ADAM WILSON (NPI# 1639597875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639597875 |
| Entity Type | Individual |
| Full Name | ADAM WILSON |
| Credential | MD, MPH |
| Practice Address |
4500 N Shallowford Rd Ste B Atlanta GA 30338-6476 |
| Mailing Address |
4500 N Shallowford Rd Dunwoody GA 30338-6476 |
| Practice Telephone | 4047278843 |
| Mailing Telephone | 4047278843 |
| Enumeration Date | 2014-04-04 |
| Last Update Date | 2017-08-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 77222 | GA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659913531 | Adam A Wilson | Nurse Practitioner | 132 Moultrie Crossing Ln, St Augustine, FL 32086-5242 | 2019-10-12 |
| 1255749537 | Adam Wilson | Pharmacist | 1250 Bridalwood Loop, Lehi, UT 84043-4908 | 2014-07-30 |
| 1467695072 | Adam S Wilson | Orthopaedic Surgery | 940 Central Park Dr Ste 280, Steamboat Springs, CO 80487-8853 | 2009-04-13 |
| 1184757148 | Adam Christopher Wilson | Counselor | 6399 S Santa Fe Dr, Littleton, CO 80120-2912 | 2007-03-13 |
| 1790745933 | Adam Spach Wilson | Otolaryngology | 1405 Se 164th Ave Ste 102, Vancouver, WA 98683-9644 | 2006-03-23 |
| 1518494012 | Adam Wilson | Behavior Technician | 73 White Bridge Rd Ste 103-232, Nashville, TN 37205-1444 | 2017-05-15 |
| 1790150449 | Adam Wilson | Counselor | 770 Woodlane Rd, Westampton, NJ 08060-3804 | 2015-12-07 |
| 1275925547 | Adam J Wilson | Nurse Practitioner | 1401 Harrodsburg Rd, A300, Lexington, KY 40504-3751 | 2015-02-24 |
| 1528309945 | Adam K Wilson | Registered Nurse | 2011 Murphy Ave, Suite 301, Nashville, TN 37203-2023 | 2013-03-11 |
| 1518114800 | Adam Richard Wilson | Physician Assistant | 2375 Summit Park Dr, Petoskey, MI 49770-8685 | 2008-08-19 |
| Street Address |
4500 N SHALLOWFORD RD STE B |
| City | ATLANTA |
| State | GA |
| Zip Code | 30338-6476 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578980686 | Eunice Elizabeth Neeley | Student in an Organized Health Care Education/Training Program | 4500 N Shallowford Rd Ste B, Atlanta, GA 30338 | 2014-03-26 |
| 1780171058 | Natalia Pineda | Student in an Organized Health Care Education/Training Program | 4500 N Shallowford Rd Ste B, Atlanta, GA 30338 | 2018-04-21 |
| 1275039380 | Sarah Catherine Dupont | Student in an Organized Health Care Education/Training Program | 4500 N Shallowford Rd Ste B, Atlanta, GA 30338 | 2018-04-05 |
| 1467958389 | Eunmi Hur | Student in an Organized Health Care Education/Training Program | 4500 N Shallowford Rd Ste B, Atlanta, GA 30338 | 2018-03-30 |
| 1528451291 | Zazi Onike Nylander | Family Medicine | 4500 N Shallowford Rd Ste B, Atlanta, GA 30338 | 2015-03-05 |
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841800836 | Ascend Medical Georgia PC | Family Medicine | One Alliance Center, 3500 Lenox Road Suite 1500, Atlanta, GA 30326 | 2020-08-04 |
| 1912521782 | Eagles Landing Family Practice, LLC | Family Medicine | 3333 Riverwood Pkwy Se Ste 250, Atlanta, GA 30339-3304 | 2020-06-08 |
| 1487297164 | Deavmed L.l.c | Family Medicine | 3915 Cascade Rd Sw Ste T-90, Atlanta, GA 30331-8660 | 2019-10-24 |
| 1598319287 | Vibrant Family Medicine, P.C. | Family Medicine | 6667 Vernon Woods Dr Ste A19, Atlanta, GA 30328-3215 | 2019-07-30 |
| 1649739020 | Accumedic Diagnostic Management LLC | Family Medicine | 373 W Lake Ave Nw, Atlanta, GA 30318-8123 | 2019-03-15 |
| 1679037758 | Harrigan Medical Consulting Services, Inc | Family Medicine | 3280 Howell Mill Rd Nw Ste 207, Atlanta, GA 30327-4100 | 2019-01-23 |
| 1184197337 | Todd Ware Davis | Family Medicine | 942 Fern Ave Se, Atlanta, GA 30315-1813 | 2019-01-09 |
| 1881165207 | Le Reve Medical Clinic PC | Family Medicine | 1827 Powers Ferryy Rd Se Bldg 7, Suite 150, Atlanta, GA 30339 | 2018-12-11 |
| 1265902092 | Gregory Stephen Wallace | Family Medicine | 1042 Mason Woods Dr Ne, Atlanta, GA 30329-3802 | 2018-12-05 |
| 1124596069 | Longevity Medical Center, PC | Family Medicine | 4646 N Shallowford Rd Ste 300, Atlanta, GA 30338-6308 | 2018-11-08 |
| 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.