CHIMEDICAL DIAGNOSTICS, LLC (NPI# 1790105740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790105740 |
| Entity Type | Organization |
| Organization Name | CHIMEDICAL DIAGNOSTICS, LLC |
| Practice Address |
541 Forest Pkwy Suite #14 Forest Park GA 30297-6144 |
| Mailing Address |
Po Box 1611 Phenix City AL 36868-1611 |
| Practice Telephone | 8772987705 |
| Practice Fax Number | 8668379033 |
| Mailing Telephone | 8772987705 |
| Mailing Fax Number | 8668379033 |
| Enumeration Date | 2014-04-17 |
| Last Update Date | 2014-04-17 |
| Authorized Official Name | DR. ANTHONY HUMAN (MEDICAL MANAGER) |
| Authorized Official Telephone | 2146192300 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | 4974 | GA | Chiropractic Providers |
| N | 111N00000X | Chiropractor | Chiropractic Providers | ||
| Y | 208D00000X | General Practice | 056072 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
541 FOREST PKWY SUITE #14 |
| City | FOREST PARK |
| State | GA |
| Zip Code | 30297-6144 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144469115 | Atlanta Medical Professional Group | Surgery | 541 Forest Pkwy, Suite 14, Forest Park, GA 30297-6144 | 2009-02-13 |
| 1073057626 | South Atlanta Spine and Joint Center LLC | Chiropractor | 541 Forest Pkwy, Suite 14, Forest Park, GA 30297-6144 | 2016-12-15 |
| 1558767731 | Kayton Pharmacy LLC | Pharmacy | 541 Forest Pkwy, Suite 4, Forest Park, GA 30297-6144 | 2014-11-14 |
| 1639571532 | South Atlanta Mua Center, LLC | Clinic/Center | 541 Forest Pkwy, Ste 14, Forest Park, GA 30297-6144 | 2014-09-23 |
| 1780017194 | Georgia Pain Physicians PC | Physical Medicine & Rehabilitation | 541 Forest Pkwy, Ste 14, Forest Park, GA 30297-6144 | 2013-08-21 |
| 1831447879 | Forest Park Professional Group LLC | Specialist | 541 Forest Pkwy, Forest Park, GA 30297-6144 | 2012-08-23 |
| 1659629699 | Parkway Professional Group LLC | Specialist | 541 Forest Pkwy, Forest Park, GA 30297-6144 | 2012-08-23 |
| 1093060659 | Parkway Professional Group LLC | Specialist | 541 Forest Pkwy, Forest Park, GA 30297-6144 | 2012-07-19 |
| 1538414164 | Forest Park Professional Group LLC | Specialist | 541 Forest Pkwy, Forest Park, GA 30297-6144 | 2012-07-19 |
| 1346545696 | Georgia Pain Physicians, PC | Pharmacist | 541 Forest Pkwy, Suite 14, Forest Park, GA 30297-6144 | 2011-01-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548747173 | Ga Peach Medical Transportation, LLC | Ambulance | 5023 Highway 85, Forest Park, GA 30297 | 2018-07-26 |
| 1871940437 | Crystal Harrison | Counselor | 4659 Ruby Ln, Forest Park, GA 30297 | 2016-05-24 |
| 1467807156 | Naundria Jackson | Nurse Practitioner | Apmc, Forest Park, GA 30297 | 2016-04-29 |
| 1891156089 | Gentle Care Medical Trans LLC | Ambulance | 530 Forest Parkway Suite B, Forest Park, GA 30297 | 2016-03-15 |
| 1811318835 | Kim Mckinney | Case Manager/Care Coordinator | 1104 South Parkwood Drive, Forest Park, GA 30297 | 2013-12-17 |
| 1215361910 | Tiffany Nadine Adams | Specialist | 228 Morrow Rd 18h, Forest Park, GA 30297 | 2013-08-29 |
| 1851663124 | Daffodil Pediatrics and Family Medicine | Pediatrics | 4905 Courtney Drive, Forest Park, GA 30297 | 2012-02-02 |
| 1093093759 | Truliant Health Systems | Community/Behavioral Health | 526 Forest Parkway Ste D, Forest Park, GA 30297 | 2011-07-29 |
| 1811134133 | Sharonda Renee Forte | Orthopaedic Surgery | 4940 Governors Park Drive, Forest Park, GA 30297 | 2009-01-08 |
| 1215173737 | Comfort Personal Care Service | Assisted Living Facility | 5530 Old Dixie Highway, D-9, Forest Park, GA 30297 | 2009-01-06 |
| Find all providers in zip 30297 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487634648 | Vina Health Care Clinic Corporation | General Practice | 4487 Jonesboro Rd, Forest Park, GA 30297-4316 | 2006-01-21 |
| 1093977381 | Joseph S Leyva | General Practice | 4146 Jonesboro Rd, Forest Park, GA 30297-1038 | 2008-06-27 |
| 1841499761 | Oanh Xuan Dam | General Practice | 4487 Jonesboro Rd, Forest Park, GA 30297-4316 | 2007-07-11 |
| 1043308828 | Beverly L Deck | General Practice | 7318 Madison St, Forest Park, IL 60130-3100 | 2006-10-10 |
| 1477641280 | Whitec, Inc | General Practice | 7318 Madison St, Forest Park, IL 60130-3100 | 2006-10-10 |
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| 1730729849 | Summit Health Primary and Urgent Care LLC | General Practice | 120 Handley Rd Bldg 400 Ste #410, Tyrone, GA 30290-3029 | 2020-01-07 |
| 1770121030 | New Life Medical Centers Georgia LLC | General Practice | 3550 Lenox Rd Ne Ste 2100, Atlanta, GA 30326-1810 | 2019-12-18 |
| Find all providers with the same taxonomy | ||||
| City | FOREST PARK |
| Zip Code | 30297 |
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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.