DR. BRENT TIMOTHY CARROLL (NPI# 1528262045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528262045 |
| Entity Type | Individual |
| Full Name | DR. BRENT TIMOTHY CARROLL |
| Credential | D.O |
| Practice Address |
4445 S. Lee St. Ste. 100 Buford GA 30518 |
| Mailing Address |
Po Box 742616 Atlanta GA 30374-2616 |
| Practice Telephone | 7709329559 |
| Practice Fax Number | 7709329496 |
| Mailing Telephone | 7702198420 |
| Mailing Fax Number | 7702198440 |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2015-12-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 060246 | GA | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 308585-1204 | UT | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467654533 | Brent Alan Carroll | Anesthesiology | 234 Goodman St, Cincinnati, OH 45219-2364 | 2007-06-01 |
| Street Address |
4445 S. LEE ST. STE. 100 |
| City | BUFORD |
| State | GA |
| Zip Code | 30518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942809090 | Lori G Fiore | Pharmacist | 6001 Highway 20, Sugar Hill, GA 30518 | 2020-10-20 |
| 1295374684 | Wickshire Buford Opco LLC | Assisted Living Facility | 4355 South Lee Street, Buford, GA 30518 | 2020-01-02 |
| 1689221749 | Family First Palliative Care LLC | Internal Medicine | 2299 Saint Kennedy Lane, Buford, GA 30518 | 2019-08-23 |
| 1013471010 | Kennison Pharmacy, LLC | Pharmacy | 4050 Buford Drive, Buford, GA 30518 | 2019-01-24 |
| 1972073534 | Heather Leigh Wilson | Technician, Pathology | 4271 South Lee Street Suite 101 & 102, Buford, GA 30518 | 2018-11-27 |
| 1629581228 | Taylor Family Counseling | Social Worker | 1400 Buford Hwy Ste G7, Sugar Hill, GA 30518 | 2017-11-06 |
| 1417476292 | North Georgia Anesthesia Associates, LLC | Nurse Anesthetist, Certified Registered | 860 Creekview Bluff Way, Buford, GA 30518 | 2017-09-13 |
| 1639693278 | Tara Banks Feddern | Occupational Therapist | 4319 South Lee Street Suite 300, Chandler Speech and Language Services, LLC, Buford, GA 30518 | 2017-07-26 |
| 1114457223 | Jeremy Likens | Specialist/Technologist, Other | 5885 Cumming Hwy Ste 108, #259, Sugar Hill, GA 30518 | 2017-06-13 |
| 1609224336 | Healthqwest Frontiers Inc | Clinic/Center | 4271 South Lee St., Suite 101 & 102, Buford, GA 30518 | 2016-06-03 |
| Find all providers in zip 30518 | ||||
| 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 |
|---|---|---|---|---|
| 1235692815 | German Yanes Canales | Family Medicine | 1859 Buford Hwy Ste C, Buford, GA 30518-3644 | 2019-04-10 |
| 1376925503 | Swetha Addagatla | Family Medicine | 4700 Nelson Brogdon Blvd Ste 250, Buford, GA 30518-5403 | 2015-06-24 |
| 1386806685 | Bo Ryung Lee | Family Medicine | 2690 Hamilton Mill Rd, Ste 100, Buford, GA 30519-4105 | 2008-06-27 |
| 1053536532 | Abelardo R Delgado | Family Medicine | 4970 Duncans Lake Dr, Buford, GA 30519-5327 | 2007-04-17 |
| 1407977457 | Dipak B Patel Md LLC | Family Medicine | 4745 Nelson Brogdon Blvd, Ste 200, Buford, GA 30518-3713 | 2007-04-03 |
| 1265573141 | Physicians Immediate Med | Family Medicine | 3425 Buford Drive, Suite 200, Buford, GA 30519 | 2007-02-12 |
| 1629154067 | Tracey Patrice Sills | Family Medicine | 4195 S Lee St, D, Buford, GA 30518-3428 | 2006-10-28 |
| 1245291616 | John Addison Alsobrook | Family Medicine | 4889 Golden Pkwy Ste 100, Buford, GA 30518-5878 | 2006-03-28 |
| 1316910755 | Alexander E Osowa | Family Medicine | 3331 Hamilton Mill Road, Suite 1102, Buford, GA 30519 | 2006-02-08 |
| 1255331765 | Deirdre Z Joiner-nichols | Family Medicine | 3276 Buford Dr, Buford, GA 30519-5702 | 2005-07-26 |
| Find all providers in BUFORD | ||||
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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.