GLORY REALM HEALTHCARE CONSULTANTS LLC (NPI# 1740641406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740641406 |
| Entity Type | Organization |
| Organization Name | GLORY REALM HEALTHCARE CONSULTANTS LLC |
| Practice Address |
2296 Henderson Mill Rd Ne Ste 116 Atlanta GA 30345-2739 |
| Practice Telephone | 4046926907 |
| Mailing Telephone | 4046926907 |
| Enumeration Date | 2016-03-09 |
| Last Update Date | 2017-01-24 |
| Authorized Official Name | MRS. CLAUDETTE ANGELLA JOHNSON (NURSE PRACTITIONER) |
| Authorized Official Telephone | 4046926907 |
| Authorized Official Credential | NP-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | GLORY REALM HEALTHCARE CONSULTANTS LLC | 2296 Henderson Mill Road, Ne, Suite 116, Atlanta, GA 30345-2739 |
| Street Address |
2296 HENDERSON MILL RD NE STE 116 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30345-2739 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306235312 | Claudette Angella Johnson | Nurse Practitioner | 2296 Henderson Mill Rd Ne Ste 116, Atlanta, GA 30345-2739 | 2015-01-13 |
| 1104432442 | Aadira Home Care LLC | Home Health | 2296 Henderson Mill Rd Ne Ste 116, Atlanta, GA 30345-2739 | 2020-09-22 |
| 1063065035 | The Savvy Np LLC | Health Educator | 2296 Henderson Mill Rd Ne Ste 116, Atlanta, GA 30345-2739 | 2019-07-18 |
| 1245735216 | Antwanette Deshaun Suggs | Day Training, Developmentally Disabled Services | 2296 Henderson Mill Rd Ne Ste 116, Atlanta, GA 30345-2739 | 2018-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306358726 | Marian Barton Kalvert | Counselor | 2300 Henderson Mill Rd Ne Ste 310, Atlanta, GA 30345 | 2017-10-25 |
| 1417478439 | Reexist Counseling LLC | Clinic/Center | 1955 Vance Drive Ne, Atlanta, GA 30345 | 2017-06-29 |
| 1366862930 | Creative Behavior Consulting | Counselor | 6212 Northlake Circle Ne, Atlanta, GA 30345 | 2014-04-22 |
| 1215375209 | Shakeia Cowan | Counselor | 2302 Parklake Drive, Suite 350, Atlanta, GA 30345 | 2013-06-12 |
| 1154673259 | Phyllis Carrera | Counselor | 1788-b Century Blvd, Atlanta, GA 30345 | 2012-10-12 |
| 1417216128 | Procare Pharmacy, LLC | Pharmacy | 2700 Northeast Expy Ne, Suite B-800, Atlanta, GA 30345 | 2012-05-15 |
| 1962794479 | Nicole Renee Buttery | Behavioral Analyst | 1776 Century Blvd Ne Ste A, Atlanta, GA 30345 | 2011-05-03 |
| 1972839371 | Barbara Lopes Cardozo | Psychiatry & Neurology | 2500 Century Blvd, Mailstop V 25-1, Atlanta, GA 30345 | 2009-10-20 |
| 1568615193 | Zouheir A Shama Sr. | Surgery | 2536 Cosmos Drive N.e., Atlanta, GA 30345 | 2008-10-28 |
| 1396930558 | Munir Kashlan | Dentist | 4800 Briarcliff Rd, Ste 2037 American Dental Group Dba Great Expressions, Atlanta, GA 30345 | 2007-09-11 |
| Find all providers in zip 30345 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467066639 | Luminous Care, LLC | Clinic/Center | 285 Boulevard Ne Ste 145, Atlanta, GA 30312-4204 | 2020-09-03 |
| 1487271342 | Temak Telehealth | Clinic/Center | 635 Granville Ct, Atlanta, GA 30328-3445 | 2020-06-26 |
| 1245860816 | The Wellness Sanctuary, Inc | Clinic/Center | 206 Rogers St Ne Apt 117, Atlanta, GA 30317-1035 | 2020-01-22 |
| 1700432465 | Emanate Wellness Chiropractic, PC | Clinic/Center | 905 Juniper St Ne Ste 108, Atlanta, GA 30309-4129 | 2019-08-16 |
| 1689141301 | Happilee Ever After, LLC | Clinic/Center | 1827 Powers Ferry Rd Se Ste 250, Atlanta, GA 30339-5621 | 2018-10-31 |
| 1437625944 | Bowden Weight Loss Center | Clinic/Center | 3280 Howell Mill Rd Nw Ste 233, Atlanta, GA 30327-4100 | 2018-10-23 |
| 1336667997 | Absolute Holistic Medicine | Clinic/Center | 1868 Independence Sq, Suite A, Atlanta, GA 30338 | 2017-09-05 |
| 1013468693 | Harmony Seal Corp | Clinic/Center | 400 Colony Sq Ne, Suite 200, Atlanta, GA 30361-6302 | 2016-10-19 |
| 1225407638 | Margaret Byrne | Clinic/Center | 2933 Townley Cir, Atlanta, GA 30340-4827 | 2015-09-16 |
| 1356738447 | Positive Balance Wellness Center @ Ben Hill United Methodist Church | Clinic/Center | 2099 Fairburn Rd Sw, Atlanta, GA 30331-4812 | 2015-04-16 |
| Find all providers in ATLANTA | ||||
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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.