DUNWOODY MEDICAL GROUP INC (NPI# 1609956333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609956333 |
| Entity Type | Organization |
| Organization Name | DUNWOODY MEDICAL GROUP INC |
| Practice Address |
375 Rockbridge Rd Nw #172-241 Lilburn GA 30047-8225 |
| Practice Telephone | 4043039988 |
| Practice Fax Number | 4043039986 |
| Mailing Telephone | 4043039988 |
| Mailing Fax Number | 4043039986 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | LINDA STARR (DIRECTOR) |
| Authorized Official Telephone | 3175988880 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
375 ROCKBRIDGE RD NW #172-241 |
| City | LILBURN |
| State | GA |
| Zip Code | 30047-8225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215977988 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 375 Rockbridge Rd Nw, Lilburn, GA 30047-8225 | 2006-06-08 |
| 1669084851 | Sara Diamond Lee | Pharmacist | 375 Rockbridge Rd Nw, Lilburn, GA 30047-8225 | 2020-08-19 |
| 1831744242 | Seok Hwan Ahn | Pharmacist | 375 Rockbridge Rd Nw, Lilburn, GA 30047-8225 | 2019-08-03 |
| 1801293956 | Progressive Speech Therapy Services, L.L.C. | Specialist/Technologist | 375 Rockbridge Rd Nw, Ste 172-247, Lilburn, GA 30047-8225 | 2014-12-04 |
| 1437497815 | Elena De Jesus Coil | Pharmacist | 375 Rockbridge Rd Nw, Lilburn, GA 30047-8225 | 2013-01-20 |
| 1174861553 | Chenee M Daniels | Pharmacist | 375 Rockbridge Rd Nw, Lilburn, GA 30047-8225 | 2013-01-20 |
| 1568793123 | Shore Language Services, LLC | Interpreter | 375 Rockbridge Rd Nw, Suite 172 #126, Lilburn, GA 30047-8225 | 2010-01-21 |
| 1851437586 | Billie Jean Faust | Counselor | 375 Rockbridge Rd Nw, Suite 172-184, Lilburn, GA 30047-8225 | 2007-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750861217 | Latrina S Walden | Nurse Practitioner | 887 Ryan Lane, Lilburn, GA 30047 | 2018-08-15 |
| 1811483928 | Olivia Oyegunle | Optometrist | 4153 Lawrenceville Hwy Nw Ste 5, Lilburn, GA 30047 | 2018-07-02 |
| 1932619285 | Mpm Creative, LLC | Speech-Language Pathologist | 1560 Hewatt Rd, Lilburn, GA 30047 | 2017-10-01 |
| 1528515186 | Smith Dental Care of Lilburn, Inc. | Dentist | 3100 Five Forks Trickham Rd Suite 201, Lilburn, GA 30047 | 2016-09-01 |
| 1891143244 | Choices Behavioral Alternatives | Counselor | 4037 Darling Court, Suite B, Lilburn, GA 30047 | 2016-05-26 |
| 1235595687 | Georgia Dental Associates | Clinic/Center | 3100 Five Forks Trickum Road Suite 201, Lilburn, GA 30047 | 2016-01-14 |
| 1912382144 | Sangeetha Asokan | Dentist | 609, Beaver Ruin Road, Tebo Dental for Kids, Lilburn, GA 30047 | 2015-07-29 |
| 1467836403 | Pamela Neal | Registered Nurse | 3315 Landingview Ct, Lilburn, GA 30047 | 2015-07-18 |
| 1699172452 | Josie Kou, Kulah Curran | Registered Nurse | 3708 Tamer Ln, Lilburn, GA 30047 | 2014-11-21 |
| 1184039380 | Cheryl Lee | Chiropractor | 5014 Stone Mountain Hwy, Suite C, Lilburn, GA 30047 | 2014-06-25 |
| Find all providers in zip 30047 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649885179 | Rakiya Parker | Specialist | 4814 Stone Mountain Hwy Ste 9, Lilburn, GA 30047-4649 | 2020-09-11 |
| 1962736520 | Donna Rogers | Specialist | 5335 Five Forks Trickum Rd Sw, Lilburn, GA 30047-6753 | 2009-09-29 |
| 1609025980 | Alternative and Comprehensive Medicine | Specialist | 4250 Stone Mountain Hwy # 78, Suite 102, Lilburn, GA 30047-3340 | 2008-09-11 |
| 1154511426 | Yolanda P Bowdre | Specialist | 3752 Preservation Cir, Lilburn, GA 30047-7063 | 2007-08-01 |
| 1538228465 | Laura Dennison | Specialist | 4145 Lawrenceville Hwy., Ste. 10a, Lilburn, GA 30044 | 2006-12-06 |
| 1124103270 | Afroz Rahman | Specialist | 449 Pleasant Hill Rd Nw, Lilburn, GA 30047-2770 | 2006-10-26 |
| 1932216785 | Theodore Miko | Specialist | 4391 Fallowfield Ln Sw, Lilburn, GA 30047-7405 | 2006-08-25 |
| 1154364883 | Dunwoody Seniors Inc | Specialist | 375 Rockbridge Road, Suite 172 Box 242, Lilburn, GA 30047 | 2006-06-13 |
| 1295727527 | Felicity M. Warren | Specialist | 3993 Lawrenceville Hwy Nw Ste 110, Lilburn, GA 30047-2831 | 2005-08-23 |
| 1427322528 | Premier Pain Management Inc | Specialist | 3993 Lawrenceville Hwy Nw, Suite 110, Lilburn, GA 30047-2897 | 2012-03-07 |
| Find all providers in LILBURN | ||||
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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.