MEDICAL CENTRE OF CONYERS (NPI# 1710946371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710946371 |
| Entity Type | Organization |
| Organization Name | MEDICAL CENTRE OF CONYERS |
| Practice Address |
1445 Old Mcdonough Hwy Se Ste E Conyers GA 30094-5977 |
| Practice Telephone | 7709229222 |
| Practice Fax Number | 7709228794 |
| Mailing Telephone | 7709229222 |
| Mailing Fax Number | 7709228794 |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2014-12-22 |
| Authorized Official Name | STEPHEN F FELTON (PRESIDENT) |
| Authorized Official Telephone | 7709229222 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Street Address |
1445 OLD MCDONOUGH HWY SE STE E |
| City | CONYERS |
| State | GA |
| Zip Code | 30094-5977 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841285327 | Stephen F Felton | Family Medicine | 1445 Old Mcdonough Hwy Se Ste E, Conyers, GA 30094-5977 | 2005-09-12 |
| 1275053340 | Deveane Tatanya Atkinson | Registered Nurse | 1445 Old Mcdonough Hwy Se Ste E, Conyers, GA 30094 | 2017-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164029054 | Darlene Fletcher | Counselor | 827 St. Clair Dr., Conyers, GA 30094 | 2020-10-05 |
| 1194363366 | Clara A Matthews | Physician Assistant | 1930 Windsor Creek Drive Sw, Conyers, GA 30094 | 2019-12-18 |
| 1659838571 | Sensitive Home Care Agency Inc. | PACE Provider Organization | 2225 Morning Dew, Conyers, GA 30094 | 2019-02-27 |
| 1679097992 | Sheira Dennis | Case Management | 3828 Martingale Dr Se, Conyers, GA 30094 | 2017-07-28 |
| 1730571399 | Wellness and Trauma Recovery Center | Counselor | 1775 Parker Rd. Building C, Suite 210, Conyers, GA 30094 | 2015-02-19 |
| 1760870612 | Michael Terrell | Technician/Technologist | 806 Cambridge Creek Dr, Conyers, GA 30094 | 2014-12-30 |
| 1538567466 | Jennifer Angela Johnson | Registered Nurse | 2240 Wren Rd Se, Conyers, GA 30094 | 2014-12-09 |
| 1225445208 | Wanda Marcella Rainey-reed | Counselor | 1453 Klondike Rd Sw Ste D, Conyers, GA 30094 | 2014-07-22 |
| 1508155268 | Nicklaus Trent Rice | Obstetrics & Gynecology | 2750 Owens Dr, Conyers, GA 30094 | 2011-04-04 |
| 1720219660 | Candace Alexander | Dentist | 863 Flat Shoals Rd Se, Suite C #220, Conyers, GA 30094 | 2009-07-27 |
| Find all providers in zip 30094 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740808773 | All Test Services | Clinic/Center | 575 Sigman Rd Ne, Conyers, GA 30013-1311 | 2020-07-07 |
| 1780958835 | Proactive Healthcare Solutions, LLC | Clinic/Center | 2434 Wall St Se, Suite A, Conyers, GA 30013-6760 | 2012-03-06 |
| 1992997571 | American Current Care Pa | Clinic/Center | 1157 West Ave, Suite B, Conyers, GA 30012 | 2007-08-16 |
| 1720536584 | Atlanta Neuro Care | Clinic/Center | 1372 Wellbrook Cir Ne, Conyers, GA 30012-3872 | 2016-09-21 |
| 1225321508 | Southern Cross Surgery Center, LLC | Clinic/Center | 1301 Sigman Rd Ne, Suite 120, Conyers, GA 30012-3812 | 2011-05-19 |
| 1780989913 | Rodney A West, Dc, LLC | Clinic/Center | 921 Commercial St Ne, Conyers, GA 30012-4512 | 2011-01-19 |
| 1831363670 | Mark Shurett Dds PC | Clinic/Center | 1806 Over Lake Dr Se, Conyers, GA 30013-1745 | 2008-04-14 |
| 1558535393 | Mark Shurett Dds PC | Clinic/Center | 1806 Over Lake Dr Se, Conyers, GA 30013-1745 | 2008-04-14 |
| 1497928188 | Rediclinic Us, LLC | Clinic/Center | 1436 Dogwood Dr Se, Conyers, GA 30013-5098 | 2008-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578820 | Pinpoint Covid Testing Inc | Clinic/Center | 3075 Tower Rd Ste A, Columbus, GA 31909-2537 | 2020-11-04 |
| 1194331439 | Shittu Family Practice,llc | Clinic/Center | 11679 Bruce Dr, Hampton, GA 30228-4008 | 2020-09-22 |
| 1154937050 | Staywellatl,llc | Clinic/Center | 2550 Heritage Ct Se Ste 135, Atlanta, GA 30339-3528 | 2020-09-17 |
| 1164035564 | The Lotus Haven PC | Clinic/Center | 950 Dannon Vw Sw Ste 4101, Atlanta, GA 30331-2159 | 2020-08-25 |
| 1518585868 | Robin June Dc, LLC | Clinic/Center | 400 Embassy Row Ste 110, Sandy Springs, GA 30328-5723 | 2020-07-13 |
| 1134741580 | Knowles Exams & More | Clinic/Center | 123 Glyndale Dr Ste 107, Brunswick, GA 31520-1404 | 2020-05-08 |
| 1558981985 | Elite Mens' Health, LLC | Clinic/Center | 3361 Nottinghill Ln, Valdosta, GA 31605-5874 | 2020-04-27 |
| 1447886320 | Momentum Rehab & Therapy | Clinic/Center | 5349 Snapfinger Woods Dr, Decatur, GA 30035-4028 | 2020-03-23 |
| 1073146759 | Transitional Care Clinic LLC | Clinic/Center | 2084 Newnan Crossing Blvd E Ste 300, Newnan, GA 30265-2561 | 2020-02-20 |
| 1801429105 | Pt Hills Place Terraces LLC | Clinic/Center | 229 Peachtree Hills Ave Ne, Atlanta, GA 30305-4411 | 2020-02-15 |
| Find all providers with the same taxonomy | ||||
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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.