GEORGIA MOUNTAIN ENDOCRINOLOGY CORPORATION (NPI# 1508188558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508188558 |
| Entity Type | Organization |
| Organization Name | GEORGIA MOUNTAIN ENDOCRINOLOGY CORPORATION |
| Practice Address |
120 Oakside Ct Suite H Canton GA 30114-2471 |
| Practice Telephone | 4045569696 |
| Mailing Telephone | 4045569696 |
| Enumeration Date | 2010-02-18 |
| Last Update Date | 2010-02-18 |
| Authorized Official Name | DR. JASON BERNER (PRESIDENT) |
| Authorized Official Telephone | 4045569696 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
048322 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
120 OAKSIDE CT SUITE H |
| City | CANTON |
| State | GA |
| Zip Code | 30114-2471 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093047474 | Kirby Brown Reinecke | Physician Assistant | 120 Oakside Ct, Suite H, Canton, GA 30114-2471 | 2010-02-09 |
| 1750764932 | Kathleen Davis | Registered Nurse | 120 Oakside Ct, Canton, GA 30114-2471 | 2015-07-07 |
| 1952716136 | Tami Mccoy | Nurse Practitioner | 120 Oakside Ct, Canton, GA 30114-2471 | 2014-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619516093 | Wickshire Canton Opco LLC | Assisted Living Facility | 125 Riverstone Terrace, Canton, GA 30114 | 2020-01-02 |
| 1154803583 | Alixandra Nicole Flournoy | Physical Therapist | 131 Holly Street, Canton, GA 30114 | 2018-09-01 |
| 1588157341 | Provident Group - Canton Cove Properties LLC | Alzheimer Center (Dementia Center) | 1100 Reinhardt College Parkway, Canton, GA 30114 | 2018-06-07 |
| 1003233107 | Heartland Dental Care of Georgia | Dentist | 3237 Sixes Rd, Canton, GA 30114 | 2014-03-26 |
| 1730510959 | Joseph Optical | Eyewear Supplier (Equipment, not the service) | 1455 Riverstone Pkwy Suite 110, Canton, GA 30114 | 2013-12-13 |
| 1629313036 | Ramona Morton Rasmussen | Occupational Therapist | 200 Riverstone Drive, Suite B, Canton, GA 30114 | 2012-12-11 |
| 1902154875 | Yong Qiao Luo | Acupuncturist | 200 Oakside Lane, Suite D, Canton, GA 30114 | 2012-08-26 |
| 1215294350 | Christina Lynn Hernandez | Pediatrics | 1558 Riverstone Pkwy Ste 100, Canton, GA 30114 | 2012-04-13 |
| 1558638981 | Stephen E Byrd | Counselor | 191 Lamar Haley Pkwy., Canton, GA 30114 | 2011-11-30 |
| 1073807855 | Sheri Sullins Buckley | Nurse Practitioner | 120 Oakside Ct Ste H, Canton, GA 30114 | 2011-06-08 |
| Find all providers in zip 30114 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851344410 | Pushpa J Bathija | Internal Medicine | 4565 Dressler Road Nw, Suite 111, Canton, OH 44718-2579 | 2006-05-17 |
| 1093793994 | Irina Korableva | Internal Medicine | 4634 Hills and Dales Rd Nw, Canton, OH 44708-1510 | 2006-01-03 |
| 1225028681 | Arqam Zia | Internal Medicine | 1737 Crestview Dr, Canton, MI 48188-2044 | 2005-10-26 |
| 1659760361 | Diabetes, Thyroid & Endocrinology Clinic Pllc | Internal Medicine | 1600 S Canton Center Rd, Suite 2200, Canton, MI 48188-1992 | 2015-01-19 |
| 1710159488 | Madiha Iqbal Khan | Internal Medicine | 15 Reinhardt College Pkwy, Suite 109, Canton, GA 30114 | 2008-04-02 |
| 1538263215 | Suzanne Michelle Harold | Internal Medicine | 4634 Hills and Dales Rd Nw, Canton, OH 44708-1510 | 2006-09-12 |
| 1255434494 | Northeast Ohio Endocrinology | Internal Medicine | 4634 Hills and Dales Rd Nw, Canton, OH 44708-1510 | 2006-09-06 |
| 1003841669 | Diabetes & Endocrinology Associates of Stark County Incorporated | Internal Medicine | 4565 Dressler Rd Nw, Suite #111, Canton, OH 44718-2579 | 2006-07-12 |
| 1275579542 | Arvind Y Krishna | Internal Medicine | 4565 Dressler Rd Nw, Suite 111, Canton, OH 44718-2549 | 2006-06-22 |
| 1578516647 | Charles E Smith | Internal Medicine | 4565 Dressler Road Nw, Ste 111, Canton, OH 44718-2579 | 2006-05-18 |
| Find all providers in CANTON | ||||
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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.