EGLESTON AFFILIATED SERVICES (NPI# 1750455952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750455952 |
| Entity Type | Organization |
| Organization Name | EGLESTON AFFILIATED SERVICES |
| Other Organization Name | CHILDREN'S HEALTHCARE OF ATLANTA AT WEST COBB |
| Practice Address |
2041 Mesa Valley Way Suite 185 Austell GA 30106 |
| Mailing Address |
1584 Tullie Cir Ne Atlanta GA 30329-2311 |
| Practice Telephone | 4047858900 |
| Mailing Telephone | 4047857928 |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. TOBY THOMAS (VICE PRESIDENT, MANAGED CARE) |
| Authorized Official Telephone | 4047858900 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
044-079 | GA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Children's Healthcare of Atlanta at West Cobb | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316011505 | Egleston Affiliated Services | Clinic/Center | 2985 George Busbee Pkwy Nw, Kennesaw, GA 30144-6812 | 2006-11-20 |
| 1225102411 | Egleston Affiliated Services | Clinic/Center | 2201 Mount Zion Pkwy, Morrow, GA 30260-3312 | 2006-11-20 |
| 1043384241 | Egleston Affiliated Services | Clinic/Center | 3795 Mansell Rd, Alpharetta, GA 30022-8247 | 2006-11-20 |
| Street Address |
2041 MESA VALLEY WAY SUITE 185 |
| City | AUSTELL |
| State | GA |
| Zip Code | 30106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366444929 | East West Surgery Center Lp | Clinic/Center | 2041 Mesa Valley Way, Ste 125, Austell, GA 30106-6828 | 2005-08-12 |
| 1780042333 | Curtis Anthony Peoples Jr. | Physician Assistant | 2041 Mesa Valley Way, Suite 100, Austell, GA 30106-6828 | 2016-02-10 |
| 1487011771 | April Amaral | Physician Assistant | 2041 Mesa Valley Way, Suite 100, Austell, GA 30106-6828 | 2016-01-19 |
| 1174919880 | Kyle Spinrad | Physician Assistant | 2041 Mesa Valley Way, Suite 100, Austell, GA 30106-6828 | 2015-04-09 |
| 1750717310 | Tor K. Robinson | Physician Assistant | 2041 Mesa Valley Way, Suite 100, Austell, GA 30106-6828 | 2013-09-16 |
| 1821369448 | Mak Anesthesia Ewsc LLC | Anesthesiology | 2041 Mesa Valley Way, Ste 125, Austell, GA 30106-6828 | 2012-01-13 |
| 1710206214 | Mikael Starecki | Orthopaedic Surgery | 2041 Mesa Valley Way, Suite 100, Austell, GA 30106 | 2010-05-24 |
| 1326276734 | Angela Josephine Lucier | Physical Therapist | 2041 Mesa Valley Way, Suite 100, Austell, GA 30106-6828 | 2009-06-24 |
| 1467688085 | Marly N. Dows-martinez | Physical Medicine & Rehabilitation | 2041 Mesa Valley Way, Suite 100, Austell, GA 30106-6828 | 2009-06-10 |
| 1063625051 | Jeffrey N Hairston | Physician Assistant | 2041 Mesa Valley Way, Suite 100, Austell, GA 30106-6828 | 2007-05-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073126231 | Courtney Lashune Dorsett | Nurse Practitioner | 1005 Cureton Drive, Austell, Austell, GA 30106 | 2020-08-27 |
| 1184240491 | Brian H Eves | Dietitian, Registered | 3972 Brantley Drive, Austell, GA 30106 | 2020-06-23 |
| 1669014486 | Jesse Mccoy | Registered Nurse | 3950 Austell Rd., Austell, GA 30106 | 2019-10-14 |
| 1427522820 | Envision Optics LLC | Optometrist | 1680 E West Connector, Austell, GA 30106 | 2019-01-18 |
| 1972042380 | Thomas Dental Group | Clinic/Center | 1133 East West Connector, Suite 120, Austell, GA 30106 | 2017-02-17 |
| 1245779792 | Colton Dental Group | Clinic/Center | 2495 East-west Connector, Ste 60, Austell, GA 30106 | 2017-02-16 |
| 1144691684 | Georgia Dental Professionals, PC | Dentist | 780 East West Connector Sw, Suite 108, Austell, GA 30106 | 2015-10-09 |
| 1285013714 | Ikeade Bello Alamu | Nurse Practitioner | 2870 Betula Drive, Austell, GA 30106 | 2015-05-29 |
| 1376922211 | Jessica Williams | Obstetrics & Gynecology | 1700 Hospital South Dr Ste 500, Austell, GA 30106 | 2015-05-26 |
| 1558799593 | Tonya Renee Baldwin | Speech-Language Pathologist | 4229 Brass Trl., Austell, GA 30106 | 2013-10-30 |
| Find all providers in zip 30106 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194255729 | Anytime Md Urgent Care LLC | Clinic/Center | 4898 Austell Rd, Austell, GA 30106-2055 | 2017-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427662741 | Rural Urgent Care LLC | Clinic/Center | 125 Benjamin H Hill Dr. Sw, Fitzgerald, GA 31750 | 2020-09-03 |
| 1699388231 | Reagan Medical Center | Clinic/Center | 426 Exchange Blvd Ste 500, Bethlehem, GA 30620-1797 | 2020-08-24 |
| 1982214888 | Emergent Testing LLC | Clinic/Center | 2566 Shallowford Rd Ne Ste 204, Atlanta, GA 30345-1249 | 2020-08-05 |
| 1154931541 | The Urgent Care Center of Richmond Hill, LLC | Clinic/Center | 818 Abercorn St, Savannah, GA 31401-5933 | 2020-07-31 |
| 1346858255 | Castellum Medical Consultants LLC | Clinic/Center | 1618 Mars Hill Rd Ste A, Watkinsville, GA 30677-4847 | 2020-07-16 |
| 1861010423 | Rural Urgent Care LLC | Clinic/Center | 440 Us Highway 84 E, Cairo, GA 39828-1647 | 2020-07-10 |
| 1013535657 | Statesboro Medical Group, LLC | Clinic/Center | 1176 Brampton Ave, Statesboro, GA 30458-0847 | 2020-07-09 |
| 1083249114 | Medlife Urgent Care LLC | Clinic/Center | 345 Huntington Place Ct Ste 200, Mcdonough, GA 30253-8651 | 2020-03-09 |
| 1376173906 | Rural Urgent Care LLC | Clinic/Center | 1408 Tallahassee Hwy Ste Z, Bainbridge, GA 39819-7791 | 2020-01-23 |
| 1942846100 | Pickens Urgent Care LLC | Clinic/Center | 744 Noah Dr Ste 108-109, Jasper, GA 30143-8705 | 2019-11-22 |
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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.