CYMANTHIA KEESHA CONNELL (NPI# 1518278829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518278829 |
| Entity Type | Individual |
| Full Name | CYMANTHIA KEESHA CONNELL |
| Other Name | CYMANTHIA KEESHA THOMAS |
| Credential | M.D. |
| Practice Address |
81 Northside Dawson Dr Ste 100a Dawsonville GA 30534-7166 |
| Mailing Address |
Po Box 742495 Atlanta GA 30374-2495 |
| Practice Telephone | 7062166000 |
| Practice Fax Number | 7062166010 |
| Enumeration Date | 2010-07-01 |
| Last Update Date | 2019-06-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 68859 | GA | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 0440473 | KS | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 2013022689 | MO | Allopathic & Osteopathic Physicians |
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
207Q00000X | MO | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | MEDICARE PTAN | MA1870009 | 01 |
| Street Address |
81 NORTHSIDE DAWSON DR STE 100A |
| City | DAWSONVILLE |
| State | GA |
| Zip Code | 30534-7166 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104352921 | Faraz F Alwani | Family Medicine | 81 Northside Dawson Dr Ste 100a, Dawsonville, GA 30534-7166 | 2017-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780175331 | Sharon Redd | Occupational Therapist | 923 Riverbend Rd, Dawsonville, GA 30534 | 2018-05-18 |
| 1588103808 | Hearing Aid Solutions LLC | Hearing Instrument Specialist | 169 Hwy 9, Suite 100, Dawsonville, GA 30534 | 2017-02-20 |
| 1881140598 | Meagan Wilson | Registered Nurse | 6002 Ga 53, Suite 100, Dawsonville, GA 30534 | 2016-09-01 |
| 1265892293 | Interventional Spine and Pain Management Center, PC | Pain Medicine | 6002 Hwy 52 East, Suite 110, Dawsonville, GA 30534 | 2016-03-03 |
| 1174961304 | Meredith Michelle Tatum Hulsey | Physician Assistant | 1080 Lumpkin Campground Road S, Suite 300, Dawsonville, GA 30534 | 2013-06-10 |
| 1932467115 | David Kenneth Woolsey | Chiropractor | 1100 Old Dawson Village Rd, Suite 010, Dawsonville, GA 30534 | 2012-04-25 |
| 1275836769 | Martha Leslie Baker | Counselor | 121 Old Dawson Village Rd E, Building 800, Unit 010, Dawsonville, GA 30534 | 2010-12-06 |
| 1982914073 | James Paul Whitcomb | Pharmacist | 751 Highway 53 East Fred's #1451, Dawsonville, GA 30534 | 2010-10-07 |
| 1801123302 | Sj&j Spine and Pain Group | Pain Medicine | 5959 Highway 53 W, Suite 100b, Dawsonville, GA 30534 | 2009-11-04 |
| 1215260617 | Durall Capital Holdings, LLC | Clinic/Center | 35 Lumpkin Campground Road N, Dawsonville, GA 30534 | 2009-09-16 |
| Find all providers in zip 30534 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215579321 | Nabil Keith Md LLC | Family Medicine | 6002 Highway 53 E Ste 130, Dawsonville, GA 30534-6227 | 2019-10-09 |
| 1023545431 | John Tyler Andrews | Family Medicine | 108 Prominence Ct Ste 100, Dawsonville, GA 30534-6340 | 2017-05-16 |
| 1669860334 | Ghosn Family Medicine | Family Medicine | 6002 Highway 53 E Ste 100, Dawsonville, GA 30534-6227 | 2015-01-05 |
| 1437496866 | Rocco John Vitacca | Family Medicine | 506 River Sound Ln, Dawsonville, GA 30534-0727 | 2013-01-04 |
| 1609039668 | Katherine Jane Tolhurst | Family Medicine | 45 Medical Center Dr, Dawsonville, GA 30534-6297 | 2008-07-09 |
| 1164564910 | Gary C Berliner | Family Medicine | 2395 Thompson Rd, Dawsonville, GA 30534-5376 | 2007-02-12 |
| 1104975002 | William Joseph Keating | Family Medicine | 1080 Lumpkin Campground Rd S, Suite 300, Dawsonville, GA 30534-0989 | 2007-01-09 |
| 1407943301 | Ramzi Nabih Ghosn | Family Medicine | 6002 Highway 53 E, Suite 100, Dawsonville, GA 30534-6227 | 2006-10-10 |
| 1467437913 | Lawrence F Kulish | Family Medicine | 35 Lumpkin Campground Rd N, Dawsonville, GA 30534-6206 | 2005-12-07 |
| 1023000643 | Paul J Behrmann | Family Medicine | 108 Prominence Ct, Suite 200, Dawsonville, GA 30534-6339 | 2005-08-19 |
| Find all providers in DAWSONVILLE | ||||
| City | DAWSONVILLE |
| Zip Code | 30534 |
Please comment or provide details below to improve the information on CYMANTHIA KEESHA CONNELL.
| 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.