ADVANCED INTERNAL MEDICINE (NPI# 1669658829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669658829 |
| Entity Type | Organization |
| Organization Name | ADVANCED INTERNAL MEDICINE |
| Practice Address |
235 Medical Blvd Suite B Stockbridge GA 30281-7218 |
| Mailing Address |
Po Box 870116 Morrow GA 30287-0116 |
| Practice Telephone | 7709608855 |
| Practice Fax Number | 6785651140 |
| Mailing Telephone | 7709608855 |
| Mailing Fax Number | 6785651140 |
| Enumeration Date | 2008-01-17 |
| Last Update Date | 2010-06-30 |
| Authorized Official Name | MRS. FAOSAT O ODEMUYIWA (MANAGER) |
| Authorized Official Telephone | 7709608855 |
| Authorized Official Credential | MSC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
07-12143 | GA | Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Advanced Internal Medicine Associates P.C. | 3650 Joseph Siewick Drive Suite 107, Fairfax, Virginia 22033 |
| Oregon Corporations, Companies and Business Names | ADVANCED INTERNAL MEDICINE GROUP, PC | 9555 Sw Barnes Rd Ste 255, Portland, OR 97225 |
| Virginia Business Entities | Advanced Internal Medicine Inc. | 3930 Pender Drive, Suite 230, Fairfax, Virginia 22030 |
| New York State Corporations | ADVANCED INTERNAL MEDICINE P.C. | 130 Gristmill Lane, Great Neck, Ny 11021 |
| Oregon Corporations, Companies and Business Names | ADVANCED INTERNAL MEDICINE SERVICES, LLC | 9555 Sw Barnes Rd Ste 255, Portland, OR 97225 |
| Street Address |
235 MEDICAL BLVD SUITE B |
| City | STOCKBRIDGE |
| State | GA |
| Zip Code | 30281-7218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649278532 | Celestine O Maiki | Internal Medicine | 235 Medical Blvd, Suite A, Stockbridge, GA 30281-7218 | 2005-07-13 |
| 1831274034 | Advanced Digestive Care Center,p.c. | Internal Medicine | 235 Medical Blvd, Suite A, Stockbridge, GA 30281-7218 | 2006-10-26 |
| 1528161437 | Abdulfatai Olaolu Odemuyiwa | Internal Medicine | 235 Medical Blvd, Suite B, Stockbridge, GA 30281-7218 | 2006-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164039095 | Colette Alls | Social Worker | 447 Lakeshore Dr, Stockbridge, GA 30281 | 2020-09-24 |
| 1982216800 | Pediatric and Family Behavioral Health of Georgia | Counselor | 1004 Ulster Court, Stockbridge, GA 30281 | 2020-08-21 |
| 1518577659 | Qunique Taveka Toxey | Behavior Technician | 115 N Park Trail, Suite 123, Stockbridge, GA 30281 | 2020-08-04 |
| 1497377675 | Melanie Harvey | Pharmacist | 4467 North Henry Boulevard, Stockbridge, GA 30281 | 2020-05-11 |
| 1114550571 | Cecile Maria Dunkley Layne | Counselor | 255 Corporte Drive, Stockbridge, GA 30281 | 2020-02-13 |
| 1306407143 | Palliative Care of Georgia. LLC | Home Health | 275 Corporate Center Court Ste C, Stockbridge, GA 30281 | 2019-06-24 |
| 1154883791 | Aaliyah Nura Fardan-alexander | Nurse's Aide | 105 Singletree, Stockbridge, GA 30281 | 2019-04-02 |
| 1306306261 | Prosthetic Care, Inc. | Prosthetic/Orthotic Supplier | 150 County Club Drive, Suite 200, Stockbridge, GA 30281 | 2019-03-25 |
| 1356814172 | Kristina Louissaint | Nurse Practitioner | 650 Country Club Dr, Stockbridge, GA 30281 | 2019-01-03 |
| 1942789284 | Cameren Barnes | Physical Therapist | 5473 N Henry Blvd, Stockbridge, GA 30281 | 2018-08-08 |
| Find all providers in zip 30281 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194274951 | Kelly Rich Family Medicine | Clinic/Center | 1215 Eagles Landing Pkwy, Suite 211, Stockbridge, GA 30281-7279 | 2016-09-22 |
| 1508139031 | Strong Wellness Center LLC | Clinic/Center | 1100 Eagles Landing Pkwy, Suite B, Stockbridge, GA 30281-9105 | 2012-02-14 |
| 1407017163 | The Kids Specialists, Henry Pediatrics | Clinic/Center | 1215 Eagles Landing Pkwy, Ste.108/109, Stockbridge, GA 30281-7279 | 2008-06-24 |
| 1740407550 | Eagles Landing Pediatric Associates LLC | Clinic/Center | 1101 Hospital Dr, Suite 210, Stockbridge, GA 30281-9075 | 2007-04-20 |
| 1124051636 | Stockbridge Family Care Center | Clinic/Center | 1231 Eagles Landing Pkwy, Suite A, Stockbridge, GA 30281-5013 | 2006-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942809108 | Lexington Primary Care LLC | Clinic/Center | 777 Athens Rd, Lexington, GA 30648-1902 | 2020-10-20 |
| 1619575834 | The Iv Spot, LLC. | Clinic/Center | 2100 Parklake Dr Ne # C-5, Atlanta, GA 30345-2824 | 2020-10-09 |
| 1528673514 | Safe Haven Medical Services | Clinic/Center | 444 Racetrack Rd, Mcdonough, GA 30252-6837 | 2020-09-15 |
| 1780296533 | North Atlanta Mental Wellness | Clinic/Center | 1742 Mount Vernon Rd Ste 150b, Atlanta, GA 30338-4251 | 2020-08-21 |
| 1639788136 | Walker Health and Wellness LLC | Clinic/Center | 111 Bradford Dr, Bloomingdale, GA 31302-4926 | 2020-07-30 |
| 1942827332 | Primary Care of Coastal Georgia | Clinic/Center | 214a Professional Cir, St Marys, GA 31558 | 2020-07-01 |
| 1598389637 | Mercie Health | Clinic/Center | 3721 New Macland Rd Ste 246, Powder Springs, GA 30127-2000 | 2020-06-04 |
| 1366061699 | Beyondmed LLC | Clinic/Center | 1820 Willow Branch Ln Nw, Kennesaw, GA 30152-4558 | 2020-04-16 |
| 1366082596 | Rock Health Inc | Clinic/Center | 5385 Five Forks Trickum Rd Ste F, Stone Mountain, GA 30087-3018 | 2020-01-15 |
| 1477192219 | Meridian Corporate Healthcare of Georgia P C | Clinic/Center | 5163 Thompson Bridge Rd, Murrayville, GA 30564-1930 | 2019-12-26 |
| Find all providers with the same taxonomy | ||||
| City | STOCKBRIDGE |
| Zip Code | 30281 |
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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.