LASHAUN DENISE ELLIOTT (NPI# 1497074298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497074298 |
| Entity Type | Individual |
| Full Name | LASHAUN DENISE ELLIOTT |
| Credential | M.D. |
| Practice Address |
3600 Dallas Hwy Suite 230, # 282 Marietta GA 30064-1785 |
| Mailing Address |
3600 Dallas Hwy Suite 230, # 282 Marietta GA 30064-1685 |
| Practice Telephone | 4044903575 |
| Mailing Telephone | 4044903575 |
| Enumeration Date | 2010-05-19 |
| Last Update Date | 2019-03-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
68404 | GA | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | 68404 | GA | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 261986 | NY | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4442 S Main St, Acworth, GA 301015543 | 7706753859 | |
| 6440 Southpoint Pkwy Ste 300, Jacksonville, FL 322168003 | 4044903575 |
| Street Address |
3600 DALLAS HWY SUITE 230, # 282 |
| City | MARIETTA |
| State | GA |
| Zip Code | 30064-1785 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043833304 | Chelsey Lewis | Pharmacist | 660 Whitlock Ave Sw, Marietta, GA 30064 | 2020-05-21 |
| 1316428527 | Candice Murray | Nurse Practitioner | 2727 Wynford Ave Sw, Marietta, GA 30064 | 2018-08-25 |
| 1427539741 | Emily Dorsey Drew | Nurse Practitioner | 3911 Mary Eliza Trce Nw Ste 200, Marietta, GA 30064 | 2018-08-24 |
| 1649765017 | Julie K Berger | Counselor | 336 Powder Springs St Suite 206, Marietta, GA 30064 | 2018-06-27 |
| 1689175291 | Anthony Bammer | Clinical Exercise Physiologist | 1001 Whitlock Avenue Nw, Marietta, GA 30064 | 2018-02-28 |
| 1831600725 | Dyniecia Barnes | Specialist | 2575 White Haven Dr Sw, Ste 100 / Salon 121, Marietta, GA 30064 | 2017-10-18 |
| 1588173298 | Michelle Ann Stich | Assistant Behavior Analyst | 376 Powder Springs St Ste 130, Marietta, GA 30064 | 2017-09-26 |
| 1194241976 | Namasine Lolice Dalrymple | Counselor | 1708 Peachtree St, Suite 300, Atlanta, GA 30064 | 2017-08-14 |
| 1245760859 | Michael H Mulkey, Dmd PC | Dentist | 3951 Mary Eliza Trace Nw, Suite 200, Marietta, GA 30064 | 2017-06-15 |
| 1700310893 | West Cobb Dentist Office, PC | Dentist | 3805 Dallas Hwy Sw, Suite 804, Marietta, GA 30064 | 2017-04-14 |
| Find all providers in zip 30064 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265894265 | George F. Lasker | General Practice | 3921 Bays Ferry Trl, Marietta, GA 30062-5294 | 2016-03-28 |
| 1356733687 | Rodolfo Agraz | General Practice | 538 Heyward Cir Nw, Marietta, GA 30064-1406 | 2015-02-24 |
| 1265879977 | Afc Physicians of Georgia, PC | General Practice | 3481 Ernest Barrett Parkway Sw, Marietta, GA 30064-2703 | 2013-06-04 |
| 1366611071 | Harmar Village Medical Inc | General Practice | 119 Maple Street, Marietta, OH 45750 | 2008-02-27 |
| 1548459043 | Decatur Medical Group LLC | General Practice | 445 Windy Hill Rd Se # 222, Marietta, GA 30060-7342 | 2007-10-20 |
| 1184810913 | Draco Group of Marietta, Inc. | General Practice | 3020 Roswell Rd Ste 216-a, Marietta, GA 30062-4996 | 2007-09-14 |
| 1427244250 | Alpheus Wellness Center, Inc. | General Practice | 445 Windy Hill Rd Se Ste 122, Marietta, GA 30060-7342 | 2007-09-14 |
| 1508051244 | Marietta Medical Associates LLC | General Practice | 445 Windy Hill Rd Se, Suite 200, Marietta, GA 30060-7342 | 2007-09-06 |
| 1700077138 | Omega Health Care LLC | General Practice | 445 Windy Hill Rd, Suite 226, Marietta, GA 30060 | 2007-08-09 |
| 1306036249 | Rainbow Group Services, Inc. | General Practice | 445 Windy Hill Rd Se Ste 102, Marietta, GA 30060-7342 | 2007-07-26 |
| Find all providers in MARIETTA | ||||
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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.