EAGLES LANDING PEDIATRIC ASSOCIATES LLC (NPI# 1740407550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740407550 |
| Entity Type | Organization |
| Organization Name | EAGLES LANDING PEDIATRIC ASSOCIATES LLC |
| Practice Address |
1101 Hospital Dr Suite 210 Stockbridge GA 30281-9075 |
| Practice Telephone | 6782890103 |
| Practice Fax Number | 6782890171 |
| Mailing Telephone | 6782890103 |
| Mailing Fax Number | 6782890171 |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | STEVEN WAYNE LEARD (OWNERPHYSICIAN) |
| Authorized Official Telephone | 6782890103 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
040449 | GA | Ambulatory Health Care Facilities |
| Street Address |
1101 HOSPITAL DR SUITE 210 |
| City | STOCKBRIDGE |
| State | GA |
| Zip Code | 30281-9075 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902802689 | Blanca Ileana Durand | Otolaryngology | 1101 Hospital Dr, Ste 100a, Stockbridge, GA 30281-9076 | 2005-06-27 |
| 1336344142 | Wendy M Harris | Nurse Practitioner | 1101 Hospital Dr, Suite 100a, Stockbridge, GA 30281-9075 | 2007-06-20 |
| 1497836456 | Arthritis Research & Treatment Center | Internal Medicine | 1101 Hospital Dr, Suite 200, Stockbridge, GA 30281-9075 | 2006-10-18 |
| 1154331676 | Andrea Hood Stack | Audiologist | 1101 Hospital Dr, Suite 100a, Stockbridge, GA 30281-9075 | 2006-08-08 |
| 1376565887 | Christina Zane Luczynski | Audiologist | 1101 Hospital Dr, Suite 100a, Stockbridge, GA 30281-9075 | 2006-07-24 |
| 1841281391 | Southern Crescent Ent, P.C. | Otolaryngology | 1101 Hospital Dr, Suite 100a, Stockbridge, GA 30281-9075 | 2005-11-03 |
| 1093706426 | Steven W Leard | Pediatrics | 1101 Hospital Dr, Suite 210, Stockbridge, GA 30281-9075 | 2005-11-03 |
| 1780680462 | Michael Anthony Avidano | Otolaryngology | 1101 Hospital Dr, Ste 100a, Stockbridge, GA 30281-9076 | 2005-06-27 |
| 1598761280 | Harold William Moss | Otolaryngology | 1101 Hospital Dr, Ste 100a, Stockbridge, GA 30281-9076 | 2005-06-27 |
| 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 |
| 1669658829 | Advanced Internal Medicine | Clinic/Center | 235 Medical Blvd, Suite B, Stockbridge, GA 30281-7218 | 2008-01-17 |
| 1124051636 | Stockbridge Family Care Center | Clinic/Center | 1231 Eagles Landing Pkwy, Suite A, Stockbridge, GA 30281-5013 | 2006-07-08 |
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|---|---|---|---|---|
| 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 |
Please comment or provide details below to improve the information on EAGLES LANDING PEDIATRIC ASSOCIATES LLC.
| 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.