CHARLES SCHMIDT (NPI# 1780794859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780794859 |
| Entity Type | Individual |
| Full Name | CHARLES SCHMIDT |
| Credential | DC |
| Practice Address |
3395 Bouldercrest Rd Ellenwood GA 30294 |
| Practice Telephone | 4042413280 |
| Practice Fax Number | 4042413282 |
| Mailing Telephone | 4042413280 |
| Mailing Fax Number | 4042413282 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 005176 | GA | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336272947 | Charles G Schmidt | Marriage & Family Therapist | 14515 Hamlin Street, #200, Van Nuys, CA 91411 | 2007-03-13 |
| 1629237672 | Charles J Schmidt | Dentist | 22 Bunker Hill St, Lancaster, NH 03584-3009 | 2008-06-05 |
| 1760688196 | Charles Robert Schmidt | Anesthesiology | 4949 Tamiami Trl N, Suite 206, Naples, FL 34103-3027 | 2007-06-22 |
| 1124107768 | Charles Edwin Schmidt | Dermatology | 1120 Bayview Dr, Fort Lauderdale, FL 33304-2505 | 2006-11-03 |
| 1851473987 | Charles William Schmidt | Urology | 21 Montauk Ave, Suite 304, New London, CT 06320-4906 | 2006-10-19 |
| Street Address |
3395 BOULDERCREST RD |
| City | ELLENWOOD |
| State | GA |
| Zip Code | 30294 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255776613 | Cedar Grove Rehab LLC | Chiropractor | 3395 Bouldercrest Rd, Ellenwood, GA 30294-1639 | 2013-04-30 |
| 1093070971 | Sara J Badie | Specialist | 3395 Bouldercrest Rd, Ellenwood, GA 30294-1639 | 2012-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770124323 | Lula Varist Gholson | Counselor | Christian Counselor Ma Lou Gholson, 549 Lamar Drive, Forest Park, GA 30294 | 2019-10-04 |
| 1609428176 | Tykechia Todd | Ambulance | 3644 Caseys Cove, Ellenwood, GA 30294 | 2019-07-15 |
| 1891285243 | Ayana Aqila Thornton | Nurse Practitioner | 5654 Hosea Court, Ellenwood, GA 30294 | 2018-05-11 |
| 1346748837 | Kakethia S. Mack | Nurse Practitioner | 4124 Bosenberry Way, Ellenwood, GA 30294 | 2018-01-30 |
| 1851819312 | Tatiana Marcus | Prosthetist | 3895 Busby Mill Ct., Ellenwood, GA 30294 | 2017-09-05 |
| 1962944991 | Fairview Urgent Care, LLC | Clinic/Center | 4475 West Village Pkwy, Ellenwood, GA 30294 | 2016-11-08 |
| 1982006169 | Kristal Cure | Licensed Practical Nurse | 4057 Madiosn Court, Ellenwood, GA 30294 | 2014-09-19 |
| 1801233515 | 1st Class Learning and Performing Arts | Local Education Agency (LEA) | 5474 Platte Dr, Ellenwood, GA 30294 | 2013-06-04 |
| 1235480138 | Life Wellness Group of Atlanta | Home Delivered Meals | 145 Wilhemina Drive, Ellenwood, GA 30294 | 2012-10-02 |
| 1346548450 | William K Holley IIi | Counselor | 2732 Holly Berry Dr, Ellenwood, GA 30294 | 2011-03-14 |
| Find all providers in zip 30294 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598854804 | David M. Hall | Chiropractor | 421 Fairview Rd, Ellenwood, GA 30294-2632 | 2006-10-12 |
| 1255776613 | Cedar Grove Rehab LLC | Chiropractor | 3395 Bouldercrest Rd, Ellenwood, GA 30294-1639 | 2013-04-30 |
| 1881875318 | Fairview Chiropractic Center | Chiropractor | 421 Fairview Rd, Ellenwood, GA 30294-2632 | 2007-11-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386245249 | Aaron D Young | Chiropractor | 860 Baltimore Pl Sw, Marietta, GA 30064-3959 | 2020-11-05 |
| 1831790435 | Li Ma | Chiropractor | 376 Powder Springs St Ste 141, Marietta, GA 30064-3460 | 2020-11-02 |
| 1124627260 | Jordan Louis Mallamace | Chiropractor | 6110 Mcfarland Station Dr Unit 400, Alpharetta, GA 30004-6806 | 2020-10-20 |
| 1043818693 | 100 Percent Chiropractic Gibson LLC | Chiropractor | 11 Charley Harper Dr Ste 140, Cartersville, GA 30120-0027 | 2020-10-15 |
| 1376140616 | Springfield Chiropractic LLC | Chiropractor | 505 N Laurel St, Springfield, GA 31329-6815 | 2020-10-08 |
| 1871190363 | Rebel Medical Group LLC | Chiropractor | 2920 Marietta Hwy Ste 102, Canton, GA 30114-8207 | 2020-10-07 |
| 1285231902 | Austin Fortner | Chiropractor | 485 Pooler Pkwy, Pooler, GA 31322-5102 | 2020-10-06 |
| 1073129441 | Ian Michael Koll | Chiropractor | 6100 Lake Forrest Dr Ste 320, Atlanta, GA 30328-3835 | 2020-09-21 |
| 1558977397 | Kristin Best | Chiropractor | 1189 Ashborough Dr Se Apt A, Marietta, GA 30067-6918 | 2020-09-17 |
| 1952915357 | Shaun Olsen | Chiropractor | 600 Houze Way Ste E1, Roswell, GA 30076-1434 | 2020-09-02 |
| Find all providers with the same taxonomy | ||||
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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.