DR. JAZA MONIQUE MARINA (NPI# 1508977299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508977299 |
| Entity Type | Individual |
| Full Name | DR. JAZA MONIQUE MARINA |
| Other Name | JAZA MARINA |
| Credential | MD |
| Practice Address |
2525 Cumberland Parkway Kaiser Permanente Cumberland Medical Center Atlanta GA 30339 |
| Mailing Address |
3495 Piedmont Rd, Ne Nine Piedmont Center Atlanta GA 30305 |
| Practice Telephone | 7704314107 |
| Practice Fax Number | 7704314373 |
| Mailing Telephone | 4043647070 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2017-02-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 055267 | GA | Allopathic & Osteopathic Physicians |
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
055267 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | BCBS - EAMC | 387570 | 01 |
| GA | 389254619A | 05 | |
| GA | BCBS - BCPHC | 783527 | 01 |
| GA | 389254619C | 05 |
| Street Address |
2525 CUMBERLAND PARKWAY KAISER PERMANENTE CUMBERLAND MEDICAL CENTER |
| City | ATLANTA |
| State | GA |
| Zip Code | 30339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407853351 | Dorothy P. Wiggins | Pediatrics | 2525 Cumberland Parkway, Atlanta, GA 30339 | 2005-07-07 |
| 1376080903 | Qareeb J Ra'oof | Respiratory Therapist, Certified | 2525 Cumberland Parkway, Kaiser Permanente Cumberland Medical Center, Atlanta, GA 30339 | 2017-01-20 |
| 1902238868 | Staci Janyce Cody | Advanced Practice Midwife | 2525 Cumberland Parkway, Kaiser Permanente Cumberland Medical Center, Atlanta, GA 30339 | 2013-08-02 |
| 1588991483 | Karia Bryn Kelch-oliver | Psychologist | 2525 Cumberland Parkway, Kaiser Permanente Cumberland Medical Center, Atlanta, GA 30339 | 2009-11-13 |
| 1093966715 | Julie R Oliver | Psychologist | 2525 Cumberland Parkway, Kaiser Permanente Cumberland Medical Center, Atlanta, GA 30339 | 2008-10-01 |
| 1649458670 | Rahwa Ghermay | Internal Medicine | 2525 Cumberland Parkway, Kaiser Permanente Cumberland Medical Center, Atlanta, GA 30339 | 2008-01-31 |
| 1093901712 | Vaidarbhi Narasa Kolavennu | Family Medicine | 2525 Cumberland Parkway, Department of Internal Medicine After Hours Care, Atlanta, GA 30339 | 2007-09-16 |
| 1811193154 | Katherine Elizabeth Greco | Internal Medicine | 2525 Cumberland Parkway, Kaiser Permanente Cumberland Medical Center, Atlanta, GA 30339 | 2007-06-25 |
| 1164554036 | Aparna Seth | Family Medicine | 2525 Cumberland Parkway, Cumberland Medical Center Dept of After Hours, Atlanta, GA 30339 | 2007-03-09 |
| 1790811487 | Cynthia Ney Leipold | Nurse Practitioner | 2525 Cumberland Parkway, Kaiser Permanente Cumberland Medical Center, Atlanta, GA 30339 | 2007-02-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891303426 | Cheryl E Williams | Counselor | 1870 The Exchange, Suite 200 - 361, Atlanta, GA 30339 | 2020-07-20 |
| 1245854371 | Synergia Integrated Telebehavioral Health | Clinic/Center | 3941 Old Atlanta Station Drive, Southeast, Atlanta, GA 30339 | 2020-06-04 |
| 1972123883 | Elizabeth Newton, Psyd and Assoc Inc | Psychologist | 1827 Powers Ferry Rd, Bldg 21, Atlanta, GA 30339 | 2020-04-21 |
| 1881165207 | Le Reve Medical Clinic PC | Family Medicine | 1827 Powers Ferryy Rd Se Bldg 7, Suite 150, Atlanta, GA 30339 | 2018-12-11 |
| 1013499821 | Deonna Pennamon | Specialist/Technologist | 5625 Suffex Green Lane, Atlanta, GA 30339 | 2018-08-29 |
| 1205326915 | Matthew Buyert | Counselor | 1827 Powers Ferry Rd Se Ste 22, Atlanta, GA 30339 | 2018-05-17 |
| 1760991632 | Horizons Unlimited Professional Services Inc. | Community/Behavioral Health | 1755 The Exchange Se Ste 190, Atlanta, GA 30339 | 2017-09-23 |
| 1932624418 | Kheder Basheer | Student in an Organized Health Care Education/Training Program | 3224 Post Woods Dr., Apt E, Atlanta, GA 30339 | 2017-08-07 |
| 1417486820 | Ashley Drake | Counselor | 4695 N Church Ln Se Apt 10306, Atlanta, GA 30339 | 2017-06-08 |
| 1992248298 | New Legacy Counseling and Training Center | Point of Service | 3350 Riverwood Parkway, Suite 1925, Atlanta, GA 30339 | 2016-11-18 |
| Find all providers in zip 30339 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| 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 |
|---|---|---|---|---|
| 1710545553 | Palcare Health LLC | Internal Medicine | 1315 Merry Ln Ne, Atlanta, GA 30329-3903 | 2019-06-05 |
| 1518334200 | Miguel E Stubbs M D P C | Internal Medicine | 230 Beaver Falls Pl Sw, Atlanta, GA 30331-8326 | 2015-08-28 |
| 1952557977 | Diego Hernando Remolina | Internal Medicine | 49 Jesse Hill Jr Dr Se Rm 471, Atlanta, GA 30303 | 2008-08-11 |
| 1437261617 | R. Elliott Jackson Geriatrics,llc | Internal Medicine | 2650 Weigelia Rd Ne, Atlanta, GA 30345-3969 | 2006-08-31 |
| 1649382060 | Mounir Darradji | Internal Medicine | 1019 Winding Ridge Ct, Atlanta, GA 30338-3949 | 2006-08-31 |
| 1053345025 | Cooper Medical Associates LLC | Internal Medicine | 448 Ralph David Abernathy Blvd Sw, #2, Atlanta, GA 30312-2404 | 2006-07-10 |
| 1760425623 | Kieran Alexander Cooper | Internal Medicine | 448 Ralph David Abernathy Swblvd Sw2, Atlanta, GA 30312-2404 | 2006-06-14 |
| 1437141389 | Abraham A Oyewo | Internal Medicine | 80 Jessie Hill, Grady Health System, Atlanta, GA 30303 | 2005-08-17 |
| 1881064467 | Geps Physician Group of Georgia PC | Internal Medicine | 2850 Springdale Rd Sw, Atlanta, GA 30315-7802 | 2015-09-25 |
| 1912387259 | Jorge Isaac Pena Garcia | Internal Medicine | 5665 Peachtree Dunwoody Rd, Atlanta, GA 30342-1764 | 2015-06-02 |
| Find all providers in ATLANTA | ||||
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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.