MEDOPTIONS OF GEORGIA LLC (NPI# 1518413764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518413764 |
| Entity Type | Organization |
| Organization Name | MEDOPTIONS OF GEORGIA LLC |
| Practice Address |
40 Technology Pkwy S Ste 300 Norcross GA 30092-2924 |
| Mailing Address |
55 Hatchetts Hill Rd Old Lyme CT 06371-1534 |
| Practice Telephone | 8003703651 |
| Mailing Telephone | 8003703651 |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2017-01-05 |
| Authorized Official Name | DONNA J DOOLEY (CFO) |
| Authorized Official Telephone | 8003703651 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 364SP0808X |
Clinical Nurse Specialist Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| Street Address |
40 TECHNOLOGY PKWY S STE 300 |
| City | NORCROSS |
| State | GA |
| Zip Code | 30092-2924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720268832 | Ladonna M Hutcheson | Nurse Practitioner | 40 Technology Pkwy S Ste 300, Norcross, GA 30092-2924 | 2007-11-06 |
| 1851916183 | 360care LLC | Audiologist | 40 Technology Pkwy S Ste 300, Norcross, GA 30092-2924 | 2020-06-12 |
| 1932724267 | 360care LLC | Optometrist | 40 Technology Pkwy S Ste 300, Norcross, GA 30092-2924 | 2020-06-12 |
| 1679198907 | 360care LLC | Podiatrist | 40 Technology Pkwy S Ste 300, Norcross, GA 30092-2924 | 2020-06-12 |
| 1114542446 | 360care LLC | Dentist | 40 Technology Pkwy S Ste 300, Norcross, GA 30092-2924 | 2020-06-12 |
| 1215584198 | Julie B Sewell | Nurse Practitioner | 40 Technology Pkwy S Ste 300, Norcross, GA 30092-2924 | 2019-08-24 |
| 1669948642 | Stinson Mobile Aud Ga LLC | Audiologist | 40 Technology Pkwy S Ste 300, Norcross, GA 30092-2924 | 2018-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083172035 | Tebo Dentistry for Kids Peachtree Corners, LLC | Clinic/Center | 6460 Spalding Drive, Suite C, Peachtree Corners, GA 30092 | 2019-03-08 |
| 1043794472 | Cai Hong Senior Services Inc | Clinic/Center | 4093 Spalding Hollow, Peatree Corners, GA 30092 | 2018-09-21 |
| 1952810566 | Children In Motion Therapy Services LLC | Occupational Therapist | 5655 Peachtree Pkwy Ste 117, Norcross, GA 30092 | 2017-09-26 |
| 1922517945 | Infinity Wellness Solutions LLC | Emergency Medicine | 3240 Pointe Parkway, Suite 100, Norcross, GA 30092 | 2017-09-21 |
| 1346769593 | Global Diagnostic Labs, LLC | Pathology | 3240 Pointe Pkwy Ste 200, Norcross, GA 30092 | 2017-09-19 |
| 1467993345 | Boris Mcguire Day | Counselor | 3597 Monticello Commons, Norcross, GA 30092 | 2017-03-13 |
| 1598205239 | Iwc East LLC | Internal Medicine | 40 Technology Parkway, #300, Norcross, GA 30092 | 2017-02-28 |
| 1851744254 | Lms Surgical Services | Specialist/Technologist, Other | 6050 Peachtree Pkwy Suite240-358, Norcross, GA 30092 | 2016-07-20 |
| 1881085603 | A Hand To Hold | Home Health | 3459 Holcomb Bridge Rd., Suite 100, Peachtree Corners, GA 30092 | 2015-02-16 |
| 1790196467 | Wranglehurst, P.C. | Dentist | 3850 Holcomb Br. Rd, Suite 230, Norcross, GA 30092 | 2014-05-15 |
| Find all providers in zip 30092 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891199857 | Ijb Helathcare Services, PC | Psychiatry & Neurology | 6055 Atlantic Blvd, G1, Norcross, GA 30071-1366 | 2014-10-20 |
| 1659694404 | Neha A Khurana | Psychiatry & Neurology | 3965 Holcomb Bridge Rd Ste 102, Norcross, GA 30092-2203 | 2010-03-09 |
| 1306068317 | Patricia Ann Shively | Psychiatry & Neurology | 3040 Holcomb Bridge Rd, Ste L-2, Norcross, GA 30071 | 2007-05-02 |
| 1124197686 | Thomas Bradford Johns | Psychiatry & Neurology | 1 Technology Pkwy S, Norcross, GA 30092-2928 | 2006-11-07 |
| 1093892200 | Donna Cyd Fell | Psychiatry & Neurology | 5672 Peachtree Pkwy, Suite B, Norcross, GA 30092-2848 | 2006-11-01 |
| 1578652368 | Ellen Chia Wu | Psychiatry & Neurology | 4530b S Berkeley Lake Rd # B, Norcross, GA 30071-1639 | 2006-10-12 |
| 1275840944 | Jydes Family Clinic LLC | Psychiatry & Neurology | 4720 Peachtree Industrial Blvd, Suite 4101, Norcross, GA 30071-5735 | 2010-09-01 |
| 1881751873 | Susan Lynn Bower | Psychiatry & Neurology | 4530 S Berkeley Lake Rd, Suite B, Norcross, GA 30071-1657 | 2007-01-02 |
| 1245337708 | Haolat Abiola Babalakin | Psychiatry & Neurology | 4720 Peachtree Industrial Blvd, Suite 4101, Norcross, GA 30071-5735 | 2006-09-19 |
| 1578587440 | Ying Ming Zhang | Psychiatry & Neurology | 4530 S Berkeley Lake Rd, Norcross, GA 30071-1660 | 2006-07-26 |
| Find all providers in NORCROSS | ||||
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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.