DR. NICHOLAS A TILIAKOS (NPI# 1598755803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598755803 |
| Entity Type | Individual |
| Full Name | DR. NICHOLAS A TILIAKOS |
| Credential | M.D. |
| Practice Address |
705 Walther Rd Lawrenceville GA 30045-8725 |
| Mailing Address |
Po Box 490430 Lawrenceville GA 30049-0008 |
| Practice Telephone | 7709633801 |
| Practice Fax Number | 7709633856 |
| Mailing Telephone | 6789854840 |
| Mailing Fax Number | 6789854855 |
| Enumeration Date | 2005-10-27 |
| Last Update Date | 2008-04-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
022340 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00326367A | 05 |
| Street Address |
705 WALTHER RD |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30045-8725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619399664 | Nicholas A Tiliakos Md | Internal Medicine | 705 Walther Rd, Lawrenceville, GA 30046-8725 | 2014-01-10 |
| 1407064447 | Alexandra M Tiliakos | Internal Medicine | 705 Walther Rd, Lawrenceville, GA 30046-8725 | 2007-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285104315 | Shalanda Monique Booker | Counselor | 2940 Emerald Springs Drive, Lawrenceville, GA 30045 | 2018-12-02 |
| 1669957320 | Chantelle S Fuller | Behavioral Analyst | 805 Donington Cir, Lawrenceville, GA 30045 | 2018-09-28 |
| 1356836035 | Gad Health Care LLC | Home Health | 1140 Great Oaks Dr, Lawrenceville, GA 30045 | 2018-06-26 |
| 1346668662 | Eca Optical, LLC | Eyewear Supplier (Equipment, not the service) | 601-a Professional Drive, Ste 170, Lawrenceville, GA 30045 | 2014-04-03 |
| 1598102733 | Selena Fuller | Nurse Practitioner | 181 South Clayton Street, Lawrenceville, GA 30045 | 2013-05-29 |
| 1942555982 | Vida Michele James-bryant | Community Health Worker | 1309 Avington Glen Dr, Lawrenceville, GA 30045 | 2012-07-16 |
| 1770840639 | Rebecca Vinson D'angelo | Occupational Therapist | 1518 Great Shoals Cir, Lawrenceville, GA 30045 | 2012-04-17 |
| 1427346774 | Amanda Michelel Woods | Psychologist | 285 South Perry Street, Lawrenceville, GA 30045 | 2011-07-20 |
| 1790070563 | M & G Pharmacy Inc | Pharmacy | 100 Hurricane Shoals Rd Suite F, Lawrenceville, GA 30045 | 2011-06-09 |
| 1306146154 | Thanh Dau | Optometrist | 1250 Scenic Highway, Ste 1268, Lawrenceville, GA 30045 | 2010-10-27 |
| Find all providers in zip 30045 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| 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 |
|---|---|---|---|---|
| 1124154323 | Roel Nolido Querubin | Internal Medicine | 4790 Sugarloaf Pkwy, Suite 100, Lawrenceville, GA 30044-6985 | 2007-02-24 |
| 1265464218 | Gina Del Giudice Md PC | Internal Medicine | 3100 Princeton Pk Bldg 3, Suite D, Lawrenceville, NJ 08648 | 2006-07-07 |
| 1851742068 | American Arthritis & Rheumatology Associates-ga, LLC | Internal Medicine | 989 Lawrenceville Hwy, Lawrenceville, GA 30046-4702 | 2016-06-29 |
| 1619399664 | Nicholas A Tiliakos Md | Internal Medicine | 705 Walther Rd, Lawrenceville, GA 30046-8725 | 2014-01-10 |
| 1306042791 | Madhurika Samakur | Internal Medicine | 989 Lawrenceville Hwy, Lawrenceville, GA 30046-4702 | 2007-06-22 |
| 1417159344 | North Georgia Rheumatology Group, PC | Internal Medicine | 500 Medical Center Blvd, Suite 290, Lawrenceville, GA 30046-8708 | 2007-06-04 |
| 1407064447 | Alexandra M Tiliakos | Internal Medicine | 705 Walther Rd, Lawrenceville, GA 30046-8725 | 2007-05-21 |
| 1487780599 | Rheumatology of North Atlanta | Internal Medicine | 4790 Sugarloaf Pkwy, Suite 100, Lawrenceville, GA 30044-6985 | 2007-02-25 |
| 1386687713 | Michael Jude Froncek | Internal Medicine | 123 Franklin Corner Rd, Suite 106, Lawrenceville, NJ 08648-2526 | 2006-06-14 |
| 1447292321 | Gina C Delgiudice | Internal Medicine | 123 Franklin Corner Rd, Suite 106, Lawrenceville, NJ 08648-2526 | 2006-06-12 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30045 |
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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.