ALAMO HEALTH GROUP, LLC (NPI# 1609312487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609312487 |
| Entity Type | Organization |
| Organization Name | ALAMO HEALTH GROUP, LLC |
| Other Organization Name | TELEMD VIRTUAL CLINIC |
| Practice Address |
4816 Ashford Ln Atlanta GA 30338-2650 |
| Mailing Address |
Po Box 501741 Atlanta GA 31150-1741 |
| Practice Telephone | 7706523667 |
| Mailing Telephone | 7706523667 |
| Enumeration Date | 2017-01-17 |
| Last Update Date | 2017-01-17 |
| Authorized Official Name | MR. MARK REZNIK (CLINIC ADMINISTRATOR) |
| Authorized Official Telephone | 7706523667 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
Dietary & Nutritional Service Providers | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 405300000X | Prevention Professional | Other Service Providers |
| Other Name | Type Code |
|---|---|
| TeleMD Virtual Clinic | Doing Business As Name - Organization |
| Street Address |
4816 ASHFORD LN |
| City | ATLANTA |
| State | GA |
| Zip Code | 30338-2650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629606264 | Jasmine Donesha Shackelford | Student in an Organized Health Care Education/Training Program | Emory Family Medicine, 4500 North Shallowford Road, Atlanta, GA 30338 | 2020-03-30 |
| 1558907774 | Brianna Harding | Pharmacist | 4608 Devonshire Road, Dunwoody, GA 30338 | 2019-11-22 |
| 1194382135 | Kadan Corporation | In Home Supportive Care | 1848 Independence Square, Suite A, Dunwoody, GA 30338 | 2019-05-24 |
| 1144789553 | Carla Fabiola Nunez | Dentist | 5200 Roberts Dr, Atlanta, GA 30338 | 2019-03-15 |
| 1861978793 | Uhs of Peachford Lp | Pharmacy | 2150 Peachford Rd Ste D, Atlanta, GA 30338 | 2018-07-13 |
| 1275047474 | Mary Rose Ziemba | Physical Therapist | 4516 Chamblee Dunwoody Rd # 22, Dunwoody, GA 30338 | 2017-11-27 |
| 1992223531 | Joel Moorhead | Physical Medicine & Rehabilitation | 1521 Eidson Hall Drive, Dunwoody, GA 30338 | 2017-09-05 |
| 1336667997 | Absolute Holistic Medicine | Clinic/Center | 1868 Independence Sq, Suite A, Atlanta, GA 30338 | 2017-09-05 |
| 1164947115 | Modern Dermatology Atlanta | Dermatology | 5696 Whitehall Walk, Dunwoody, GA 30338 | 2017-08-11 |
| 1366972150 | A Caring Approach To Home Health Services Inc. | In Home Supportive Care | 200 Ashford Center North, Suite 370, Atlanta, GA 30338 | 2017-06-14 |
| Find all providers in zip 30338 | ||||
| Taxonomy Code | 405300000X |
| Grouping | Other Service Providers |
| Classification | Prevention Professional |
| Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work. |
| Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134741697 | Attest Wellness, LLC | Prevention Professional | 1201 W Peachtree St Nw Ste 2300, Atlanta, GA 30309-3453 | 2020-05-07 |
| 1760940571 | Tlk Photography,llc | Prevention Professional | 303 Perimeter Ctr N Ste 300, Atlanta, GA 30346-3401 | 2019-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679031272 | My Pharmacare | Prevention Professional | 3907 Macon Rd Ste C, Columbus, GA 31907-2292 | 2019-03-04 |
| 1679009054 | Michael Dean Ciepiela | Prevention Professional | 12897 Gransley Ct, Alpharetta, GA 30009-3102 | 2017-05-04 |
| 1730608522 | Populations and Interventions Team Company | Prevention Professional | 3182 Berthas Overlook, Douglasville, GA 30135-8458 | 2017-09-13 |
| 1548796063 | Aaron Herndon | Prevention Professional | 1501 Mercer University Dr, Macon, GA 31207-1515 | 2017-05-03 |
| 1144755489 | Verinese Garnier | Prevention Professional | 619 Hampton St, Hinesville, GA 31313-3535 | 2017-04-24 |
| 1528509635 | Timothy Smith | Prevention Professional | 5510 Veterans Pkwy, Columbus, GA 31904-4491 | 2017-03-09 |
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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.