KIRK N JAMGOTCHIAN (NPI# 1639231251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639231251 |
| Entity Type | Individual |
| Full Name | KIRK N JAMGOTCHIAN |
| Credential | ICADC |
| Practice Address |
113 - B Newnan Street Carrollton GA 30117 |
| Mailing Address |
142 Deerfield Ln Carrollton GA 30116-5010 |
| Practice Telephone | 7702145066 |
| Practice Fax Number | 7702145067 |
| Mailing Telephone | 7708381420 |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
ICADC 24574 | CA | Behavioral Health & Social Service Providers |
| Street Address |
113 - B NEWNAN STREET |
| City | CARROLLTON |
| State | GA |
| Zip Code | 30117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679199392 | Southern Rad Onc LLC | Radiology | 809 South Park Street, Carrollton, GA 30117 | 2020-06-18 |
| 1093361404 | Eyedeal Eyecare LLC | Optometrist | 1735 S Us 27, Carrollton, GA 30117 | 2019-08-12 |
| 1710412473 | Janis James | Optometrist | 1735 S, Us-27, Walmart Vision Center, Carrollton, GA 30117 | 2017-05-01 |
| 1568881951 | Omar Hajmurad | Anesthesiology | 812 S Park St Ste 5, Carrollton, GA 30117 | 2014-04-14 |
| 1134550353 | Goodbodys Minor Med Express Care | Nurse Practitioner | 1670 South Park St., Carrollton, GA 30117 | 2013-12-13 |
| 1306187570 | Myriam C Vela-ortiz | Internal Medicine | 157 Clinic Ave Ste 203, Carrollton, GA 30117 | 2013-03-12 |
| 1891030201 | Air Evac Ems, Inc. | Ambulance | 827 Old Bremen Rd, Carrollton, GA 30117 | 2012-12-11 |
| 1952682486 | Angelic Wings Transport, Inc. | Non-emergency Medical Transport (VAN) | 362 B Columbia Drive, Carrollton, GA 30117 | 2011-08-29 |
| 1073819256 | Atlanta Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 812 South Park Street, Suite 2, Carrollton, GA 30117 | 2011-02-04 |
| 1255640348 | Amy Gilbert | Counselor | 515 Tanner St, Carrollton, GA 30117 | 2010-10-06 |
| Find all providers in zip 30117 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821631946 | Josh Cook | Counselor | 2647 Via Sonoma, Carrollton, TX 75006-4650 | 2019-10-21 |
| 1669909636 | Janet Anselmo-henson | Counselor | 2418 Marsh Ln Ste 104, Carrollton, TX 75006-3342 | 2017-05-21 |
| 1407249782 | Darrell Hartley | Counselor | 4524 Lee St, Carrollton, TX 75010-4157 | 2015-03-11 |
| 1073931820 | Harris Todd Pope | Counselor | 251 Prism Dr., Suite 11, Carrollton, GA 30116-9349 | 2014-03-30 |
| 1104241637 | Susan Delaine Faris | Counselor | 2340 Trinity Mills, Suite 300, Carrollton, TX 75006 | 2014-02-20 |
| 1053744797 | Sharon Gayle | Counselor | 2340 E Trinity Mills Rd Ste 300, Carrollton, TX 75006-1947 | 2013-08-16 |
| 1215215363 | Michael Santoyo Aceves Sr. | Counselor | 1606 South I35 East, Suite 101, Carrollton, TX 75006 | 2011-07-22 |
| 1841335270 | Mary J Dean | Counselor | 100 Professional Place, Suite 302, Carrollton, GA 30117 | 2007-02-21 |
| 1780696682 | Betty Anne Derryberry | Counselor | 3740 N Josey Ln Ste 246, Carrollton, TX 75007-2508 | 2006-08-12 |
| 1134752108 | Bryce Allen Grindstaff | Counselor | 245 2nd St Nw, Carrollton, OH 44615-1305 | 2020-02-19 |
| Find all providers in CARROLLTON | ||||
| City | CARROLLTON |
| Zip Code | 30117 |
Please comment or provide details below to improve the information on KIRK N JAMGOTCHIAN.
| 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.