CHINEDUM IKPE CLARK (NPI# 1740443902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740443902 |
| Entity Type | Individual |
| Full Name | CHINEDUM IKPE CLARK |
| Credential | M.D. |
| Practice Address |
745 Poplar Rd Newnan GA 30265-1618 |
| Mailing Address |
120 Elenor Dr Fayetteville GA 30215-2051 |
| Practice Telephone | 7704001152 |
| Mailing Telephone | 4045457732 |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2016-10-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 66121 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
745 POPLAR RD |
| City | NEWNAN |
| State | GA |
| Zip Code | 30265-1618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386697944 | Karen Potts-hammond | Physician Assistant | 745 Poplar Rd, Newnan, GA 30265-1618 | 2006-05-17 |
| 1003414582 | Marcus Stephen Wilbanks | Registered Nurse | 745 Poplar Rd, Newnan, GA 30265-1618 | 2020-10-15 |
| 1386241362 | Kurt Louis Wahnschaff | Registered Nurse | 745 Poplar Rd, Newnan, GA 30265-1618 | 2020-10-03 |
| 1831703206 | Bhavika J Rana | Nurse Practitioner | 745 Poplar Rd, Newnan, GA 30265-1618 | 2020-09-03 |
| 1942812318 | Graham Thomas Kittrell | Student in an Organized Health Care Education/Training Program | 745 Poplar Rd, Newnan, GA 30265-1618 | 2020-08-18 |
| 1902421548 | Seema Patel | Pharmacist | 745 Poplar Rd, Newnan, GA 30265-1618 | 2020-06-09 |
| 1316567928 | David Sanchez | Registered Nurse | 745 Poplar Rd, Newnan, GA 30265-1618 | 2020-04-23 |
| 1104446210 | Cody Brennan Keeth | Registered Nurse | 745 Poplar Rd, Newnan, GA 30265-1618 | 2020-04-17 |
| 1790304012 | Jessica Brand | Registered Nurse | 745 Poplar Rd, Newnan, GA 30265-1618 | 2020-04-16 |
| 1174168280 | Erin Vise | Registered Nurse | 745 Poplar Rd, Newnan, GA 30265-1618 | 2019-11-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265041537 | Shiva Bazargan | Pharmacist | 3116 Sr 34 West, Newnan, GA 30265 | 2020-07-23 |
| 1992322549 | Doctorsbeyond Inc. | Clinic/Center | 277 Skyview Court, Newnan, GA 30265 | 2020-06-30 |
| 1225652936 | Jerrica Conyers | Nurse Practitioner | 1635 Highwat 34 East Suite C, Newnan, GA 30265 | 2020-05-29 |
| 1982234688 | Morgan Elizabeth Bross | Physician Assistant | 1825 Ga- 34, Newnan, GA 30265 | 2020-01-22 |
| 1013553379 | Hopebridge LLC | Behavior Technician | 2147 Newnan Crossing Boulevard East, Newnan, GA 30265 | 2019-11-21 |
| 1518528116 | Stepping Stones Psychiatric Care LLC | Nurse Practitioner | 3025 Sharpsburg Mccullum Rd, Building B Suite 103, Newnan, GA 30265 | 2019-06-25 |
| 1356823363 | Stephen William Jacon | Specialist/Technologist | 29 Muirfield Court, Newnan, GA 30265 | 2018-09-05 |
| 1881176832 | Blueprint Psychiatry, LLC | Psychiatry & Neurology | 1601 Highway 34 E Ste A, Newnan, GA 30265 | 2018-09-05 |
| 1548790769 | Timothy Collins | Physical Therapist | 1755 Ga-34, Suite 1300, Rehab Department, Newnan, GA 30265 | 2017-06-20 |
| 1497289748 | Edible Health & Wellness,llc | Clinic/Center | 90f Glenda Trace Pmb 318, Newnan, GA 30265 | 2017-04-13 |
| Find all providers in zip 30265 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659588762 | Richard Glenn Spurlock Jr. | Emergency Medicine | 931 Lower Fayetteville Rd, Newnan, GA 30263-5790 | 2007-05-17 |
| 1134775851 | Alexandra Lynn Otto | Emergency Medicine | 1825 Highway 34 E Ste 1200, Newnan, GA 30265-6416 | 2019-08-19 |
| 1972779262 | Christopher Morgan | Emergency Medicine | 1825 Highway 34 E, Suite 1200, Newnan, GA 30265-6423 | 2008-05-06 |
| 1477736437 | Ann P D'adamo | Emergency Medicine | 60 Hospital Rd, Newnan, GA 30263-1210 | 2007-12-13 |
| 1942343405 | Wellstreet of Georgia PC | Emergency Medicine | 1755 Highway 34 E, Suite 2150, Newnan, GA 30265-5631 | 2007-02-15 |
| 1962553180 | Coweta Emergency Physicians, LLC | Emergency Medicine | 60 Hospital Rd, Newnan, GA 30263-1210 | 2007-01-15 |
| 1194804427 | Barry Morgan | Emergency Medicine | 1755 Highway 34 E, Suite 2400, Newnan, GA 30265-5631 | 2006-11-06 |
| 1568470961 | Matthew J Gimpert | Emergency Medicine | 745 Poplar Road, Newnan, GA 32605-1618 | 2006-08-03 |
| 1548290232 | Gerald Luther Filmore | Emergency Medicine | 60 Hospital Rd, Newnan, GA 30263-1210 | 2006-07-05 |
| 1225014038 | Kimberly A. Hall-moore | Emergency Medicine | 60 Hospital Rd, Newnan, GA 30263-1210 | 2005-12-22 |
| Find all providers in NEWNAN | ||||
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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.