MRS. LOREN HAYNES KLEIMEYER HALBROOKS (NPI# 1780008995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780008995 |
| Entity Type | Individual |
| Full Name | MRS. LOREN HAYNES KLEIMEYER HALBROOKS |
| Credential | PA-C |
| Practice Address |
300 Tower Rd Ne Ste 200 Marietta GA 30060-9403 |
| Mailing Address |
Northside Hospital- Managed Care Dept 1000 Johnson Ferry Rd Atlanta GA 30342-1606 |
| Practice Telephone | 7704275717 |
| Practice Fax Number | 7704254183 |
| Mailing Telephone | 4043002476 |
| Mailing Fax Number | 4042508010 |
| Enumeration Date | 2014-02-07 |
| Last Update Date | 2019-03-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
007089 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
007089 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | PTAN | 202I976484 | 01 |
| Street Address |
300 TOWER RD NE STE 200 |
| City | MARIETTA |
| State | GA |
| Zip Code | 30060-9403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407814742 | Carrie Huebner | Physical Therapist | 300 Tower Rd Ne Ste 200, Marietta, GA 30060-9403 | 2006-05-03 |
| 1689299844 | Nicole Drollette | Physician Assistant | 300 Tower Rd Ne Ste 200, Marietta, GA 30060-9403 | 2020-06-13 |
| 1326605726 | Sunshine Lee Kinlaw | Nurse Practitioner | 300 Tower Rd Ne Ste 200, Marietta, GA 30060-9403 | 2019-05-22 |
| 1760971030 | Callan Hotchkiss Rowley | Physician Assistant | 300 Tower Rd Ne Ste 200, Marietta, GA 30060-9403 | 2018-05-02 |
| 1326554494 | Ryan Matthew Paruta | Physical Therapist | 300 Tower Rd Ne Ste 200, Marietta, GA 30060-9403 | 2017-12-27 |
| 1801157300 | Andy Zhu | Orthopaedic Surgery | 300 Tower Rd Ne Ste 200, Marietta, GA 30060-9403 | 2012-05-31 |
| 1952697336 | Michael Gary Hull | Orthopaedic Surgery | 300 Tower Rd Ne Ste 200, Marietta, GA 30060 | 2011-06-23 |
| 1255622585 | Bryan T Kumiga | Physical Medicine & Rehabilitation | 300 Tower Rd Ne Ste 200, Marietta, GA 30060 | 2011-04-20 |
| 1548420359 | Richard Brandon Burris | Orthopaedic Surgery | 300 Tower Rd Ne Ste 200, Marietta, GA 30060-9403 | 2008-06-16 |
| 1487821187 | Jonathan Andrew Thornton | Physician Assistant | 300 Tower Rd Ne Ste 200, Marietta, GA 30060-9403 | 2008-05-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144845116 | Legacy Center for Spinal Surgery, LLC | Neurological Surgery | 1900 The Exchange, Ne, Suite 600, Marietta, GA 30060 | 2020-06-15 |
| 1407477193 | Michael Cynil Daniel | Counselor | 698 N Marietta, Pkwy, Marietta, GA 30060 | 2020-05-04 |
| 1285253401 | Cameron Thomas Kennelly | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne Attn:gme, Marietta, GA 30060 | 2020-04-09 |
| 1922640739 | Jeremiah George Blair | Physician Assistant | 61 Whitcher St Suite 2100, Marietta, GA 30060 | 2019-10-14 |
| 1164064945 | Denise Alicia Mick | Registered Nurse | 677 Church St Wellstar Kennestone Hospital, Marietta, GA 30060 | 2019-10-12 |
| 1184283772 | Iora Health Georgia, P.C. | Internal Medicine | 280 Cobb Pkwy Se, Suite 60, Marietta, GA 30060 | 2019-06-07 |
| 1346703212 | Caitlin Virginia Mueller | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne, Attn: Gme, Marietta, GA 30060 | 2019-04-08 |
| 1184187205 | Adero Francis | Student in an Organized Health Care Education/Training Program | Wellstar Kennestone Gme Internal Medicine Clinic, 833 Campbell Hill St Nw, Suite 250, Marietta, GA 30060 | 2019-04-08 |
| 1659832749 | Matthew Mozzo | Student in an Organized Health Care Education/Training Program | 677 Church Street / Lower Level, Gme Department / I.m., Marietta, GA 30060 | 2019-03-29 |
| 1245797430 | La'myia Spentz | Specialist | 109 Anderson St Ne, Suite 608, Marietta, GA 30060 | 2019-02-25 |
| Find all providers in zip 30060 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922640739 | Jeremiah George Blair | Physician Assistant | 61 Whitcher St Suite 2100, Marietta, GA 30060 | 2019-10-14 |
| 1164969192 | Henry Payton | Physician Assistant | 1001 Burnt Hickory Rd Nw, Apt 231, Marietta, GA 30064-1368 | 2017-01-29 |
| 1588087944 | William Dalton | Physician Assistant | 4455 Lower Roswell Rd, 684121, Marietta, GA 30068-0149 | 2014-01-21 |
| 1205277043 | Carmeceia Lavonde Dowdell | Physician Assistant | 626 Pecan Knoll Dr, Marietta, GA 30008-3102 | 2013-07-09 |
| 1275895963 | La Tosha Eugena Walker | Physician Assistant | 409 Bloombridge Way Nw, Marietta, GA 30066-3486 | 2012-06-09 |
| 1306008032 | Marlys Joel | Physician Assistant | 4084 Audubon Dr, Marietta, GA 30068-2605 | 2008-06-25 |
| 1659531945 | Michelle Yvonne Larue | Physician Assistant | 4653 Pond Ln, Marietta, GA 30062-5618 | 2008-06-11 |
| 1467640649 | Wendy Kae Jetton | Physician Assistant | 915 Randall Ct Nw, Marietta, GA 30064-4724 | 2007-10-12 |
| 1154446433 | Rhonda Kay Thompson Herring | Physician Assistant | 800 Kennesaw Ave Nw Ste 120, Marietta, GA 30060 | 2007-03-19 |
| 1508918475 | Aneeta Anderson | Physician Assistant | 4488 Pine Hill Ter Ne, Marietta, GA 30066-2419 | 2007-01-18 |
| Find all providers in MARIETTA | ||||
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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.