ADVANCE MEDICAL SPECIALIST-ATL AIRPORT (NPI# 1518153162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518153162 |
| Entity Type | Organization |
| Organization Name | ADVANCE MEDICAL SPECIALIST-ATL AIRPORT |
| Practice Address |
3580 Atlanta Ave Hapeville GA 30354-1706 |
| Mailing Address |
5080 Spectrum Dr Suite 1200 West Tower Addison TX 75001-4648 |
| Practice Telephone | 4047680443 |
| Practice Fax Number | 4047680842 |
| Mailing Telephone | 8002323550 |
| Mailing Fax Number | 8004016728 |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2007-09-18 |
| Authorized Official Name | DR. TOM FORGARTY (EVP, CMO) |
| Authorized Official Telephone | 8002323550 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| Street Address |
3580 ATLANTA AVE |
| City | HAPEVILLE |
| State | GA |
| Zip Code | 30354-1706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982720157 | Catherine M Hardie | Preventive Medicine | 3580 Atlanta Ave, Hapeville, GA 30354-1706 | 2007-03-21 |
| 1639715972 | Courtney Mader | Occupational Therapist | 3580 Atlanta Ave, Hapeville, GA 30354-1706 | 2019-11-21 |
| 1972151330 | Michael Vincent Cromartie II | Physical Therapist | 3580 Atlanta Ave, Hapeville, GA 30354-1706 | 2019-08-29 |
| 1457771453 | Erica Tindall | Registered Nurse | 3580 Atlanta Ave, Hapeville, GA 30354-1706 | 2014-04-17 |
| 1255778775 | Courtney Ann Muller | Occupational Therapist | 3580 Atlanta Ave, Hapeville, GA 30354-1706 | 2013-05-23 |
| 1912340928 | Cassandra Betts | Registered Nurse | 3580 Atlanta Ave, Hapeville, GA 30354-1706 | 2013-04-09 |
| 1548553985 | Jennifer Marie Coggin | Registered Nurse | 3580 Atlanta Ave, Hapeville, GA 30354-1706 | 2011-05-18 |
| 1699930545 | Concentra Health Services, Inc. | Clinic/Center | 3580 Atlanta Ave, Hapeville, GA 30354-1706 | 2008-07-21 |
| 1972620409 | Nicola B Lee | Preventive Medicine | 3580 Atlanta Ave, Hapeville, GA 30354-1706 | 2007-03-22 |
| 1801912688 | Shonteh L Henderson | Physical Therapist | 3580 Atlanta Ave, Hapeville, GA 30354-1706 | 2007-03-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700426996 | A Touch of Love Personal Care & Consulting | In Home Supportive Care | 100 Hartsfield Centre Pkwy Suite 500, Atlanta, GA 30354 | 2020-01-15 |
| 1952887168 | Walking In Purpose Inc. | Counselor | 3504 Eisenhower Cir Se, Atlanta, GA 30354 | 2018-07-11 |
| 1699193987 | Airport Spinal Injury | Clinic/Center | 809 North Central Ave, Hapeville, GA 30354 | 2014-04-03 |
| 1801234885 | Allergy Specialists of Georgia | Internal Medicine | 438 Henry Ford, Atlanta, GA 30354 | 2013-06-12 |
| 1851442867 | Harandi, Harandi, Spelios and Associates Hapeville LLC | Point of Service | 785 Virginia Ave, Suite A, Hapeville, GA 30354 | 2007-01-16 |
| 1013068782 | Ali Harandifassih | Dentist | 785 Virginia Avenue, Suite A, Hapeville, GA 30354 | 2007-01-16 |
| 1336207349 | Catherine Clayton Harper | Registered Nurse | 3444 Claire Dr, Hopeville, GA 30354 | 2006-12-04 |
| 1649346099 | Katherine Lee Gill | Registered Nurse | 3444 Claire Drive, Hapeville, GA 30354 | 2006-11-28 |
| 1407865108 | Occupational Health Centers of Georgia PC | Clinic/Center | 3580 Atlanta Avenue, Hapeville, GA 30354 | 2006-08-05 |
| 1063488633 | Anthony Keith Taylor | Physician Assistant | 791 Oak Street, Hapeville, GA 30354 | 2006-02-24 |
| Find all providers in zip 30354 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
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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.