MR. MICHAEL TYRONE DOUGLAS (NPI# 1679535397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679535397 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL TYRONE DOUGLAS |
| Credential | M.S. A.T.C. |
| Practice Address |
101 Marietta St Nw Atlanta GA 30303-2720 |
| Mailing Address |
152 Fulton Way Se Atlanta GA 30312-2916 |
| Practice Telephone | 4042469770 |
| Mailing Telephone | 4042469770 |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2015-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT001037 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437203544 | Michael Kirk Douglas | Counselor | 1303 Kent Avenue, Baltimore, MD 21207-4828 | 2007-01-23 |
| 1932296373 | Michael Douglas | Internal Medicine | 1920 Gunbarrel Rd, Suite 110, Chattanooga, TN 37421-3100 | 2006-10-06 |
| 1902907454 | Michael Lee Douglas | Family Medicine | 1110 Bergslien Street, Baldwin, WI 54002 | 2006-09-26 |
| 1407853088 | Michael L Douglas | Chiropractor | 4140 Nw 12th St, Lauderhill, FL 33313-5816 | 2005-06-28 |
| 1497246011 | Michael Douglas II | Case Manager/Care Coordinator | 2116 Justice St, Monroe, LA 71201-3618 | 2018-05-21 |
| 1639523665 | Michael Stephen Douglas | Anesthesiology | 11234 Anderson St, Department of Anesthesiology, Loma Linda, CA 92354 | 2016-04-15 |
| 1972908770 | Michael Douglas Jr. | Counselor | 1845 Grandstand Place, Elgin, IL 60123 | 2014-10-23 |
| 1902169543 | Michael L Douglas | Urology | 425 Bmh Physicians Office Bldg, Maryville, TN 37804 | 2012-06-19 |
| 1841572856 | Michael Anthony Douglas | Counselor | 4760 Sepulveda Blvd, Culver City, CA 90230-4820 | 2011-09-15 |
| 1659679785 | Michael L Douglas | Counselor | 1523 N Boston Pl, Tulsa, OK 74106-4103 | 2011-03-14 |
| Street Address |
101 MARIETTA ST NW |
| City | ATLANTA |
| State | GA |
| Zip Code | 30303-2720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376516617 | Walter R Blase | Specialist | 101 Marietta St Nw, Suite 1900, Atlanta, GA 30303-2720 | 2006-02-08 |
| 1770049918 | Monica Osayi | Nurse Practitioner | 101 Marietta St Nw, Atlanta, GA 30303-2720 | 2019-02-12 |
| 1376098731 | Chantal Maxene Lajeunesse | Registered Nurse | 101 Marietta St Nw, Atlanta, GA 30303-2720 | 2016-08-15 |
| 1134594351 | Carlene Mceachron | Nurse Practitioner | 101 Marietta St Nw, Ste 350, Atlanta, GA 30303-2720 | 2015-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811597461 | Nanoresearch, Inc | Point of Service | 58 Edgewood Ave Ne, Suite 122, Collabtech., Gsu, Atlanta, GA 30303 | 2020-10-31 |
| 1952917155 | Alesha Deshay Elbert | Behavior Technician | 206 Peachstreet Ne Suite 2200, Atlanta, GA 30303 | 2020-09-22 |
| 1033759386 | Mark Bush | Case Manager/Care Coordinator | 50 Hurt Plaza Se Suite 1108, Atlanta, GA 30303 | 2020-01-14 |
| 1053965855 | Patrice Munsel Henry | Nurse Practitioner | 80 Jessie Hill Drive Se, Atlanta, GA 30303 | 2019-07-30 |
| 1356826564 | United States Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 260 Peachtree Street Nw, Suite 2200, Office 2228, Atlanta, GA 30303 | 2018-10-03 |
| 1336645290 | Joseph Bahng | Student in an Organized Health Care Education/Training Program | 69 Jesse Hill Jr Drive Se, Glenn Building, 4th Floor - 412b, Atlanta, GA 30303 | 2018-03-31 |
| 1841704707 | Amber Peach LLC | Family Medicine | 260 Peachtree St Nw Suite 2200, Atlanta, GA 30303 | 2017-11-29 |
| 1447778089 | Jasmine Williams | Behavioral Analyst | 260 Peachtree Street Nw, Suite 2200, Atlanta, GA 30303 | 2017-09-05 |
| 1982138236 | Mahek Dossani | Behavior Technician | 260 Peachtree Street Nw, Suite 2200, Atlanta, GA 30303 | 2017-04-13 |
| 1255872420 | Alexis Annick Auger | Behavior Technician | 260 Peachtree St. Nw, Suite 2200, Atlanta, GA 30303 | 2017-03-20 |
| Find all providers in zip 30303 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376157933 | Jesus E Aviles | Specialist/Technologist | 755 Battery Ave Se, Atlanta, GA 30339-3017 | 2020-09-01 |
| 1407467590 | Samantha Jean Libby | Specialist/Technologist | 2550 Akers Mill Rd Se Apt F14, Atlanta, GA 30339-3271 | 2020-08-12 |
| 1063033033 | Katelynn Moore | Specialist/Technologist | 805 Mt Vernon Hwy Nw, Atlanta, GA 30327-4338 | 2020-04-30 |
| 1427689017 | Lorraine Kelly Mccall | Specialist/Technologist | 2241 Jernigan Dr Se, Atlanta, GA 30315-7557 | 2020-02-01 |
| 1962049577 | Yoichiro Shimada | Specialist/Technologist | 4222 Rickenbacker Dr Ne Unit 14, Atlanta, GA 30342-3768 | 2019-12-02 |
| 1245882398 | Jaycie Gail Emery | Specialist/Technologist | 5385 Peachtree Dunwoody Rd Apt 803, Atlanta, GA 30342-2167 | 2019-07-09 |
| 1053973313 | Robert Chavis | Specialist/Technologist | 150 Bobby Dodd Way Edge Building Athletic Training Room, Atlanta, GA 30332-0001 | 2019-07-07 |
| 1649832403 | Sarah Twomey | Specialist/Technologist | 1100 Circle 75 Pkwy Se Ste 1400, Atlanta, GA 30339-3067 | 2019-07-02 |
| 1881159028 | Brandon Norris Spires | Specialist/Technologist | 6000 S Terminal Pkwy, Atlanta, GA 30344 | 2019-02-01 |
| 1083181341 | Erin Cole | Specialist/Technologist | Lakewood Ave Se, Atlanta, GA 30315 | 2018-10-25 |
| 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.