MONIQUE VELIA WALCOTT


Address: 677 Church St Ne # 111, Marietta, GA 30060-1101
Phone: 7707937750

MONIQUE VELIA WALCOTT (NPI# 1508931924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508931924
Entity Type Individual
Full Name MONIQUE VELIA WALCOTT
Credential MD
Practice Address 677 Church St Ne # 111
Marietta
GA 30060-1101
Mailing Address Po Box 44008
Ufjp Medicine Dept.
Jacksonville
FL 32231-4008
Practice Telephone 7707937750
Mailing Telephone 9042448846
Mailing Fax Number 9042443425
Enumeration Date 2006-11-21
Last Update Date 2019-02-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207R00000X Internal Medicine 059787 GA Allopathic & Osteopathic Physicians
N 207R00000X Internal Medicine ME97422 FL Allopathic & Osteopathic Physicians
Y 208M00000X Hospitalist 059787 GA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL 2770440-00 05
GA 609999872A 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
655 W 8th St, Ufjp Medicine Dept., Jacksonville, FL 322096511 9042448846 9042443425

Office Location

Street Address 677 CHURCH ST NE # 111
City MARIETTA
State GA
Zip Code 30060-1101

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538168968 Shreedhar M Nagnur Internal Medicine 677 Church St Ne # 111, Marietta, GA 30060-1101 2005-07-19
1790171890 Nason Daniel Rouhizad Family Medicine 677 Church St Ne # 111, Marietta, GA 30060-1101 2015-04-15
1124382718 Ashenafi Tassew Internal Medicine 677 Church St Ne # 111, Marietta, GA 30060-1101 2012-06-27
1285904193 Saranya Selvaraj Internal Medicine 677 Church St Ne # 111, Marietta, GA 30060-1101 2012-01-09
1245520188 Folasade A Arinze Internal Medicine 677 Church St Ne # 111, Marietta, GA 30060 2011-04-12
1053600379 Bristol Yates Savage Pediatrics 677 Church St Ne # 111, Marietta, GA 30060 2011-04-07
1538471917 Swati Prasad Internal Medicine 677 Church St Ne # 111, Marietta, GA 30060-1101 2010-07-13
1164734463 Takele Tilaye Demesilassie Internal Medicine 677 Church St Ne # 111, Marietta, GA 30060-1101 2010-07-02
1194953422 Sheetal Desai Internal Medicine 677 Church St Ne # 111, Marietta, GA 30060-1101 2009-06-25
1902046899 Vineet Kunhikannan Nair Internal Medicine 677 Church St Ne # 111, Marietta, GA 30060-1101 2009-03-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144845116 Legacy Center for Spinal Surgery, LLC Neurological Surgery 1900 The Exchange, Ne, Suite 600, Marietta, GA 30060 2020-06-15
1407477193 Michael Cynil Daniel Counselor 698 N Marietta, Pkwy, Marietta, GA 30060 2020-05-04
1285253401 Cameron Thomas Kennelly Student in an Organized Health Care Education/Training Program 677 Church Street Ne Attn:gme, Marietta, GA 30060 2020-04-09
1922640739 Jeremiah George Blair Physician Assistant 61 Whitcher St Suite 2100, Marietta, GA 30060 2019-10-14
1164064945 Denise Alicia Mick Registered Nurse 677 Church St Wellstar Kennestone Hospital, Marietta, GA 30060 2019-10-12
1184283772 Iora Health Georgia, P.C. Internal Medicine 280 Cobb Pkwy Se, Suite 60, Marietta, GA 30060 2019-06-07
1346703212 Caitlin Virginia Mueller Student in an Organized Health Care Education/Training Program 677 Church Street Ne, Attn: Gme, Marietta, GA 30060 2019-04-08
1184187205 Adero Francis Student in an Organized Health Care Education/Training Program Wellstar Kennestone Gme Internal Medicine Clinic, 833 Campbell Hill St Nw, Suite 250, Marietta, GA 30060 2019-04-08
1659832749 Matthew Mozzo Student in an Organized Health Care Education/Training Program 677 Church Street / Lower Level, Gme Department / I.m., Marietta, GA 30060 2019-03-29
1245797430 La'myia Spentz Specialist 109 Anderson St Ne, Suite 608, Marietta, GA 30060 2019-02-25
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Taxonomy Information

Taxonomy Code 208M00000X
Grouping Allopathic & Osteopathic Physicians
Classification Hospitalist

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407386345 J J Norris Hospitalist 677 Church St Ne, Marietta, GA 30060-1101 2017-06-13
1427465053 Kenia Marissa Samuel Hospitalist 401 Matthew St, Marietta, OH 45750-1635 2014-07-15
1437578929 Kumudha Rajeswaran Hospitalist 401 Matthew St, Marietta, OH 45750-1635 2014-04-10
1962829119 John Kalasky Hospitalist 401 Matthew St, Marietta, OH 45750-1635 2014-03-26
1487093647 Niju Baby Narakathu Hospitalist 1106 Colegate Dr, Marietta, OH 45750-1323 2013-06-21
1841546025 Yonnael B De La Rosa Holguin Hospitalist 401 Matthew St, Hospitalist Group, Marietta, OH 45750-1635 2012-07-25
1164784401 Wendy B Brandan Hospitalist 401 Matthew St, Hospitalist Group, Marietta, OH 45750-1635 2012-06-12
1982982799 Dipika Sharma Hospitalist 677 Church St Ne, Marietta, GA 30060 2011-07-27
1396033692 Wellstar Medical Group, LLC Hospitalist 677 Church St Ne, Marietta, GA 30060-1101 2011-07-20
1124315890 Zhaneta Dzmitryieva Hospitalist 677 Church St Ne, Marietta, GA 30060-1101 2011-07-01
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Competitor

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City MARIETTA
Zip Code 30060

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Dataset Information

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.

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