MR. EDSEL L HOUSEWORTH (NPI# 1619996949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619996949 |
| Entity Type | Individual |
| Full Name | MR. EDSEL L HOUSEWORTH |
| Credential | AA |
| Practice Address |
1968 Peachtree Road Nw Atlanta GA 30309-1281 |
| Mailing Address |
1301 Concord Terrace Sunrise FL 33323-2843 |
| Practice Telephone | 4043511745 |
| Practice Fax Number | 4043517121 |
| Mailing Telephone | 8002433839 |
| Mailing Fax Number | 9548392569 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2010-10-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 003516 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 263846020A | 05 |
| Street Address |
1968 PEACHTREE ROAD NW |
| City | ATLANTA |
| State | GA |
| Zip Code | 30309-1281 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366449498 | James F Beatty | Specialist | 1968 Peachtree Road Nw, B336, Atlanta, GA 30309-1281 | 2005-07-05 |
| 1861041972 | Mallory Catall | Physician Assistant | 1968 Peachtree Road Nw, Atlanta, GA 30309-1796 | 2019-09-11 |
| 1598283137 | Morgan Lee Kim | Anesthesiologist Assistant | 1968 Peachtree Road Nw, Atlanta, GA 30309 | 2017-09-04 |
| 1366755993 | Nathan Scott Lycan | Physician Assistant | 1968 Peachtree Road Nw, Atlanta, GA 30309 | 2010-07-25 |
| 1629300181 | Heather Diane Boehm Maginn | Physician Assistant | 1968 Peachtree Road Nw, Atlanta, GA 30309-1281 | 2010-02-09 |
| 1528390135 | Phillip V Oliver | Registered Nurse | 1968 Peachtree Road Nw, Atlanta, GA 30309-1281 | 2010-02-06 |
| 1366772907 | Harrison C Ojimma | Registered Nurse | 1968 Peachtree Road Nw, Atlanta, GA 30309-1281 | 2010-01-04 |
| 1720217805 | Haley C Gordon | Registered Nurse | 1968 Peachtree Road Nw, Atlanta, GA 30309-1281 | 2009-07-09 |
| 1033348727 | Molly A Peek | Nurse Anesthetist, Certified Registered | 1968 Peachtree Road Nw, Atlanta, GA 30309-1281 | 2009-07-02 |
| 1346475746 | Bertha O Onyemaobi | Registered Nurse | 1968 Peachtree Road Nw, Atlanta, GA 30309-1281 | 2009-05-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396382354 | Astoria Dentistry LLC | Dentist | 2233 Peachtree Rd. Nw, Suite 300, Atlanta, GA 30309 | 2019-12-09 |
| 1487133740 | S2 Telehealth Technologies, LLC | Psychiatry & Neurology | 915 W Peachtree St Nw Apt 522, Atlanta, GA 30309 | 2018-08-08 |
| 1841782620 | Janie Mardis | Social Worker | 3 Park Ln Ne, Apt H, Atlanta, GA 30309 | 2018-06-06 |
| 1083102842 | Veronica L Bentley | Specialist/Technologist, Other | 1170 Peachtree Street Suite 1200, Atlanta, GA 30309 | 2018-04-27 |
| 1427566363 | Net Medical Corp | Chiropractor | 1100 Spring St Sw, Ste#700, Atlanta, GA 30309 | 2018-01-12 |
| 1871000463 | Mary James (jamie) Johnson | Counselor | 1100 Spring Street, Suite 380, Atlanta, GA 30309 | 2018-01-04 |
| 1306377817 | Aliyah Lamis Scott | Social Worker | 1745 Peachtree Road Ne, Kaiser Permanente Brookwood Medical Office, Atlanta, GA 30309 | 2017-03-26 |
| 1013450774 | Caroline Hallen | Nurse Practitioner | 105 Collier Rd Nw Suite 3040, Atlanta, GA 30309 | 2016-11-29 |
| 1528501723 | Ant-aging Queen | Nutritionist | 1801 Atlanta Medical Clinic, Suite 250, Atlanta, GA 30309 | 2016-11-21 |
| 1790231439 | Nurse 2 Health Home Care LLC | Home Health | 1075 Peachtree Street Ne, Atlanta, GA 30309 | 2016-09-01 |
| Find all providers in zip 30309 | ||||
| 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 |
|---|---|---|---|---|
| 1659970408 | Laura N Gillespie | Physician Assistant | 1800 Howell Mill Rd., Suite 450, Atlanta, GA 30318 | 2020-10-22 |
| 1104433689 | Alexander Hartley Sprague | Physician Assistant | 244 13th St Ne Apt 208, Atlanta, GA 30309-3656 | 2020-09-28 |
| 1972117919 | Gregory Zimmerman | Physician Assistant | 2669 Fleur De Lis Pl, Atlanta, GA 30360-1409 | 2020-09-08 |
| 1083227821 | Jessica Haley Senft | Physician Assistant | 4274 Olde Mill Ln Ne, Atlanta, GA 30342-3400 | 2020-08-30 |
| 1801405758 | Philip Sangster | Physician Assistant | 3485 Greystone Cir, Atlanta, GA 30341-5854 | 2020-07-27 |
| 1114544525 | Nicole Warner | Physician Assistant | 1100 Faith Ave Se, Atlanta, GA 30316-1504 | 2020-07-01 |
| 1770108516 | Bita Ranjbari | Physician Assistant | 659 Auburn Ave Se, Suite 505, Atlanta, GA 30312 | 2020-06-08 |
| 1972125557 | Karen Charisse Forbes | Physician Assistant | 1600 Clifton Rd Ne # H16-1, Atlanta, GA 30329-4018 | 2020-05-17 |
| 1588290316 | Julie Teresa Lovelly | Physician Assistant | 1220 Caroline St Ne Ste A-230, Atlanta, GA 30307-2749 | 2020-03-12 |
| 1104463645 | Hannah Elyse Galvan | Physician Assistant | 550 Peachtree St Ne Bldg Rm3245a, Atlanta, GA 30308-2247 | 2019-12-03 |
| Find all providers in ATLANTA | ||||
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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.