ATLANTA ID GROUP, P.C. (NPI# 1548767619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548767619 |
Entity Type | Organization |
Organization Name | ATLANTA ID GROUP, P.C. |
Other Organization Name | INFECTIOUS DISEASE SOLUTIONS |
Practice Address |
1265 Highway 54 West Suite 500-c Fayetteville GA 30214 |
Mailing Address |
275 Collier Rd Suite450 Atlanta GA 30309 |
Practice Telephone | 6784353040 |
Practice Fax Number | 6784353044 |
Mailing Telephone | 4043518871 |
Mailing Fax Number | 4043551353 |
Enumeration Date | 2018-04-06 |
Last Update Date | 2018-04-06 |
Authorized Official Name | DR. CHRISTINE A ZURAWSKI (CEO/PRESIDENT) |
Authorized Official Telephone | 4043518873 |
Authorized Official Credential | MD |
Is Organization Subpart | Y |
Parent Organization Name | ATLANTA ID GROUP, P.C. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 333600000X | Pharmacy | PHRE009501 | GA | Suppliers |
Other Name | Type Code |
---|---|
Infectious Disease Solutions | Former Legal Business Name - Organization |
Street Address |
1265 HIGHWAY 54 WEST SUITE 500-C |
City | FAYETTEVILLE |
State | GA |
Zip Code | 30214 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548872468 | Phyllis Kelly Wood | Nurse Practitioner | 217 Banks Rd, Suite 31, Fayetteville, GA 30214 | 2020-08-21 |
1073139317 | Tyisha Salter Scott | Counselor | 110 Habersham Drive, Suite 142, Fayetteville, GA 30214 | 2020-06-23 |
1194341412 | Camille Franncine Bolton | Physical Therapist | 500 Floy Farr Parkway, Suite 303, Fayetteville, GA 30214 | 2020-06-23 |
1205465895 | Gillian Vaughan Heard | Physician Assistant | 1275 Ga-54 #201, Fayetteville, GA 30214 | 2020-04-06 |
1881234557 | Peach Fits,inc | Mastectomy Fitter | 285 Glynn Street South, Suites 102 and 104, Fayetteville, GA 30214 | 2020-01-10 |
1255981072 | Delta Healthcare Providers | Clinic/Center | 1275 W Lanier Ave, #200, Fayetteville, GA 30214 | 2019-09-13 |
1861965592 | Hierarchy for Wellness | Specialist | 805 S Glynn St Bldg 127 142, Fayetteville, GA 30214 | 2019-01-04 |
1356810634 | Fayette Dental Group PC | Clinic/Center | 720 W Lanier Ave, Fayetteville, GA 30214 | 2018-11-16 |
1891263299 | Mattie Mae Farmer Clark | Specialist/Technologist, Other | Piedmont Fayette Hospital, 1255 Highway 54 West, Fayetteville, GA 30214 | 2018-11-05 |
1093293607 | Allyson Holland | Pharmacist | 880 Highway 85 South, Fayetteville, GA 30214 | 2018-08-06 |
Find all providers in zip 30214 |
Taxonomy Code | 333600000X |
Grouping | Suppliers |
Classification | Pharmacy |
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760924088 | Clear Med Solutions LLC | Pharmacy | 1450 E Zion Rd Ste 3, Fayetteville, AR 72703-4988 | 2016-11-17 |
1386005148 | New River Health Association, Inc | Pharmacy | 217 W Maple Ave, Fayetteville, WV 25840-1413 | 2016-03-08 |
1417336686 | Valley Discount Pharmacy Incorporated | Pharmacy | 317 Owen Dr, Fayetteville, NC 28304-3429 | 2015-05-21 |
1780973693 | Walmart Inc. | Pharmacy | 3475 Black Forest Dr, Fayetteville, AR 72704-6524 | 2011-03-31 |
1417182296 | Cumberland County Hospital System Inc | Pharmacy | 101 Robeson St Ste 107, Fayetteville, NC 28301-5520 | 2009-05-21 |
1326183922 | Carolina Family Pharmacy,inc | Pharmacy | 2800 Raeford Rd Ste 18, Suite 18, Fayetteville, NC 28303-5465 | 2007-02-21 |
1730248733 | Carolina Family Pharmacy Inc | Pharmacy | 2800 18 Raeford Rd, Fayetteville, NC 28303 | 2006-12-06 |
1548328677 | Carters At Stone Bridge LLC | Pharmacy | 6 Eldad Rd, Fayetteville, TN 37334-7005 | 2006-12-04 |
1568537140 | Zimm Pharmacy Inc | Pharmacy | 239 N Court St, Fayetteville, WV 25840-1233 | 2006-11-21 |
1033289111 | Carters Compounding Pharmacy | Pharmacy | 106 Elk Ave S, Ste B, Fayetteville, TN 37334-3050 | 2006-11-08 |
Find all providers in FAYETTEVILLE |
City | FAYETTEVILLE |
Zip Code | 30214 |
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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.