MR. CHARLES TRUMAN COLBERT JR. (NPI# 1770709628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770709628 |
| Entity Type | Individual |
| Full Name | MR. CHARLES TRUMAN COLBERT JR. |
| Credential | C.S.T./C.F.A. |
| Practice Address |
6525 Professional Pl Suite A Riverdale GA 30274-2519 |
| Mailing Address |
334 Dylan Way Mcdonough GA 30252-6186 |
| Practice Telephone | 7709911150 |
| Practice Fax Number | 7709911155 |
| Mailing Telephone | 7709141517 |
| Mailing Fax Number | 7709911155 |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2009-03-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
Technologists, Technicians & Other Technical Service Providers | ||
| N | 246ZS0410X |
Specialist/Technologist, Other Specialization: Surgical Technologist |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
6525 PROFESSIONAL PL SUITE A |
| City | RIVERDALE |
| State | GA |
| Zip Code | 30274-2519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568469799 | Danko Cerenko | Otolaryngology | 6525 Professional Pl, Suite C, Riverdale, GA 30274-2519 | 2005-07-01 |
| 1316320120 | Integrated Health and Injury Center | Chiropractor | 6525 Professional Pl, C, Riverdale, GA 30274-2519 | 2015-06-30 |
| 1902288541 | Integrated Health and Injury Center | Health Maintenance Organization | 6525 Professional Pl, C, Riverdale, GA 30274-2519 | 2015-06-19 |
| 1326478892 | Advance Health and Personal Injury | Family Medicine | 6525 Professional Pl, Suite C, Riverdale, GA 30274-2519 | 2013-11-20 |
| 1134568330 | Tanzie Morgan | Registered Nurse | 6525 Professional Pl, Riverdale, GA 30274-2519 | 2013-06-20 |
| 1801233671 | Orthopaedic Solutions, PC | Orthopaedic Surgery | 6525 Professional Pl, Suite A, Riverdale, GA 30274-2519 | 2013-06-03 |
| 1801239298 | Advance Medical Health Service Inc | Pain Medicine | 6525 Professional Pl, Suite C, Riverdale, GA 30274-2519 | 2013-04-16 |
| 1437494523 | Candid Medical Center, LLC | Pain Medicine | 6525 Professional Pl, Suite C, Riverdale, GA 30274-2519 | 2012-11-30 |
| 1811250244 | Candid Medical Group LLC | Clinic/Center | 6525 Professional Pl, Suite C, Riverdale, GA 30274-2519 | 2012-06-20 |
| 1942477765 | Atlanta Orthopedic & Arthroscopy Center, P. C. | Specialist | 6525 Professional Pl, Suite A, Riverdale, GA 30274-2519 | 2008-05-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245862507 | Todd L. Reed | Chiropractor | 83 Upper Riverdale Rd, Riverdale, GA 30274 | 2020-02-05 |
| 1487135992 | Freddie L Sallette IIi | Technician, Pathology | 385 Brookview Dr, Riverdale, GA 30274 | 2018-08-22 |
| 1366933210 | Dawn A. Paul | Nurse Practitioner | 238 Professional Ct Ste A, Riverdale, GA 30274 | 2018-05-27 |
| 1851894588 | Absolute Health Family & Urgent Care Clinic | Clinic/Center | 7574 Ga 85, Riverdale, GA 30274 | 2018-03-08 |
| 1366972127 | Jamillah Ingram | Physical Therapy Assistant | 315 Upper Riverdale Rd., Riverdale, GA 30274 | 2017-06-14 |
| 1114456514 | Grace L Kelson | Licensed Practical Nurse | 9142 Clubhouse Dr, Riverdale, GA 30274 | 2017-06-08 |
| 1790167799 | Cristian Carbuccia | Internal Medicine | 33 Upper Riverdale Rd Sw Ste 10, Riverdale, GA 30274 | 2015-06-25 |
| 1265857692 | Right Choice Enterprises LLC | Technician | 638 Sterling Ct, Riverdale, GA 30274 | 2014-02-21 |
| 1942571625 | Lowes Guardian Angel LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7056 Eunice Dr., Riverdale, GA 30274 | 2012-01-26 |
| 1508134156 | Education System Management, Inc | Social Worker | 125 Highway 138, Riverdale, GA 30274 | 2011-12-12 |
| Find all providers in zip 30274 | ||||
| Taxonomy Code | 246ZC0007X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Surgical Assistant |
| A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training. |
| Notes: Source: Association of Surgical Assistants, 2014. [7/1/2014: title modified, definition modified] http://www.surgicalassistant.org/index.php/surgical-assisting Additional Resources: National Surgical Assistant Association, www.nsaa.net. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548760101 | A To Z Surgical 1st Assisting | Specialist/Technologist, Other | 820 Bethsaida Rd, Riverdale, GA 30274-2971 | 2018-02-20 |
| 1144416991 | Linda Gwin | Specialist/Technologist, Other | 2781 Topaz Rd, Riverdale, GA 30296-6014 | 2007-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942818422 | Lisa M Arey | Specialist/Technologist, Other | 2429 Salem Ct Sw, Marietta, GA 30064-4259 | 2020-07-21 |
| 1457972309 | Shanon Marie Roderick | Specialist/Technologist, Other | 115 Bradford Ct, Savannah, GA 31406-4122 | 2020-05-01 |
| 1659990869 | Katrina A Toler | Specialist/Technologist, Other | Optim Medical Center - Tattnall, 247 S Main Street, Reidsville, GA 30453 | 2020-04-09 |
| 1295360311 | Taryn Shumaker | Specialist/Technologist, Other | 715 Cedar Valley Trce, Lawrenceville, GA 30043-2424 | 2020-03-09 |
| 1003448911 | Kirstin Gabler | Specialist/Technologist, Other | 2119 Wilshire Dr Sw, Marietta, GA 30064-4197 | 2020-02-08 |
| 1982244257 | Chad Seawright | Specialist/Technologist, Other | 1765 Old West Broad St Bldg 2-200, Athens, GA 30606-2887 | 2020-01-14 |
| 1952948945 | Haley Johnson | Specialist/Technologist, Other | 619 Minter Rd, Griffin, GA 30223-5635 | 2019-12-09 |
| 1215579982 | Anfernee Jerome Walker | Specialist/Technologist, Other | 990 Thousand Oaks Dr, Lawrenceville, GA 30043-3123 | 2019-10-14 |
| 1043852197 | James Hoffman | Specialist/Technologist, Other | 1415 Highway 85 N Ste 310-147, Fayetteville, GA 30214-7738 | 2019-10-10 |
| 1851933170 | Andres Eduardo Gomez Vargas | Specialist/Technologist, Other | 965 Dogwood Park Dr, Lawrenceville, GA 30046-9335 | 2019-10-09 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MR. CHARLES TRUMAN COLBERT JR..
| 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.