PIEDMONT PROVIDERS LLC (NPI# 1548273592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548273592 |
| Entity Type | Organization |
| Organization Name | PIEDMONT PROVIDERS LLC |
| Practice Address |
220 J L White Dr Ste 120 Jasper GA 30143-4894 |
| Mailing Address |
Po Box 102321 Atlanta GA 30368-2321 |
| Practice Telephone | 7708012500 |
| Practice Fax Number | 7708032121 |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2020-01-23 |
| Authorized Official Name | NAOMI M CASSIN (DIRECTOR, PROVIDER ENROLLMENT) |
| Authorized Official Telephone | 4702713427 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 306264909A | 05 |
| Street Address |
220 J L WHITE DR STE 120 |
| City | JASPER |
| State | GA |
| Zip Code | 30143-4894 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518935816 | John Farr | Obstetrics & Gynecology | 220 J L White Dr Ste 120, Jasper, GA 30143-4894 | 2006-03-10 |
| 1194184408 | Brooke B Childers | Nurse Practitioner | 220 J L White Dr Ste 120, Jasper, GA 30143-4894 | 2016-02-15 |
| 1679978241 | Keyasha Beaty Robbs | Obstetrics & Gynecology | 220 J L White Dr Ste 120, Jasper, GA 30143-4894 | 2014-10-25 |
| 1366538720 | Otto Damasus Umana | Obstetrics & Gynecology | 220 J L White Dr Ste 120, Jasper, GA 30143-4894 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073111845 | George Mackel, Pmhnp-bc, LLC | Nurse Practitioner | 12034 Big Canoe, 400 Shetland Trace, Jasper, GA 30143 | 2020-10-14 |
| 1598363434 | Amanda J Griggs | Massage Therapist | 54 Wolfscratch Village, Jasper, GA 30143 | 2020-10-13 |
| 1801397724 | Jema Day | Nurse Practitioner | 620 J L White Dr Ste 140, Jasper, GA 30143 | 2018-02-26 |
| 1023467545 | North Georgia Personal Care LLC | Home Health | 501 North Main St., Suite B, Jasper, GA 30143 | 2016-06-06 |
| 1871979641 | Sj & J Spine and Pain Group Holding LLC | Pain Medicine | 91 Sammy Mcghee Blvd, Suite 101, Jasper, GA 30143 | 2015-08-04 |
| 1801294293 | Highland Recovery Center | Community/Behavioral Health | 323 Roland Road, Jasper, GA 30143 | 2014-12-17 |
| 1770905861 | Leslie Rhea Hanagan | Speech-Language Pathologist | 22 Dogwood Lane, Jaser, GA 30143 | 2014-01-09 |
| 1669800660 | Pickens County Chiropractic | Chiropractor | 95 North Main Street, Jasper, GA 30143 | 2013-10-29 |
| 1407139264 | Rocky Mountain Holdings LLC | Ambulance | 70 Airport Business Court, Jasper, GA 30143 | 2011-09-27 |
| 1851681415 | Richard J Vandam | Internal Medicine | 1266 Highway 515, Piedmont Mountainside Hospital, Jasper, GA 30143 | 2011-04-15 |
| Find all providers in zip 30143 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700291903 | Jennifer Leah Neighbors Beasley | Internal Medicine | 1450 Jones Dairy Rd Ste 500, Jasper, AL 35501 | 2014-06-25 |
| 1851681415 | Richard J Vandam | Internal Medicine | 1266 Highway 515, Piedmont Mountainside Hospital, Jasper, GA 30143 | 2011-04-15 |
| 1205134673 | M & M Interventional Spine | Internal Medicine | 91 Sammy Mcghee Blvd Ste 101, Jasper, GA 30143-7704 | 2011-03-08 |
| 1932400520 | First Mountain Medical, LLC | Internal Medicine | 640 West Church St, Jasper, GA 30143 | 2010-11-12 |
| 1649350646 | Walker Medical Diagnostics, LLC | Internal Medicine | 1450 Jones Dairy Road, Bldg 600, Jasper, AL 35501 | 2006-10-16 |
| 1568571263 | Renaldas Smidtas | Internal Medicine | 413 Nw 5th Ave, Jasper, FL 32052 | 2006-08-29 |
| 1093828790 | Sleep Management Institute LLC | Internal Medicine | 3157 Villa Way, Jasper, IN 47546 | 2006-08-16 |
| 1588673008 | Durba Mishra | Internal Medicine | 1273 S Peachtree St, Jasper, TX 75951-4915 | 2006-08-05 |
| 1194734665 | Michael Hugh Brasfield | Internal Medicine | 1450 Jones Dairy Rd., Bldg 400, Jasper, AL 35501 | 2006-08-05 |
| 1265453120 | Samia Sana Moizuddin | Internal Medicine | 1090 Highway 78 E, Jasper, AL 35501-3959 | 2006-07-23 |
| Find all providers in JASPER | ||||
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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.