MISS AMY OWEN REEVES (NPI# 1578641742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578641742 |
| Entity Type | Individual |
| Full Name | MISS AMY OWEN REEVES |
| Other Name | MRS. AMY LOUISE OWEN |
| Credential | PA-C |
| Practice Address |
5150 Stilesboro Rd Nw Ste 220 Kennesaw GA 30152-7742 |
| Mailing Address |
5455 Meridian Mark Rd #130 Atlanta GA 30342 |
| Practice Telephone | 7704248222 |
| Mailing Telephone | 4042552033 |
| Mailing Fax Number | 4042521901 |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2019-11-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207YP0228X |
Otolaryngology Specialization: Pediatric Otolaryngology |
004838 | GA | Allopathic & Osteopathic Physicians |
| Y | 363A00000X | Physician Assistant | 004838 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
004838 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5455 Meridian Mark Rd #130, Atlanta, GA 30342 | 4042552033 | 4042521901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477834869 | Amy Kathleen Reeves | Speech-Language Pathologist | 3722 Katella Ave Ste C, Los Alamitos, CA 90720-3102 | 2011-08-30 |
| 1649448754 | Amy Louise Reeves | Specialist | 309 Palomino Dr, Richmond, KY 40475-8674 | 2008-02-12 |
| 1831103050 | Amy Carol Reeves | Emergency Medicine | 2605 Albert Pike Rd, Hot Springs, AR 71913-4514 | 2006-07-27 |
| 1821040908 | Amy L Reeves | Chiropractor | 2692 Abarr Dr., Loveland, CO 80538-3170 | 2006-05-16 |
| 1366947947 | Amy Mae Huff Reeves | Student in an Organized Health Care Education/Training Program | 6431 Fannin Street, Suite Msb 5.196, Houston, TX 77030 | 2018-03-27 |
| 1568585123 | Amy Reeves | Counselor | 1340 River Bend Dr, Dallas, TX 75247-4914 | 2007-04-09 |
| Street Address |
5150 STILESBORO RD NW STE 220 |
| City | KENNESAW |
| State | GA |
| Zip Code | 30152-7742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821647124 | Ashley Dover | Nurse Practitioner | 1300 Ridenour Blvd, Suite 300, Kennesaw, GA 30152 | 2019-09-09 |
| 1205306891 | Lashanda Denise Moore | Nurse Practitioner | 1600 Kennesaw Due West Rd Nw #205, Kennesaw, GA 30152 | 2018-11-27 |
| 1265901094 | Focused Loving Home Care Services LLC | In Home Supportive Care | 2151 Marne Glen Nw, Kennesaw, GA 30152 | 2018-11-22 |
| 1083199152 | Raven Ashley Thomas | Behavioral Analyst | 1619 Collins Rd Nw Ste 500, Kennesaw, GA 30152 | 2018-09-25 |
| 1821592593 | Eseovhe Egborge PC | Clinic/Center | 1600 Kennesaw Due West Rd Nw Ste 205, Kennesaw, GA 30152 | 2018-03-19 |
| 1184143059 | Kennesaw Mountain Dental Associates | Dentist | 1815 Old 41 Hwy, Ste 310, Kennesaw, GA 30152 | 2017-09-12 |
| 1265955983 | Deborah Ruth Stern Compton | Registered Nurse | 1291 Stanley Rd., Kennesaw, GA 30152 | 2017-07-25 |
| 1912452939 | Mak Anesthesia Holdings LLC | Anesthesiology | 1300 Ridenour Blvd., Ste. 300, Kennesaw, GA 30152 | 2016-08-19 |
| 1528430279 | Tineka Nichol Wyckoff | Counselor | 1967 Lake Heights Circle, Kennesaw, GA 30152 | 2015-10-21 |
| 1669753992 | American Current Care Pa | Clinic/Center | 2953 Cobb Parkway, Suite 400, Kennesaw, GA 30152 | 2011-08-31 |
| Find all providers in zip 30152 | ||||
| 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 |
|---|---|---|---|---|
| 1912123183 | Stephanie Delphine Parris | Physician Assistant | 1372 Pembridge Trace Northwest, Kennesaw, GA 30152-5471 | 2007-04-17 |
| 1871577395 | Stephen E Galya | Physician Assistant | 5150 Stilesboro Rd Nw Ste 120, Kennesaw, GA 30152 | 2005-11-30 |
| 1841681293 | Cole T Scotti | Physician Assistant | 750 Townpark Lane, Kaiser Permanente Townpark Comprehensive Medical Center, Kennesaw, GA 30144 | 2015-02-06 |
| 1184065468 | Tania Rani Aurora | Physician Assistant | 750 Town Park Lane, Kaiser Permanente Town Park Medical Center, Kennesaw, GA 30144 | 2013-07-15 |
| 1750627295 | Karma D Mehta | Physician Assistant | 750 Townpark Lane, Kaiser Permanente Townpark Medical Center, Kennesaw, GA 30144 | 2013-01-01 |
| 1982987376 | Mallory Mccord Aycock | Physician Assistant | 750 Townpark Lane, Kaiser Permanente Townpark Medical Center, Kennesaw, GA 30144 | 2011-09-22 |
| 1639464902 | Suzanne Rachel Nelson | Physician Assistant | 750 Town Park Lane, Kaiser Permanente Town Park Medical Center, Kennesaw, GA 30144 | 2011-06-15 |
| 1700180254 | Brian Christopher Evans | Physician Assistant | 270 Chastain Rd Nw, Kennesaw, GA 30144-3012 | 2010-12-27 |
| 1841462538 | Richard Brian Prater | Physician Assistant | 270 Chastain Rd Nw, Kennesaw, GA 30144-3012 | 2008-04-02 |
| 1588864953 | Erica Rivera-armoreda | Physician Assistant | 5150 Stilesboro Rd Nw, Kennesaw, GA 30152-7744 | 2007-07-23 |
| Find all providers in KENNESAW | ||||
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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.