WELLSTAR NORTH FULTON HOSPITAL, INC (NPI# 1750312997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750312997 |
| Entity Type | Organization |
| Organization Name | WELLSTAR NORTH FULTON HOSPITAL, INC |
| Other Organization Name | WELLSTAR NORTH FULTON HOSPITAL |
| Practice Address |
3000 Hospital Blvd Roswell GA 30076-4915 |
| Mailing Address |
1800 Parkway Pl Se Ste 500 Marietta GA 30067-8237 |
| Practice Telephone | 7707512500 |
| Mailing Telephone | 4709564981 |
| Mailing Fax Number | 7709992489 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2020-02-24 |
| Authorized Official Name | MR. ANTHONY J BUDZINSKI (EVP & CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 4706440012 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 060-357 | GA | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00275976A | 05 | |
| BCBS OF GEORGIA | 100012 | 01 | |
| SC | 11486B | 05 | |
| AETNA US HEALTHCARE | 61882 | 01 | |
| SC | 11053A | 05 | |
| BCBS OF GEORGIA | 100019 | 01 | |
| SECTION 1011 | 110198B000000 | 01 | |
| LA | 1708127 | 05 | |
| OH | 2535591 | 05 | |
| MS | 19913260 | 05 | |
| US DEPT OF LABOR WORKERS | 199132600 | 01 | |
| AETNA US HEALTHCARE (NATI | 587768460 | 01 | |
| FL | 902706800 | 05 | |
| COVENTRY HEALTH CARE LOUI | 9852 | 01 | |
| NJ | 46922 | 05 | |
| NC | 1100198 | 05 | |
| AL | NOR0198N | 05 |
| Other Name | Type Code |
|---|---|
| WellStar North Fulton Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033135959 | Wellstar North Fulton Hospital, Inc | Rehabilitation Unit | 3000 Hospital Blvd, Roswell, GA 30076-4915 | 2006-07-14 |
| Street Address |
3000 HOSPITAL BLVD |
| City | ROSWELL |
| State | GA |
| Zip Code | 30076-4915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467445262 | North Fulton Anesthesia Associates PC | Nurse Practitioner | 3000 Hospital Blvd, Roswell, GA 30076-4915 | 2005-08-26 |
| 1619583267 | Bradley Richard Saindon | Student in an Organized Health Care Education/Training Program | 3000 Hospital Blvd, Roswell, GA 30076-4915 | 2020-09-18 |
| 1356986012 | Sophie Roest | Registered Nurse | 3000 Hospital Blvd, Roswell, GA 30076-4915 | 2019-11-16 |
| 1104469600 | Xiaoyan Li | Registered Nurse | 3000 Hospital Blvd, Roswell, GA 30076-4915 | 2019-10-28 |
| 1326696642 | Cody James Franklin | Registered Nurse | 3000 Hospital Blvd, Roswell, GA 30076-4915 | 2019-08-29 |
| 1558920496 | Carter Mills | Anesthesiology | 3000 Hospital Blvd, Roswell, GA 30076-4915 | 2019-06-12 |
| 1093214108 | Lucrecia Marie Lobo | Nurse Anesthetist, Certified Registered | 3000 Hospital Blvd, Roswell, GA 30076-4915 | 2018-02-04 |
| 1447772330 | Maria Bougiamas | Anesthesiology | 3000 Hospital Blvd, Roswell, GA 30076-4915 | 2017-07-12 |
| 1770011918 | Natasha M Maharaj | Registered Nurse | 3000 Hospital Blvd, Roswell, GA 30076-4915 | 2017-06-01 |
| 1770934978 | Angelica Huff | Nurse Anesthetist, Certified Registered | 3000 Hospital Blvd, Roswell, GA 30076-4915 | 2016-06-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275505 | Apex Spine and Neurosurgery LLC | Neurological Surgery | 1295 Hembree Rd Ste 200 Bldg B, Roswell, GA 30076 | 2020-11-06 |
| 1841776689 | Scott Gunter Brunson | Hearing Instrument Specialist | 777 Old Roswell Pl # E100, Roswell, GA 30076 | 2018-07-16 |
| 1861998197 | Daniel B Charek | Clinical Neuropsychologist | 11685 Alpharetta Hwy Ste 170, Roswell, GA 30076 | 2018-04-04 |
| 1427575554 | A One Home Care, Inc. | In Home Supportive Care | 1875 Old Alabama Road, Suite 420, Roswell, GA 30076 | 2017-08-29 |
| 1053836023 | Madelon Morgan | Counselor | 555 Sun Valley Dr Bldg F, Roswell, GA 30076 | 2017-08-10 |
| 1245769637 | Family Behavioral Health, LLC | Clinic/Center | 9275 Martin Rd, Roswell, GA 30076 | 2017-06-08 |
| 1093163750 | Ryann Soutar | Counselor | 702 Macy Dr, Roswell, GA 30076 | 2016-06-02 |
| 1447618707 | Concierge Medical Mgmt Group | Contractor | 760 Old Roswell Rd Ste 117, Roswell, GA 30076 | 2016-02-02 |
| 1063877710 | Augustine Young | Community/Behavioral Health | 427 Royal Creek Dr, Roswell, GA 30076 | 2015-12-23 |
| 1710360441 | Currents Massage LLC | Massage Therapist | 760 Old Roswell Road, Suite 230, Roswell, GA 30076 | 2015-06-30 |
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| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184073231 | North Fulton Regional | General Acute Care Hospital | 3000 Hospital Blvd, Roswell, GA 30076-4915 | 2016-06-09 |
| 1174956767 | Lovelace Health System LLC | General Acute Care Hospital | 117 E 19th St, Roswell, NM 88201-5151 | 2013-08-19 |
| 1831538743 | Jacob Holloway | General Acute Care Hospital | 4500 Hospital Blvd Ste 230, Roswell, GA 30076 | 2013-06-25 |
| 1972878361 | Lovelace Health System LLC | General Acute Care Hospital | 117 E 19th St, Roswell, NM 88201-5151 | 2012-03-19 |
| 1346518529 | Chaves County New Mexico Hospital Company LLC | General Acute Care Hospital | 117 E 19th St, Roswell, NM 88201-5151 | 2011-12-02 |
| 1114934254 | New Mexico Medical Surgical Hospital LLC | General Acute Care Hospital | 117 E 19th St, Roswell, NM 88201-5151 | 2006-08-02 |
| 1447221742 | Roswell Hospital Corporation | General Acute Care Hospital | 405 W Country Club Rd, Roswell, NM 88201-5209 | 2006-01-27 |
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|---|---|---|---|---|
| 1902459316 | Au Medical Center, Inc | General Acute Care Hospital | 1348 Walton Way Ste 6300c, Augusta, GA 30901-5104 | 2019-07-24 |
| 1841651056 | Kamran Rajaee | General Acute Care Hospital | 5081 Sunset Trl, Marietta, GA 30068-4734 | 2016-03-15 |
| 1144687070 | Globale, LLC | General Acute Care Hospital | 750 Dalrymple Rd Apt B2, Atlanta, GA 30328-1434 | 2016-01-22 |
| 1649645011 | Clarence Waugh | General Acute Care Hospital | 171 Sterling Ridge Dr, Riverdale, GA 30274-4637 | 2015-12-09 |
| 1548632045 | Allbright Professional Blood Services | General Acute Care Hospital | 1043 River Forest Pt, Lawrenceville, GA 30045-2600 | 2015-10-22 |
| 1790173094 | Piedmont Healthcare | General Acute Care Hospital | 2124 Mckinley Rd Nw, Atlanta, GA 30318-1708 | 2015-01-08 |
| 1790183622 | Pauline L. Jacinto Md | General Acute Care Hospital | 104 Lakeshore Dr Ste B, Saint Marys, GA 31558-3809 | 2014-12-09 |
| 1073937892 | Emory University Hospital | General Acute Care Hospital | 5207 Peachtree Creek Cir, Atlanta, GA 30341-5364 | 2014-02-13 |
| 1063856706 | Keystone Surgical Associates | General Acute Care Hospital | 2525 Kirk Pointe Cv Nw, Kennesaw, GA 30152-6239 | 2013-04-24 |
| 1679810022 | Proficiency Scribes Cs, LLC | General Acute Care Hospital | 114 Bradley Rd, Jackson, GA 30233-3702 | 2013-01-04 |
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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.