MY DOCTORS CLINIC LLC (NPI# 1497183941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497183941 |
| Entity Type | Organization |
| Organization Name | MY DOCTORS CLINIC LLC |
| Other Organization Name | PEACH CLINIC |
| Practice Address |
2320 Atlanta Hwy Suite - 105 Cumming GA 30040-6339 |
| Mailing Address |
1754 Morningdale Cir None Duluth GA 30097-5260 |
| Practice Telephone | 6784730715 |
| Mailing Telephone | 6784730715 |
| Enumeration Date | 2013-10-19 |
| Last Update Date | 2014-01-16 |
| Authorized Official Name | KETAN GHIA (MANAGER) |
| Authorized Official Telephone | 6784730715 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 173000000X | Legal Medicine | 052826 | GA | Other Service Providers |
| N | 2080P0214X |
Pediatrics Specialization: Pediatric Pulmonology |
63536 | GA | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 052826 | GA | Allopathic & Osteopathic Physicians |
| N | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
052826 | GA | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 61431 | GA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Peach Clinic | Doing Business As Name - Organization |
| Street Address |
2320 ATLANTA HWY SUITE - 105 |
| City | CUMMING |
| State | GA |
| Zip Code | 30040-6339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699724419 | Dhaval Shrikant Shah | Legal Medicine | 2320 Atlanta Hwy, Ste 105, Cumming, GA 30040-6339 | 2006-05-09 |
| 1215272232 | Krishan Raman Bhima | Optometrist | 2320 Atlanta Hwy, Suite 103, Cumming, GA 30040-6339 | 2012-12-02 |
| 1033449046 | Complete Family Eyecare and Optique PC | Eyewear Supplier (Equipment, not the service) | 2320 Atlanta Hwy, Suite 103, Cumming, GA 30040-6339 | 2010-01-14 |
| 1821212390 | Amita Ketan Ghia | Family Medicine | 2320 Atlanta Hwy, Ste 105, Cumming, GA 30040-6339 | 2007-04-13 |
| 1316074412 | Kimberley Anne Linert | Optometrist | 2320 Atlanta Hwy, Cumming, GA 30040-6339 | 2007-02-27 |
| 1255472916 | Scott Baylard | Optometrist | 2320 Atlanta Hwy, Suite 103, Cumming, GA 30040-6339 | 2007-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427684729 | Am Nollenberger Counseling | Counselor | 327 Dahlonega Street Ste 901 A, Cumming, GA 30040 | 2020-03-18 |
| 1497388904 | Ben Allen Sanders | Pharmacist | Kroger Pharmacy 627, 5550 Bethelview Road, Cumming, GA 30040 | 2020-02-13 |
| 1407415615 | Jacqueline Small | Nurse Practitioner | 407 W Maple St # 101, Cumming, GA 30040 | 2019-06-11 |
| 1336706316 | Mary Kathleen Hesidence | Nurse Practitioner | 81 Northside Dr, #100, Dawsonville, GA 30040 | 2019-05-24 |
| 1851958334 | North Georgia Pathology | Pathology | 4150 Deputy Bill Cantrell Memorial Rd Suite 200, Cumming, GA 30040 | 2019-05-21 |
| 1598320087 | Emily Rebecca Downs | Physician Assistant | 3970 Deputy Bill Cantrell Memorial Road Ste 150, Cumming, GA 30040 | 2019-05-09 |
| 1215490057 | Shine Speech Language Therapy LLC | Speech-Language Pathologist | 107 Pilgrim Village Dr Suite 400, Cumming, GA 30040 | 2019-04-09 |
| 1417430075 | Ashley Michelle Nollenberger | Counselor | 327 Dahlonega Street, Ste 901 A, Cumming, GA 30040 | 2018-09-10 |
| 1518445410 | Village Pediatrics At Vickery | Pediatrics | 7185 Colfax Aveune, Suite 200, Cumming, GA 30040 | 2018-08-02 |
| 1306339841 | Fukuzato Eyecare, Inc | Optometrist | 3670 Hutchinson Rd Ste A&b, Cumming, GA 30040 | 2018-06-09 |
| Find all providers in zip 30040 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811473366 | Anytime Physicians LLC | Family Medicine | 3482 Keith Bridge Rd Ste 131, Cumming, GA 30041-5546 | 2018-07-18 |
| 1023368693 | Family Medicine and Urgent Care, P.C. | Family Medicine | 4415 Front Nine Drive, Suite 700, Cumming, GA 30041-6018 | 2012-09-11 |
| 1033401302 | Rishita Patel | Family Medicine | 2825 Keith Bridge Rd Ste 100, Cumming, GA 30041 | 2011-05-05 |
| 1861647208 | Nandana R Reddy | Family Medicine | 2655 Hermitage Dr, Cumming, GA 30041-6337 | 2008-11-26 |
| 1235309469 | Jayasri Mallavarapu | Family Medicine | 1614 Peachtree Pkwy, Suite 200, Cumming, GA 30041-6883 | 2008-03-04 |
| 1093877961 | Jacob Varghese | Family Medicine | 1400 Northside Forsyth Office, Suite 350, Cumming, GA 30041 | 2006-12-15 |
| 1992805006 | Nibedita Patro | Family Medicine | 1080 Sanders Rd, Ste 100, Cumming, GA 30041-8057 | 2006-09-25 |
| 1710084793 | Lea A Danielsen | Family Medicine | 5435 Oakrun Cir, Cumming, GA 30040-1211 | 2006-09-20 |
| 1497857841 | David Arnel Ragan | Family Medicine | 610 Peachtree Parkway, Suite 201, Cumming, GA 30041-9712 | 2006-09-05 |
| 1710096227 | Annmarie Stokes | Family Medicine | 634 Peachtree Pkwy, Suite 282, Cumming, GA 30041-9782 | 2006-08-29 |
| Find all providers in CUMMING | ||||
Please comment or provide details below to improve the information on MY DOCTORS CLINIC LLC.
| 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.