EASTSIDE MEDICAL CENTER, LLC (NPI# 1558315507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558315507 |
| Entity Type | Organization |
| Organization Name | EASTSIDE MEDICAL CENTER, LLC |
| Other Organization Name | EASTSIDE MEDICAL CENTER |
| Practice Address |
1700 Medical Way Snellville GA 30078-2195 |
| Practice Telephone | 7709790200 |
| Practice Fax Number | 7707362395 |
| Mailing Telephone | 7709790200 |
| Mailing Fax Number | 7707362395 |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2017-01-24 |
| Authorized Official Name | AMY N. WHEELER (CFO) |
| Authorized Official Telephone | 7707362420 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 10746B | 05 |
| Other Name | Type Code |
|---|---|
| EASTSIDE MEDICAL CENTER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649224692 | Eastside Medical Center, LLC | General Acute Care Hospital | 1700 Medical Way, Snellville, GA 30078-2195 | 2006-05-22 |
| 1467406413 | Eastside Medical Center, LLC | Psychiatric Unit | 2160 Fountain Dr, Snellville, GA 30078-7022 | 2006-05-22 |
| 1376597328 | Eastside Medical Center, LLC | Rehabilitation Unit | 2160 Fountain Dr, Snellville, GA 30078-7022 | 2006-05-22 |
| 1467406132 | Eastside Medical Center, LLC | General Acute Care Hospital | 1700 Medical Way, Snellville, GA 30078-2195 | 2006-05-19 |
| Street Address |
1700 MEDICAL WAY |
| City | SNELLVILLE |
| State | GA |
| Zip Code | 30078-2195 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568467447 | Edwin W Nunnery Jr. | Pathology | 1700 Medical Way, Snellville, GA 30078-2195 | 2005-06-16 |
| 1871193037 | Olakemi L Adenuga | Registered Nurse | 1700 Medical Way, Snellville, GA 30078-2195 | 2020-10-27 |
| 1922625102 | Fiji George | Pharmacist | 1700 Medical Way, Snellville, GA 30078-2195 | 2020-07-03 |
| 1033738349 | Kathryn Iwasaki | Physician Assistant | 1700 Medical Way, Snellville, GA 30078-2195 | 2020-04-16 |
| 1669005880 | Sarah Marlene Anderson | Nurse Practitioner | 1700 Medical Way, Snellville, GA 30078-2195 | 2020-02-17 |
| 1942866926 | Samantha Alice Stellmacher | Physician Assistant | 1700 Medical Way, Snellville, GA 30078-2195 | 2019-05-15 |
| 1205316189 | Stephanie Alyse Powell | Anesthesiologist Assistant | 1700 Medical Way, Anesthesia Department, Snellville, GA 30078 | 2018-08-20 |
| 1053899724 | Micheal Tyrone Wright | Nurse Practitioner | 1700 Medical Way, Snellville, GA 30078-2195 | 2018-08-03 |
| 1083120588 | Andrea M Kennedy | Specialist/Technologist, Other | 1700 Medical Way, Snellville, GA 30078-2195 | 2017-12-19 |
| 1861848210 | Umair Rahim Shaikh | Internal Medicine | 1700 Medical Way, Snellville, GA 30078-2195 | 2016-05-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619594561 | Steven Nguyen | Optometrist | 1905 Scenic Hwy S #1130, Snellville, GA 30078 | 2020-06-26 |
| 1891320776 | Youstina Harkas | Optometrist | 1679 Scenic Hwy S 203, Snellville, GA 30078 | 2020-03-11 |
| 1578101127 | Jwwt Neuoromonitoring, LLC | Psychiatry & Neurology | 1350 Scenic Highway, Suite 266, Snelville, GA 30078 | 2019-12-13 |
| 1679119903 | Lashon Poole Wells | Social Worker | 1350 Scenic Highway Ste 266, 1350 Scenic Highway Ste 266, Snellville, GA 30078 | 2019-11-21 |
| 1427601426 | Aemad Heavenly Joy Senior Homecare & Developmental Disabilities LLC | Registered Nurse | 1350 Scenic Highway Suite #266, Sneville, GA 30078 | 2019-07-18 |
| 1063975548 | Joanne Mcdougal Patterson | Nurse Practitioner | 1350 Scenic Hwy N Ste 226, Snellville, GA 30078 | 2019-04-10 |
| 1689144263 | Israel Branford | Physical Therapist | 1575 Scenic Hwy Ste 100, Snellville, GA 30078 | 2018-11-27 |
| 1902382997 | Brittany Dupree | Dermatology | 2383 Pate Street North, Snellville, GA 30078 | 2018-07-13 |
| 1134610926 | Reid Weston Popple | Dentist | 2992 Stone Mountain Hwy, A100, Snellville, GA 30078 | 2018-05-29 |
| 1326550492 | Optimal Healthcare Services LLC | Clinic/Center | 2121 Fountain Dr Ste F, Snellville, GA 30078 | 2017-10-30 |
| Find all providers in zip 30078 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326687930 | Joshua Morris | General Acute Care Hospital | 2160 Fountain Dr, Snellville, GA 30078-7022 | 2019-12-30 |
| 1598964082 | Emory Healthcare | General Acute Care Hospital | 1700 Medical Way, Snellville, GA 30078-2195 | 2007-07-13 |
| 1588741607 | Ehca Eastside, LLC | General Acute Care Hospital | 1700 Medical Way, Snellville, GA 30078-2195 | 2006-11-01 |
| 1649224692 | Eastside Medical Center, LLC | General Acute Care Hospital | 1700 Medical Way, Snellville, GA 30078-2195 | 2006-05-22 |
| 1467406132 | Eastside Medical Center, LLC | General Acute Care Hospital | 1700 Medical Way, Snellville, GA 30078-2195 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902459316 | Au Medical Center, Inc | General Acute Care Hospital | 1348 Walton Way Ste 6300c, Augusta, GA 30901-5104 | 2019-07-24 |
| 1841651056 | Kamran Rajaee | General Acute Care Hospital | 5081 Sunset Trl, Marietta, GA 30068-4734 | 2016-03-15 |
| 1144687070 | Globale, LLC | General Acute Care Hospital | 750 Dalrymple Rd Apt B2, Atlanta, GA 30328-1434 | 2016-01-22 |
| 1649645011 | Clarence Waugh | General Acute Care Hospital | 171 Sterling Ridge Dr, Riverdale, GA 30274-4637 | 2015-12-09 |
| 1548632045 | Allbright Professional Blood Services | General Acute Care Hospital | 1043 River Forest Pt, Lawrenceville, GA 30045-2600 | 2015-10-22 |
| 1790173094 | Piedmont Healthcare | General Acute Care Hospital | 2124 Mckinley Rd Nw, Atlanta, GA 30318-1708 | 2015-01-08 |
| 1790183622 | Pauline L. Jacinto Md | General Acute Care Hospital | 104 Lakeshore Dr Ste B, Saint Marys, GA 31558-3809 | 2014-12-09 |
| 1073937892 | Emory University Hospital | General Acute Care Hospital | 5207 Peachtree Creek Cir, Atlanta, GA 30341-5364 | 2014-02-13 |
| 1063856706 | Keystone Surgical Associates | General Acute Care Hospital | 2525 Kirk Pointe Cv Nw, Kennesaw, GA 30152-6239 | 2013-04-24 |
| 1679810022 | Proficiency Scribes Cs, LLC | General Acute Care Hospital | 114 Bradley Rd, Jackson, GA 30233-3702 | 2013-01-04 |
| Find all providers with the same taxonomy | ||||
| City | SNELLVILLE |
| Zip Code | 30078 |
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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.