MR. EDWARD HARLEY GAILE SR. (NPI# 1548395957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548395957 |
| Entity Type | Individual |
| Full Name | MR. EDWARD HARLEY GAILE SR. |
| Credential | PA-C |
| Practice Address |
1505 Northside Forsyth Dr Ste 3600 Cumming GA 30041 |
| Mailing Address |
1285 Upper Hembree Rd Roswell GA 30076-1143 |
| Practice Telephone | 7703438565 |
| Practice Fax Number | 7707813559 |
| Mailing Telephone | 7703438565 |
| Mailing Fax Number | 7703438651 |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2018-03-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 641 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 100001027A | 05 |
| Street Address |
1505 NORTHSIDE FORSYTH DR STE 3600 |
| City | CUMMING |
| State | GA |
| Zip Code | 30041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093009425 | Max Benson | Internal Medicine | 1505 Northside Forsyth Dr, Ste 3600, Cumming, GA 30041 | 2011-06-02 |
| 1033444930 | Alexander Heckman | Physician Assistant | 1505 Northside Forsyth Dr, Ste 3500, Cumming, GA 30041 | 2009-10-09 |
| 1720275233 | Amit V. Tibrewala | Internal Medicine | 1505 Northside Forsyth Dr, Ste 3600, Cumming, GA 30041 | 2007-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962036905 | Annie Kyungjin Han | Nurse Practitioner | 1505 Northside Forsyth Drive, Suite 2500, Cumming, GA 30041 | 2020-02-28 |
| 1295388197 | Pamela Edler | Pharmacist | 1200 Northside Forsyth Drive, Pharmacy Department, Cumming, GA 30041 | 2019-07-19 |
| 1720557127 | Dr. Tiffany Lamonde LLC | Physical Therapist | 1445 Haw Creek Circle, Suite 503, Cumming, GA 30041 | 2018-11-15 |
| 1487140893 | Bhbd LLC | Chiropractor | 425 Peachtree Parkway, Suite 315, Cumming, GA 30041 | 2018-07-09 |
| 1891219861 | Anna Gawrys | Pharmacist | 1525 Marketplace Blvd, Cumming, GA 30041 | 2017-08-01 |
| 1679029219 | Square One Dental LLC | Clinic/Center | 3510 Rowe Lane, Cumming, GA 30041 | 2016-09-01 |
| 1720441454 | Pavilion Psychological Services LLC | Psychologist | 1445 Haw Creek Corners Circle East, Suite 501, Cumming, GA 30041 | 2016-03-31 |
| 1346606506 | American Health Imaging of Ga, LLC | Clinic/Center | 1050 Haw Creek Pkwy, Suite 100, Cumming, GA 30041 | 2016-01-04 |
| 1013311307 | Stephen Hartle | Physician Assistant | 2576 Peachtree Pkwy, Suite 100, Cumming, GA 30041 | 2014-10-15 |
| 1063828408 | Stephanie Evans Wellborn | Physician Assistant | 1800 Northside Forsyth Dr Ste 450, Cumming, GA 30041 | 2014-07-07 |
| Find all providers in zip 30041 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770105371 | Stetson Lee Carroll | Physician Assistant | 3955 Copper Leaf Ln, Cumming, GA 30040-4168 | 2020-05-18 |
| 1144865551 | William Phillip Whitlock | Physician Assistant | 6325 Oak Valley Dr, Cumming, GA 30040-6484 | 2019-11-08 |
| 1598320087 | Emily Rebecca Downs | Physician Assistant | 3970 Deputy Bill Cantrell Memorial Road Ste 150, Cumming, GA 30040 | 2019-05-09 |
| 1396206728 | Sydney Lane Kent | Physician Assistant | 4555 Azurite St, Cumming, GA 30040-0650 | 2019-03-28 |
| 1437697893 | Holly Musgrove | Physician Assistant | 1780 Peachtree Pkwy # 302, Cumming, GA 30041-6834 | 2017-02-06 |
| 1386938611 | Amanda Gilleland Appling | Physician Assistant | 3970 Deputy Bill Cantrell Memorial Rd., Ste 203, Cumming, GA 30040 | 2011-06-03 |
| 1578867040 | Holly Marie Shalhoop | Physician Assistant | 1800 Northside Forsyth Dr Ste 370, Cumming, GA 30041-8483 | 2010-12-27 |
| 1326358920 | Stephenie Wing Tsui | Physician Assistant | 1505 Northside Blvd Ste 2800, Cumming, GA 30041-8005 | 2010-10-15 |
| 1396997235 | Wanda G. Buchheit | Physician Assistant | 6825 Turning Leaf Ct, Cumming, GA 30028-4773 | 2008-10-22 |
| 1629184221 | Donald D Sams | Physician Assistant | 4730 Hammond Industrial Dr, #400, Cumming, GA 30041-3917 | 2006-08-23 |
| Find all providers in CUMMING | ||||
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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.