HISPANIC MEDICAL MANAGEMENT (NPI# 1730309022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730309022 |
| Entity Type | Organization |
| Organization Name | HISPANIC MEDICAL MANAGEMENT |
| Other Organization Name | CLINICA DE LA MAMA |
| Practice Address |
5127 Jimmy Carter Blvd Norcross GA 30093-1619 |
| Mailing Address |
4140 Jonesboro Rd Forest Park GA 30297-1038 |
| Practice Telephone | 7706130070 |
| Practice Fax Number | 7706130990 |
| Mailing Telephone | 4046087123 |
| Mailing Fax Number | 7706130990 |
| Enumeration Date | 2007-04-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JESSE COTA (CFO) |
| Authorized Official Telephone | 7706130070 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| Other Name | Type Code |
|---|---|
| CLINICA DE LA MAMA | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740313196 | Hispanic Medical Management | Clinical Medical Laboratory | 706 Grayson Hwy, Suite 213, Lawrenceville, GA 30045-5707 | 2007-03-14 |
| 1104959485 | Hispanic Medical Management | Clinical Medical Laboratory | 5127 Jimmy Carter Blvd, Norcross, GA 30093-1619 | 2007-03-14 |
| 1447470737 | Hispanic Medical Management | Clinical Medical Laboratory | 5127 Jimmy Carter Blvd, Norcross, GA 30093-1619 | 2007-04-27 |
| 1821218116 | Hispanic Medical Management | Clinical Medical Laboratory | 5127 Jimmy Carter Blvd, Norcross, GA 30093-1619 | 2007-04-27 |
| Street Address |
5127 JIMMY CARTER BLVD |
| City | NORCROSS |
| State | GA |
| Zip Code | 30093-1619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104959485 | Hispanic Medical Management | Clinical Medical Laboratory | 5127 Jimmy Carter Blvd, Norcross, GA 30093-1619 | 2007-03-14 |
| 1205196235 | Deborah Gooden Adams Bowman | Physician Assistant | 5127 Jimmy Carter Blvd, Norcross, GA 30093-1619 | 2012-05-24 |
| 1447470737 | Hispanic Medical Management | Clinical Medical Laboratory | 5127 Jimmy Carter Blvd, Norcross, GA 30093-1619 | 2007-04-27 |
| 1821218116 | Hispanic Medical Management | Clinical Medical Laboratory | 5127 Jimmy Carter Blvd, Norcross, GA 30093-1619 | 2007-04-27 |
| 1922125574 | Southside Medical Center, Inc. | Clinic/Center | 5127 Jimmy Carter Blvd, Norcross, GA 30093-1619 | 2007-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013517465 | Tequila Olivia Banks | Counselor | 8303 Dunleaf Arc Way Nw, Norcross, GA 30093 | 2020-10-27 |
| 1922643485 | Anthony Ervin | Case Manager/Care Coordinator | 6251 Smithpoint Dr. Bldg B, Peachtree Corners, GA 30093 | 2019-11-08 |
| 1164908885 | Marianne Altares | Speech-Language Pathologist | 1709 Oakbrook Lake Dr, Norcross, GA 30093 | 2018-07-16 |
| 1518480763 | Braces Now 14, LLC | Dentist | 4141 Steve Reynolds Blvd, Suite 2, Norcross, GA 30093 | 2017-07-19 |
| 1457802902 | Audrey Fernandes | Dentist | 4846 Jimmy Carter Blvd, Suite 203, Norcross, GA 30093 | 2016-10-19 |
| 1922456318 | Diana Lleras | Counselor | 6020 Dawson Bld Suite I, Norcross, GA 30093 | 2016-05-26 |
| 1376941500 | Katerine Velez | Counselor | 6020 Dawson Blvd., Siute I, Norcross, GA 30093 | 2014-12-22 |
| 1679979017 | Allison Ballay Donnelly | Speech-Language Pathologist | 1626 Jeurgens Ct., Norcross, GA 30093 | 2014-11-12 |
| 1588913701 | Sunrise Pharmacy | Pharmacy | 1235 Indian Trail Rd, Suite 200a, Norcross, GA 30093 | 2012-09-04 |
| 1821347154 | Shakirah Forde | Counselor | 1770 Indian Trail Lilburn Rd Ste 120, Norcross, GA 30093 | 2012-08-31 |
| Find all providers in zip 30093 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912481508 | Next Genomix Laboratories, Inc | Clinical Medical Laboratory | 6270 Mcdonough Dr Ste G, Norcross, GA 30093-1242 | 2018-09-19 |
| 1972049682 | Jean-francois Toure | Clinical Medical Laboratory | 5680 Oakbrook Pkwy Ste 100, Norcross, GA 30093-1841 | 2017-01-19 |
| 1710386578 | Six Oaks Consulting LLC | Clinical Medical Laboratory | 1180 Beaver Ruin Rd, Norcross, GA 30093-6801 | 2014-08-18 |
| 1104959485 | Hispanic Medical Management | Clinical Medical Laboratory | 5127 Jimmy Carter Blvd, Norcross, GA 30093-1619 | 2007-03-14 |
| 1336761923 | Majl Diagnostic Laboratories LLC | Clinical Medical Laboratory | 6290 Mcdonough Dr Ste D, Norcross, GA 30093-1291 | 2020-05-18 |
| 1437661592 | Cnu Medical LLC | Clinical Medical Laboratory | 5855 Jimmy Carter Blvd Ste 190, Norcross, GA 30071-4610 | 2017-10-30 |
| 1871024273 | 360 Laboratories, LLC | Clinical Medical Laboratory | 1180 Beaver Ruin Rd, Suite A, Norcross, GA 30093-6801 | 2017-03-27 |
| 1447470737 | Hispanic Medical Management | Clinical Medical Laboratory | 5127 Jimmy Carter Blvd, Norcross, GA 30093-1619 | 2007-04-27 |
| 1821218116 | Hispanic Medical Management | Clinical Medical Laboratory | 5127 Jimmy Carter Blvd, Norcross, GA 30093-1619 | 2007-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639777899 | White Coat Sciences LLC | Clinical Medical Laboratory | 315 Bankhead Hwy Ste A, Carrollton, GA 30117-2487 | 2020-10-11 |
| 1851998264 | P23 Labs, LLC | Clinical Medical Laboratory | 7426 Hodgson Memorial Dr, Savannah, GA 31406-2609 | 2020-10-08 |
| 1871190686 | Allegiant Solutions LLC | Clinical Medical Laboratory | 3312 N Oak Street Ext Ste G, Valdosta, GA 31605-1065 | 2020-10-05 |
| 1184221376 | Darlene Gordon | Clinical Medical Laboratory | 9100 White Bluff Rd Ste 106, Savannah, GA 31406-4673 | 2020-10-01 |
| 1841807849 | Gold Coast Diagnostics, LLC | Clinical Medical Laboratory | 4390 Governor's Drive, 407, Forest Park, GA 30297-3029 | 2020-09-24 |
| 1154936979 | Achilles Healthcare LLC | Clinical Medical Laboratory | 6183 Indian Wood Cir Se, Mableton, GA 30126-2964 | 2020-09-09 |
| 1033737382 | Community Health and Wellness Lab | Clinical Medical Laboratory | 1039 Ridge Ave Sw, Atlanta, GA 30315-1601 | 2020-07-13 |
| 1497371744 | Gamma Laboratories, LLC | Clinical Medical Laboratory | 270 Carpenter Dr Ste 690, Sandy Springs, GA 30328-4931 | 2020-06-23 |
| 1346864592 | Omega Genomix, LLC | Clinical Medical Laboratory | 200 Washington St Nw Ste C, Gainesville, GA 30501-3622 | 2020-06-03 |
| 1467072231 | Ft Medical Group, LLC | Clinical Medical Laboratory | 777 Cleveland Ave Sw Ste 516, Atlanta, GA 30315-7115 | 2020-04-22 |
| 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.