DR. PAMELA GROSS (NPI# 1689867814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689867814 |
| Entity Type | Individual |
| Full Name | DR. PAMELA GROSS |
| Practice Address |
219 Missionary Dr Decatur GA 30030-3842 |
| Practice Telephone | 4043291085 |
| Enumeration Date | 2007-08-21 |
| Last Update Date | 2011-08-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 042589 | GA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407065519 | Pamela H. Gross | Psychologist | 1729 Dutch Valley Rd, Clinton, TN 37716-5116 | 2007-05-22 |
| 1871705608 | Pamela S Gross | Social Worker | 12 N State St, Ripley, NY 14775-9762 | 2007-05-04 |
| 1659495117 | Pamela Gail Gross | Family Medicine | 4700 Las Vegas Blvd N, Mike O'callaghan Federal Hospital, Las Vegas, NV 89191-6600 | 2007-03-19 |
| Street Address |
219 MISSIONARY DR |
| City | DECATUR |
| State | GA |
| Zip Code | 30030-3842 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801413174 | Pa-c Surgical Assist, LLC | Clinic/Center | 520 W Ponce Leon Ave #1706, Decatur, GA 30030 | 2020-07-02 |
| 1417587478 | Elizabeth Heffron | Acupuncturist | 619b East College Avenue, Decatur, GA 30030 | 2020-01-17 |
| 1669016143 | Atlanta Upper Cervical Chiropractic LLC | Chiropractor | 125 E Trinity Place, Suite #247, Decatur, GA 30030 | 2019-10-29 |
| 1831757418 | Jessica Stewart | Counselor | 755 Commerce Dr Ste 903, Decatur, GA 30030 | 2019-05-30 |
| 1699238733 | Dinah Augustin | Registered Nurse | 1458 Church St., Unit B, Decatur, GA 30030 | 2019-04-06 |
| 1093284291 | Eliza Segell | Social Worker | 165 Dekalb Industrial Way Ste D-1, Decatur, GA 30030 | 2018-11-16 |
| 1912476466 | Positive Impact Health Centers, Inc. | Pharmacy | 523 Church Street, Suite B, Decatur, GA 30030 | 2018-11-14 |
| 1932685096 | T2 Imaging | Radiology | 1376 Church Street, Suite 100, Decatur, GA 30030 | 2018-07-12 |
| 1992292858 | Keeanna M Powell | Counselor | Agape Transformation Practice, 235 E. Ponce De Leon Ave Suite 103, Decatur, GA 30030 | 2018-04-17 |
| 1780185488 | Solutions Ae Inc | Counselor | One West Square Court, Suite 710, Decatur, GA 30030 | 2018-02-27 |
| Find all providers in zip 30030 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972032076 | Martha F Rogers | General Practice | 411 S Mcdonough St, Decatur, GA 30030-3721 | 2017-06-12 |
| 1982910089 | American Family Care, Inc. | General Practice | 2604 Highway 31 S, Decatur, AL 35603-1506 | 2010-08-26 |
| 1780990200 | James E Posey Jr. | General Practice | 801 Church St Ne, 14, Decatur, AL 35601-2472 | 2010-08-21 |
| 1790011823 | Fred Louis Stallings | General Practice | 4289 Wyndham Park Dr, Decatur, GA 30034-5463 | 2009-10-23 |
| 1760673537 | Alpha Medical Center LLC | General Practice | 619 E College Ave Ste C1, Decatur, GA 30030-5326 | 2007-08-07 |
| 1073739579 | Nevorn Askari | General Practice | 1836 Second Ave, Decatur, GA 30032-3970 | 2007-04-17 |
| 1073667127 | Sue Kim Lee | General Practice | 2199 N Decatur Road, Ste 3, Decatur, GA 30033 | 2007-01-23 |
| 1124013495 | Amina Hassanali | General Practice | 1829 Lawrenceville Hwy, Decatur, GA 30033-5728 | 2005-09-13 |
| 1366927741 | Song Kang | General Practice | 320 E Central Ave, Decatur, IL 62521-4665 | 2018-10-01 |
| 1750787438 | Decatur Weightloss & Pain Center LLC | General Practice | 1685 Church St, Suite 207, Decatur, GA 30033-5901 | 2014-11-07 |
| Find all providers in DECATUR | ||||
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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.