicians of Central Georgia, LLC | Hospitalist | 1040 Founders Row, Ste A, Greensboro, GA 30642-5261 | 2010-09-22 |
| 1619293354 | Aaron D Gluth | Hospitalist | 1364 Clifton Rd Ne Box M-7, Atlanta, GA 30322-1059 | 2010-04-19 |
| Find all providers with the same taxonomy | ||||
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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.