ANNA FORMAN (NPI# 1528577517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528577517 |
| Entity Type | Individual |
| Full Name | ANNA FORMAN |
| Credential | NP-C |
| Practice Address |
95 Collier Rd Nw Ste 5015 Atlanta GA 30309-1721 |
| Mailing Address |
4057 Penhurst Dr Marietta GA 30062-6162 |
| Practice Telephone | 4046055699 |
| Enumeration Date | 2017-09-22 |
| Last Update Date | 2017-09-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN225193 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750988820 | Anna Forman | Pharmacist | 832 S Main St, Orrville, OH 44667-2208 | 2020-10-02 |
| Street Address |
95 COLLIER RD NW STE 5015 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30309-1721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346258613 | Amy Simone | Physician Assistant | 95 Collier Rd Nw Ste 5015, Atlanta, GA 30309-1721 | 2006-08-03 |
| 1609499938 | Addison Price Dodge | Nurse Practitioner | 95 Collier Rd Nw Ste 5015, Atlanta, GA 30309-1721 | 2020-05-21 |
| 1922659648 | Merry King Neville | Nurse Practitioner | 95 Collier Rd Nw Ste 5015, Atlanta, GA 30309-1721 | 2019-09-24 |
| 1396399242 | Gay Anne Haynes | Nurse Practitioner | 95 Collier Rd Nw Ste 5015, Atlanta, GA 30309-1721 | 2019-07-30 |
| 1033763479 | Lauren R Lewis | Registered Nurse | 95 Collier Rd Nw Ste 5015, Atlanta, GA 30309-1721 | 2019-07-24 |
| 1528524758 | Meagan Elizabeth Griffith | Nurse Practitioner | 95 Collier Rd Nw Ste 5015, Atlanta, GA 30309-1721 | 2019-02-12 |
| 1972048353 | Marioly Pena-donady | Nurse Practitioner | 95 Collier Rd Nw Ste 5015, Atlanta, GA 30309 | 2016-12-21 |
| 1417234469 | Cherie B Smith | Nurse Practitioner | 95 Collier Rd Nw Ste 5015, Atlanta, GA 30309-1721 | 2011-11-04 |
| 1487962056 | Madhuree Castaneda Earnshaw | Physician Assistant | 95 Collier Rd Nw Ste 5015, Atlanta, GA 30309-1721 | 2010-09-17 |
| 1801114335 | Veer Chahwala | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 95 Collier Rd Nw Ste 5015, Atlanta, GA 30309-1721 | 2010-05-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396382354 | Astoria Dentistry LLC | Dentist | 2233 Peachtree Rd. Nw, Suite 300, Atlanta, GA 30309 | 2019-12-09 |
| 1487133740 | S2 Telehealth Technologies, LLC | Psychiatry & Neurology | 915 W Peachtree St Nw Apt 522, Atlanta, GA 30309 | 2018-08-08 |
| 1841782620 | Janie Mardis | Social Worker | 3 Park Ln Ne, Apt H, Atlanta, GA 30309 | 2018-06-06 |
| 1083102842 | Veronica L Bentley | Specialist/Technologist, Other | 1170 Peachtree Street Suite 1200, Atlanta, GA 30309 | 2018-04-27 |
| 1427566363 | Net Medical Corp | Chiropractor | 1100 Spring St Sw, Ste#700, Atlanta, GA 30309 | 2018-01-12 |
| 1871000463 | Mary James (jamie) Johnson | Counselor | 1100 Spring Street, Suite 380, Atlanta, GA 30309 | 2018-01-04 |
| 1306377817 | Aliyah Lamis Scott | Social Worker | 1745 Peachtree Road Ne, Kaiser Permanente Brookwood Medical Office, Atlanta, GA 30309 | 2017-03-26 |
| 1013450774 | Caroline Hallen | Nurse Practitioner | 105 Collier Rd Nw Suite 3040, Atlanta, GA 30309 | 2016-11-29 |
| 1528501723 | Ant-aging Queen | Nutritionist | 1801 Atlanta Medical Clinic, Suite 250, Atlanta, GA 30309 | 2016-11-21 |
| 1790231439 | Nurse 2 Health Home Care LLC | Home Health | 1075 Peachtree Street Ne, Atlanta, GA 30309 | 2016-09-01 |
| Find all providers in zip 30309 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820614 | Nia Charnice Griffin | Nurse Practitioner | 5670 Peachtree Dunwoodyroad, Suite 900, Atlanta, GA 30342 | 2020-10-26 |
| 1790398790 | Starr Patrice Dickerson | Nurse Practitioner | 655 Dot Dr, Atlanta, GA 30349-2730 | 2020-08-28 |
| 1265042162 | Habida Elachola | Nurse Practitioner | 2533 Henderson Mill Rd Ne, Atlanta, GA 30345-2135 | 2020-08-05 |
| 1184249815 | Nichelle Osborne | Nurse Practitioner | 5785 Roswell Rd, Atlanta, GA 30328-4903 | 2020-06-09 |
| 1902427149 | Oasis Health Services, LLC | Nurse Practitioner | 6595 Roswell Rd Ste G1255, Atlanta, GA 30328-3152 | 2020-04-28 |
| 1063042927 | Mary Gillon Hall | Nurse Practitioner | 90 La Rue Pl Nw, Atlanta, GA 30327-4075 | 2020-01-20 |
| 1396382321 | Stacey Brinkley | Nurse Practitioner | 3725 Princeton Lakes Pkwy Sw Apt 7304, Atlanta, GA 30331-5564 | 2019-12-10 |
| 1801439401 | Debadrita Mondal | Nurse Practitioner | 180 Jackson St Ne Apt 2506, Atlanta, GA 30312-1373 | 2019-10-26 |
| 1265075170 | Cecile Veronica Maner | Nurse Practitioner | 105 Collier Rd Nw Ste 3040, Atlanta, GA 30309-1733 | 2019-10-23 |
| 1194366567 | Tondalaya K Sanford | Nurse Practitioner | 3119 Fonseca Pass, Atlanta, GA 30349-8140 | 2019-10-07 |
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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.