THE EMORY CLINIC (NPI# 1740547033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740547033 |
| Entity Type | Organization |
| Organization Name | THE EMORY CLINIC |
| Practice Address |
101 W Ponce De Leon Ave Decatur GA 30030-2542 |
| Practice Telephone | 4047787988 |
| Practice Fax Number | 4047784509 |
| Mailing Telephone | 4047787988 |
| Mailing Fax Number | 4047784509 |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2012-04-12 |
| Authorized Official Name | TIFFANY CHASE (PATIENT ACCOUNT ANALYST) |
| Authorized Official Telephone | 4047787988 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | Managed Care Organizations |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285912600 | The Emory Clinic | Clinic/Center | 1805 Vernon Rd, Suite C, Ambulatory Surgery Center, Lagrange, GA 30240-3871 | 2011-08-02 |
| Street Address |
101 W PONCE DE LEON AVE |
| City | DECATUR |
| State | GA |
| Zip Code | 30030-2542 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366516304 | James Mitchell Hughes | Internal Medicine | 101 W Ponce De Leon Ave, Suite 300, Decatur, GA 30030-2528 | 2006-11-20 |
| 1811329204 | Sharon Christina Benton | Nurse Practitioner | 101 W Ponce De Leon Ave, #242, Decatur, GA 30030-2542 | 2013-08-07 |
| 1013251859 | Tammy Vardeman Aguilar | Nurse Practitioner | 101 W Ponce De Leon Ave, Suite #242, Decatur, GA 30030-2542 | 2012-11-17 |
| 1306112511 | Erika Phindile Chowa | Emergency Medicine | 101 W Ponce De Leon Ave, Annex Building, Decatur, GA 30030-2542 | 2012-04-02 |
| 1629345798 | Kathryn Lisa Bennett | Nurse Practitioner | 101 W Ponce De Leon Ave, #242, Decatur, GA 30030-2542 | 2011-11-17 |
| 1831492438 | Hallie Turkish Brinn | Nurse Practitioner | 101 W Ponce De Leon Ave, Decatur, GA 30030-2542 | 2010-12-21 |
| 1851606487 | Jessica Ross | Nurse Practitioner | 101 W Ponce De Leon Ave, Suite 242, Decatur, GA 30030-2542 | 2010-08-06 |
| 1720285653 | The Emory Clinic Pediatric Providers | Anesthesiology | 101 W Ponce De Leon Ave, Ste 300, Decatur, GA 30030-2528 | 2007-07-03 |
| 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 | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
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|---|---|---|---|---|
| 1285196477 | Nutrition Prescriptions LLC | Preferred Provider Organization | 2670 Miriam Ln, Decatur, GA 30032-5731 | 2019-04-05 |
| 1487053369 | Central Illinois Health Associates, Inc | Preferred Provider Organization | 2300 N. Edward Street, Decatur, IL 62526 | 2014-08-18 |
| 1437311818 | Active Ankle & Foot Care Specialist | Preferred Provider Organization | 1434 Scott Blvd Ste 3, Scott Blvd, Suite 3, Decatur, GA 30030-1424 | 2008-06-27 |
| 1558550384 | Reunited Counseling & Training LLC | Preferred Provider Organization | 143 New St, Decatur, GA 30030-4131 | 2007-10-17 |
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|---|---|---|---|---|
| 1811502925 | Global Administrative Solutions, Inc | Preferred Provider Organization | 665 Molly Ln Ste 150, Woodstock, GA 30189-3754 | 2020-09-15 |
| 1710597554 | Healthcare Placement Group, LLC | Preferred Provider Organization | 6751 Macon Rd Ste 6, Columbus, GA 31907-9295 | 2020-08-06 |
| 1831622976 | Jencare Neiborhood Medical Center | Preferred Provider Organization | 2209 Brandon Ln Sw, Conyers, GA 30094-5084 | 2017-04-05 |
| 1578003349 | Lrdj LLC | Preferred Provider Organization | 790 Huff Rd Nw Apt 4055, Atlanta, GA 30318-4373 | 2017-02-27 |
| 1659818482 | Three In One Medical | Preferred Provider Organization | 5222 Addison Trl Sw, Lilburn, GA 30047-6670 | 2017-01-31 |
| 1205288164 | Medprime Brookhaven | Preferred Provider Organization | 2 Concourse Pkwy, Suite 100, Atlanta, GA 30328-5371 | 2016-07-04 |
| 1003267352 | New Horizon | Preferred Provider Organization | 6200 Bradley Park Dr, Columbus, GA 31904-3078 | 2016-06-28 |
| 1154796563 | Michelle Woodard M.d LLC | Preferred Provider Organization | 2410 Hog Mountain Rd Ste 303, Watkinsville, GA 30677-4850 | 2015-12-10 |
| 1730553322 | Amanda Kort, LLC | Preferred Provider Organization | 37 West Fairmont Avenue, Savannah, GA 31405 | 2015-11-19 |
| 1831575034 | Active Ankle & Foot Care Specialist | Preferred Provider Organization | 6335 Hospital Parkway, Suite 305, Johns Creek, GA 30097-5712 | 2015-08-11 |
| 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.