DR. SUZANNE CAHILL MANLEY (NPI# 1659362127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659362127 |
| Entity Type | Individual |
| Full Name | DR. SUZANNE CAHILL MANLEY |
| Credential | M.D. |
| Practice Address |
148 Clinic Ave Carrollton GA 30117 |
| Mailing Address |
148 Clinic Ave Carrollton GA 30117-4414 |
| Practice Telephone | 7708388640 |
| Practice Fax Number | 7708388650 |
| Mailing Telephone | 7708388640 |
| Mailing Fax Number | 7708388650 |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2018-07-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
046167 | GA | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | 046167 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000810125D | 05 |
| Street Address |
148 CLINIC AVE |
| City | CARROLLTON |
| State | GA |
| Zip Code | 30117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730557869 | Lyndi Nicole Bowling | Nurse Practitioner | 148 Clinic Ave, Carrollton, GA 30117 | 2015-09-06 |
| 1942683818 | Caroline G Colden | Pediatrics | 148 Clinic Ave, Carrollton, GA 30117 | 2015-07-09 |
| 1346631322 | Elisabeth Mcpherson | Nurse Practitioner | 148 Clinic Ave, Carrollton, GA 30117-4414 | 2015-02-11 |
| 1972821148 | Holley Elizabeth Beam | Pediatrics | 148 Clinic Ave, Carrollton, GA 30117 | 2010-05-12 |
| 1255521647 | Keatrina T Springer | Nurse Practitioner | 148 Clinic Ave, Carrollton, GA 30117-4414 | 2007-07-31 |
| 1518972348 | Tmc Children's Healthcare of West Georgia | Clinic/Center | 148 Clinic Ave, Carrollton, GA 30117-4414 | 2006-07-30 |
| 1083651996 | Steven Allen Eubanks Jr. | Pediatrics | 148 Clinic Ave, Carrollton, GA 30117 | 2006-05-31 |
| 1356322424 | Tammy Ann Stewart | Physician Assistant | 148 Clinic Ave, Carrollton, GA 30117-4414 | 2005-11-07 |
| 1427049717 | Nestor Antonio Baldizon | Physician Assistant | 148 Clinic Ave, Carrollton, GA 30117-4414 | 2005-11-04 |
| 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 | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548243801 | Charles Edward Stevenson Jr. | Pediatrics | 804 Dixie St, Carrollton, GA 30117-4416 | 2005-11-21 |
| 1649212192 | Carousel Pediatrics, P.C. | Pediatrics | 804 Dixie St, Carrollton, GA 30117-4416 | 2006-06-11 |
| 1467435610 | Linda Barstow Mccormick | Pediatrics | 804 Dixie St, Carrollton, GA 30117-4416 | 2005-11-22 |
| 1801879176 | Elizabeth Thomas Adamiak | Pediatrics | 804 Dixie St, Carrollton, GA 30117-4416 | 2005-11-21 |
| 1497738777 | Nyla Faye Cline | Pediatrics | 804 Dixie St, Carrollton, GA 30117-4416 | 2005-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427616515 | Pedsnow LLC | Pediatrics | 863 W Oglethorpe Hwy Ste 220, Hinesville, GA 31313-4491 | 2019-06-03 |
| 1073885828 | Middle Georgia Pediatrics | Pediatrics | 1508 Hardeman Ave Ste B, Macon, GA 31201-1471 | 2012-02-08 |
| 1003184409 | Greer Gadsden Larned, M.d., P.C., Faap | Pediatrics | 3802 Waters Ave, Savannah, GA 31404-6210 | 2011-12-13 |
| 1427333095 | Dahlonega Pediatric and Adolescent Medicine | Pediatrics | 1055 North Grove St., Dahlonega, GA 30533 | 2011-10-14 |
| 1770710824 | Children's Medicine of Rockdale | Pediatrics | 1765 Parker Rd Se, Suite B210, Conyers, GA 30094-6652 | 2009-06-16 |
| 1518110451 | Pedia Doc Children's Med Ctr | Pediatrics | 3088 Campbellton Rd Sw, Atlanta, GA 30311-5410 | 2008-10-23 |
| 1396929444 | Total Grace Pediatrics P.C. | Pediatrics | 900 N Hairston Rd # Rs, Suite A, Stone Mountain, GA 30083-2857 | 2007-12-26 |
| 1306060801 | Crystal M Edds | Pediatrics | 125b Victory Dr, Swainsboro, GA 30401-3234 | 2007-04-13 |
| 1962523639 | William P Bristol | Pediatrics | 3300 Fourth Street, Brunswick, GA 31520-3779 | 2007-04-02 |
| 1861527103 | Florida Selga Basilio | Pediatrics | 1519 13th Ave, Columbus, GA 31901-1908 | 2007-02-23 |
| Find all providers with the same taxonomy | ||||
| City | CARROLLTON |
| Zip Code | 30117 |
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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.