MRS. ALEXA MARIE THOMAS DECK (NPI# 1750929295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750929295 |
Entity Type | Individual |
Full Name | MRS. ALEXA MARIE THOMAS DECK |
Credential | PA-C |
Practice Address |
4360 Chamblee Dunwoody Rd Ste 260 Atlanta GA 30341-1055 |
Mailing Address |
2505 Harrison Ave Panama City FL 32405-4464 |
Practice Telephone | 8772313376 |
Mailing Telephone | 8502333376 |
Enumeration Date | 2019-12-16 |
Last Update Date | 2020-10-02 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
9519 | GA | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | GA | 9519 | 01 |
Street Address |
4360 CHAMBLEE DUNWOODY RD STE 260 |
City | ATLANTA |
State | GA |
Zip Code | 30341-1055 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205123296 | Josh A Hammel | Dermatology | 4360 Chamblee Dunwoody Rd Ste 260, Atlanta, GA 30341 | 2011-06-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992207344 | Rabun Marie Robertson | Occupational Therapist | 2320 Perimeter Park Drive, Atlanta, GA 30341 | 2018-03-01 |
1568986313 | Charles Edge IIi | Nurse Practitioner | 4770 Buford Highway, Atlanta, GA 30341 | 2017-08-02 |
1366971277 | Park Ridge Healthcare and Physical Medicine LLC | Nurse Practitioner | 2896 Chamblee Tucker Road, Suite 4, Atlanta, GA 30341 | 2017-06-06 |
1437502937 | Chara Mcgill | Counselor | 13207 Jefferson Circle N, Chamblee, GA 30341 | 2016-07-20 |
1982063913 | Stepping Stone of Atlanta | Community/Behavioral Health | 3705 Chamblee Dunwoody Rd, Chamblee, GA 30341 | 2016-02-18 |
1013317577 | Marne Day | Counselor | 3720 Chamblee Dunwoody Rd, Chamblee, GA 30341 | 2014-09-02 |
1013343680 | Keelan Walker | Speech-Language Pathologist | 4961 Buford Highway Suite 201, Suite 201, Chamblee, GA 30341 | 2013-09-16 |
1578901955 | Promonitor LLC | Electrodiagnostic Medicine | 3300 Northwest Expy Bldg 7, Atlanta, GA 30341 | 2013-06-07 |
1639415359 | Lawanda B Cooke | Health Educator | 5280 Peachtree Ind Blvd, Chamblee, GA 30341 | 2012-12-28 |
1457602773 | Arthur Macrae Wendel | Family Medicine | 4770 Buford Hwy Ms F60, Atlanta, GA 30341 | 2012-09-26 |
Find all providers in zip 30341 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245838374 | Erica Elizabeth West | Physician Assistant | 1155 Mount Vernon Hwy Ste 101, Atlanta, GA 30338-5439 | 2020-10-12 |
1841851680 | Lauren Price Fogarty | Physician Assistant | 5445 Meridian Marks Rd Ste 430, Atlanta, GA 30342-4755 | 2019-06-24 |
1417422916 | Alison Miller | Physician Assistant | 993d Johnson Fy Rd Ne, Atlanta, GA 30342-1602 | 2018-10-10 |
1588139414 | Tammy May Luu | Physician Assistant | 1150 Hammond Dr Ste 310, Atlanta, GA 30328-7500 | 2018-10-08 |
1104323476 | Cody Weldon Howell | Physician Assistant | 303 Parkway Dr Ne # 404, Atlanta, GA 30312-1212 | 2018-04-12 |
1659895373 | Sudhisha Kumari Jala | Physician Assistant | 980 Johnson Ferry Rd Ste 820, Atlanta, GA 30342-1608 | 2017-08-03 |
1487178893 | Magdalena Kertscher | Physician Assistant | 105 Collier Rd Nw Ste 2010, Atlanta, GA 30309-1734 | 2017-07-27 |
1841738044 | Adrienne Anderson | Physician Assistant | 1800 Howell Mill Rd Nw Ste 450, Atlanta, GA 30318-2508 | 2017-02-08 |
1730623802 | Catherine Lynn Johnson | Physician Assistant | 1365 Clifton Rd Ne # C, Atlanta, GA 30322-1013 | 2016-12-08 |
1649626938 | Alex Phillip Schultz | Physician Assistant | 476 Wilmer St Ne, Unit 1230, Atlanta, GA 30308-2933 | 2016-05-05 |
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.