NORTHEAST ATLANTA ASSOCIATES IN GASTROENTEROLOGY (NPI# 1497958409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497958409 |
| Entity Type | Organization |
| Organization Name | NORTHEAST ATLANTA ASSOCIATES IN GASTROENTEROLOGY |
| Practice Address |
1459 Montreal Rd Su 204 Tucker GA 30084-6900 |
| Mailing Address |
1459 Montreal Rd Su 204 Tucker GA 30084-6926 |
| Practice Telephone | 7709394721 |
| Practice Fax Number | 7709391187 |
| Mailing Telephone | 7709394721 |
| Mailing Fax Number | 7709391187 |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. RALPH ROBERT BETON (PRESIDENT) |
| Authorized Official Telephone | 7709394721 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
1459 MONTREAL RD SU 204 |
| City | TUCKER |
| State | GA |
| Zip Code | 30084-6900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932100609 | Ralph Robert Beton | Specialist | 1459 Montreal Rd, Su 204, Tucker, GA 30084-6900 | 2005-08-03 |
| 1306463807 | Yvette Danielle Fitzgerald | Physical Therapist | 1459 Montreal Rd, Tucker, GA 30084-6900 | 2020-06-30 |
| 1164835005 | Eleni Andria Footman | Internal Medicine | 1459 Montreal Rd, Tucker, GA 30084 | 2014-06-09 |
| 1467769992 | Stephen H. Knight M.d. | Ophthalmology | 1459 Montreal Rd, Ste 501, Tucker, GA 30084 | 2010-09-03 |
| 1164671707 | Ashley Nicole Boachie-adjei | Physician Assistant | 1459 Montreal Rd, Tucker, GA 30084-6900 | 2008-09-18 |
| 1982803995 | Lisa Anne Swift | Nurse Practitioner | 1459 Montreal Rd, Suite 207, Tucker, GA 30084-6900 | 2007-07-11 |
| 1194926949 | Jamie Miner | Physical Therapist | 1459 Montreal Rd, Suite 207, Tucker, GA 30084-6900 | 2007-05-30 |
| 1154448967 | Ali M Mohamed | Internal Medicine | 1459 Montreal Rd, Ste 312, Tucker, GA 30084-6900 | 2007-03-25 |
| 1427183243 | Izabella Verbitsky | Internal Medicine | 1459 Montreal Rd, Suite 304, Tucker, GA 30084 | 2007-02-22 |
| 1568505949 | Mike Berry's Opticians Inc. | Eyewear Supplier (Equipment, not the service) | 1459 Montreal Rd, Suite 100, Tucker, GA 30084-6900 | 2007-02-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609401355 | Excellent Medical Transport | Ambulance | 4378 Sentry Dr, Tucker, GA 30084 | 2020-03-03 |
| 1811468796 | Caleb Lee Ebbets | Physical Therapist | 1459 Montreal Road, Medical Office Building, Suite 301, Tucker, GA 30084 | 2018-12-17 |
| 1417436130 | Benjamin Han Wook Chong | Physical Therapist | 1460 Montreal Road East, Suite 300, Tucker, GA 30084 | 2018-08-13 |
| 1336659325 | Lavista Acupuncture and Herbal Medicine | Acupuncturist | 4915 Lavista Rd, Tucker, GA 30084 | 2017-10-04 |
| 1699294207 | Debrica Butler | Counselor | 1021 Oak Chase Dr., Apt C, Tucker, GA 30084 | 2017-09-14 |
| 1295264695 | Jolanta Wazgowska Hopkins | Social Worker | 4404 Idlewood Lane, Tucker, GA 30084 | 2017-06-08 |
| 1164956157 | Sage Dental Group of Georgia LLC | Dentist | 4320 Lavista Rd, Suite C119, Tucker, GA 30084 | 2017-04-17 |
| 1689107807 | Mashail Manzur | Podiatrist | 1460 Montreal Rd E, Ste 275, Tucker, GA 30084 | 2017-04-05 |
| 1053765578 | Jessica Spruyt | Speech-Language Pathologist | 3756 Lavista Rd Suite 104, Tucker, GA 30084 | 2016-04-21 |
| 1265802318 | Spine and Orthopedics of Atlanta, LLC | Clinic/Center | 1462 Montreal Rd Ste 218, Tucker, GA 30084 | 2015-10-01 |
| Find all providers in zip 30084 | ||||
| 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 |
|---|---|---|---|---|
| 1942867528 | Uzuru Natural Hair Locs and Braids | Specialist | 2206 Hanfred Ln Ste 105, Tucker, GA 30084-4809 | 2019-05-20 |
| 1275080921 | Forever Young LLC | Specialist | 4905 Lavista Rd Ste E, Tucker, GA 30084-4409 | 2016-09-09 |
| 1780031229 | Candace M Harris | Specialist | 2015 Montreal Rd, Tucker, GA 30084-5224 | 2016-05-14 |
| 1750631602 | Robin Elaine Banks | Specialist | 2185 Northlake Pkwy Ste 110, Tucker, GA 30084-4109 | 2012-09-18 |
| 1942411699 | Grant Allen Peacock IIi | Specialist | 2627 Churchwell Ln, Tucker, GA 30084-2412 | 2007-05-24 |
| 1285732495 | James Enoch Dopson | Specialist | 1918 Northlake Pkwy, Suite 101, Tucker, GA 30084-7070 | 2006-09-20 |
| 1235178682 | Internal Medicine Alliance | Specialist | 2179 Northlake Pkwy, Blgd 5 Suite 101, Tucker, GA 30084-4119 | 2006-06-04 |
| 1932100609 | Ralph Robert Beton | Specialist | 1459 Montreal Rd, Su 204, Tucker, GA 30084-6900 | 2005-08-03 |
| 1578979449 | Jamie Neal Reed | Specialist | 1979 Lakeside Pkwy, Tucker, GA 30084-5935 | 2014-07-10 |
| 1568890671 | Georgia Physician Associates PC | Specialist | 2060 Northlake Pkwy, Tucker, GA 30084-7012 | 2013-10-29 |
| Find all providers in TUCKER | ||||
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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.