MARY PERLOE (NPI# 1770903023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770903023 |
Entity Type | Individual |
Full Name | MARY PERLOE |
Credential | NP |
Practice Address |
3720 Davinci Ct Norcross GA 30092-7627 |
Practice Telephone | 7705823976 |
Mailing Telephone | 7705823976 |
Enumeration Date | 2014-04-24 |
Last Update Date | 2014-04-24 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
RN103565 | GA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
3720 DAVINCI CT |
City | NORCROSS |
State | GA |
Zip Code | 30092-7627 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528048238 | Grace Koucheravy | Nurse Practitioner | 3720 Davinci Ct, Suite 400, Norcross, GA 30092-7627 | 2006-01-19 |
1326598681 | Compassus Op of Georgia I LLC | Hospice Care, Community Based | 3720 Davinci Ct, Ste 400, Norcross, GA 30092-7627 | 2016-10-11 |
1174911358 | Rakeisha Nichole Franklin | Nurse Practitioner | 3720 Davinci Ct, Norcross, GA 30092-7627 | 2014-12-23 |
1477970549 | Kami Bonner Pugh | Nurse Practitioner | 3720 Davinci Ct, Suite 400, Norcross, GA 30092-7627 | 2014-03-26 |
1124467873 | Janeen Renee Cook | Nurse Practitioner | 3720 Davinci Ct, Ste 400, Norcross, GA 30092-7627 | 2013-06-17 |
1326486168 | Lorie S. Delk and Associates, Inc. | Speech-Language Pathologist | 3720 Davinci Ct, Suite 250, Norcross, GA 30092-7627 | 2013-06-13 |
1437493277 | Chad Harlin | Nurse Practitioner | 3720 Davinci Ct, Suite 400, Norcross, GA 30092-7627 | 2012-11-16 |
1114202207 | Lora Elizabeth Crowe | Nurse Practitioner | 3720 Davinci Ct, Ste 400, Norcross, GA 30092-7627 | 2011-10-20 |
1982903902 | Lacey Nicole Stevens | Nurse Practitioner | 3720 Davinci Ct, Suite 400, Norcross, GA 30092-7627 | 2011-03-16 |
1740466622 | Clarice Whitlock Wasmuth | Registered Nurse | 3720 Davinci Ct, Suite 400, Norcross, GA 30092-7627 | 2008-01-10 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083172035 | Tebo Dentistry for Kids Peachtree Corners, LLC | Clinic/Center | 6460 Spalding Drive, Suite C, Peachtree Corners, GA 30092 | 2019-03-08 |
1043794472 | Cai Hong Senior Services Inc | Clinic/Center | 4093 Spalding Hollow, Peatree Corners, GA 30092 | 2018-09-21 |
1952810566 | Children In Motion Therapy Services LLC | Occupational Therapist | 5655 Peachtree Pkwy Ste 117, Norcross, GA 30092 | 2017-09-26 |
1922517945 | Infinity Wellness Solutions LLC | Emergency Medicine | 3240 Pointe Parkway, Suite 100, Norcross, GA 30092 | 2017-09-21 |
1346769593 | Global Diagnostic Labs, LLC | Pathology | 3240 Pointe Pkwy Ste 200, Norcross, GA 30092 | 2017-09-19 |
1467993345 | Boris Mcguire Day | Counselor | 3597 Monticello Commons, Norcross, GA 30092 | 2017-03-13 |
1598205239 | Iwc East LLC | Internal Medicine | 40 Technology Parkway, #300, Norcross, GA 30092 | 2017-02-28 |
1851744254 | Lms Surgical Services | Specialist/Technologist, Other | 6050 Peachtree Pkwy Suite240-358, Norcross, GA 30092 | 2016-07-20 |
1881085603 | A Hand To Hold | Home Health | 3459 Holcomb Bridge Rd., Suite 100, Peachtree Corners, GA 30092 | 2015-02-16 |
1790196467 | Wranglehurst, P.C. | Dentist | 3850 Holcomb Br. Rd, Suite 230, Norcross, GA 30092 | 2014-05-15 |
Find all providers in zip 30092 |
Taxonomy Code | 363LG0600X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Gerontology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598251779 | Jessica Joy Noggle Taylor | Nurse Practitioner | 3720 Davinci Ct Ste 400, Norcross, GA 30092-7625 | 2018-07-10 |
1629468160 | Ferric Clements | Nurse Practitioner | 3720 Davinci Ct Ste 400, Norcross, GA 30092-7625 | 2015-02-04 |
1437493277 | Chad Harlin | Nurse Practitioner | 3720 Davinci Ct, Suite 400, Norcross, GA 30092-7627 | 2012-11-16 |
1578609871 | Wendy L Wolff | Nurse Practitioner | 3720 Davinci Ct, Ste 400, Norcross, GA 30092-7627 | 2007-01-30 |
1821142795 | Patricia Brennen | Nurse Practitioner | 3720 Davinci Ct, Suite 400, Norcross, GA 30092-7627 | 2007-01-22 |
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1235746009 | Jummai Folashade Akinrinmade | Nurse Practitioner | 5290 Hidden Valley Ln, Cumming, GA 30028-7024 | 2020-09-25 |
1396350997 | Ellen Allen | Nurse Practitioner | 8040 Highway 54, Sharpsburg, GA 30277-2112 | 2020-09-10 |
1588277867 | Saleta Anica Brogdon | Nurse Practitioner | 10 Muirfield Dr, Covington, GA 30016-6536 | 2020-08-26 |
1043828106 | Shonkeisha Byrd | Nurse Practitioner | 1160 Great River Pkwy, Lawrenceville, GA 30045-7015 | 2020-07-15 |
1558982272 | Irene Kamau | Nurse Practitioner | 3605 Glenbarrett Ln Ne, Marietta, GA 30066-8509 | 2020-05-05 |
1891324133 | Branette Young | Nurse Practitioner | 1120 Lehavre Ct, Hampton, GA 30228-3022 | 2020-04-08 |
1851938559 | Sandra Holloway | Nurse Practitioner | 607 Bethany St, Sparks, GA 31647-7139 | 2019-12-02 |
1013550508 | Monica Smart Mills | Nurse Practitioner | 8315 Champion Trl, Fairburn, GA 30213-4739 | 2019-10-28 |
1063053478 | Emily Elizabeth Adams | Nurse Practitioner | 887 W Marietta St Nw, Atlanta, GA 30318-5252 | 2019-10-07 |
1922661800 | Dorcus Healthcare Services LLC | Nurse Practitioner | 105 Greystone Dr, Guyton, GA 31312-5548 | 2019-04-17 |
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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.