UNITED PHYSICIANS OF GEORGIA, LLC (NPI# 1538427570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538427570 |
| Entity Type | Organization |
| Organization Name | UNITED PHYSICIANS OF GEORGIA, LLC |
| Practice Address |
7335 Old National Hwy Riverdale GA 30296-1607 |
| Mailing Address |
101 Rice Bent Way Suite 12 Columbia SC 29229-6849 |
| Practice Telephone | 8038079533 |
| Practice Fax Number | 8779031383 |
| Mailing Telephone | 8038079533 |
| Mailing Fax Number | 8779031383 |
| Enumeration Date | 2012-04-27 |
| Last Update Date | 2012-04-27 |
| Authorized Official Name | DWAYNE D POPE (CEO) |
| Authorized Official Telephone | 8438125988 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
7335 OLD NATIONAL HWY |
| City | RIVERDALE |
| State | GA |
| Zip Code | 30296-1607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558594 | James D Hickman | Home Health Aide | 2252 Addison Park, Riverdale, GA 30296 | 2020-11-04 |
| 1255973251 | Octavia Bostic | Nurse's Aide | 7670 Creekside Lane, Riverdale, GA 30296 | 2019-10-10 |
| 1548746829 | Verna Stoner-frazier | Physical Therapist | 1542 Bethaven Rd, Riverdale, GA 30296 | 2018-07-19 |
| 1346762705 | Letty Searcy | Case Manager/Care Coordinator | 7125 E. Village Ct, Riverdale, GA 30296 | 2017-07-07 |
| 1225402639 | Optima Physical Therapy Services | Clinic/Center | 808 Commerce Boulevard, Riverdale, GA 30296 | 2015-11-23 |
| 1437409224 | Mobile Nursing Service LLC | Nursing Care | 829 Scott Rd, Riverdale, GA 30296 | 2012-09-19 |
| 1104069517 | Taina S. Holly | Licensed Practical Nurse | 1234 Elgin Way, Riverdale, GA 30296 | 2009-04-15 |
| 1386720118 | Absolute Healthcare & Rehab Center | Chiropractor | 1807 Hwy 138 Sw, Riverdale, GA 30296 | 2006-10-27 |
| 1467558650 | Daniel Tesfa Redie | Dentist | 1849 Hwy 138, Riverdale, GA 30296 | 2006-09-15 |
| 1033214184 | Malcolm Hill | Chiropractor | 1296 Hwy 138, Suite 105, Riverdale, GA 30296 | 2006-09-13 |
| Find all providers in zip 30296 | ||||
| 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 |
|---|---|---|---|---|
| 1336651702 | Clinica Familiar Y Prenatal | Family Medicine | 155 Medical Way Ste B, Riverdale, GA 30274-4940 | 2017-10-25 |
| 1861868168 | Clinica Union, Inc | Family Medicine | 86 Upper Riverdale Rd Se, Suite 201, Riverdale, GA 30274-2620 | 2015-08-20 |
| 1912288457 | South Atlanta Medical Care | Family Medicine | 6525 Professional Pl Ste B, Riverdale, GA 30274-2519 | 2011-08-29 |
| 1790077790 | Get Well House Calls | Family Medicine | 7319 Coventry Ct, Riverdale, NJ 07457-1637 | 2011-05-09 |
| 1639319254 | Clinica Medica Dr Rene Delgado, Inc | Family Medicine | 189 Medical Way, Suite B, Riverdale, GA 30274-4905 | 2009-02-22 |
| 1861694978 | Vasantha Udugampola | Family Medicine | 6502 Kenilworth Ave Ste 100, Riverdale, MD 20737-1372 | 2007-06-01 |
| 1194945832 | Atlanta Ropheka Medical Center, PC | Family Medicine | 217 Medical Way, Riverdale, GA 30274-2522 | 2007-04-26 |
| 1841415858 | Ashli Phillips Alexander | Family Medicine | 11 Upper Riverdale Sw Rd, Riverdale, GA 30274 | 2007-04-16 |
| 1457485880 | Daniel E Nibo | Family Medicine | 6223 Church St, Riverdale, GA 30274-1614 | 2007-03-15 |
| 1538210786 | Walter H Smith | Family Medicine | 6330 Church St, Riverdale, GA 30274-1617 | 2007-01-15 |
| Find all providers in RIVERDALE | ||||
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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.