MR. ROSS JAMESON CLARK (NPI# 1790200087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790200087 |
| Entity Type | Individual |
| Full Name | MR. ROSS JAMESON CLARK |
| Credential | NP-C |
| Practice Address |
2738 N Decatur Rd Decatur GA 30033-5910 |
| Practice Telephone | 4045088058 |
| Mailing Telephone | 4045088058 |
| Enumeration Date | 2017-08-08 |
| Last Update Date | 2020-06-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WX0800X |
Registered Nurse Specialization: Orthopedic |
RN217210 | GA | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN217210 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 500 Owens Springs Ln, Mcdonough, GA 302524545 | (678) 549-8948 | |
| 670 S 8th St, Griffin, GA 302244214 | 7702333444 | 7702339400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104355692 | Ross W Clark | Physician Assistant | 700 S Park St, Madison, WI 53715-1830 | 2017-06-08 |
| 1821387895 | Ross Clark | Surgery | 2211 Lomas Blvd Ne, Albuquerque, NM 87106 | 2011-03-30 |
| 1821311036 | Ross Nevin Clark | Otolaryngology | 5210 Linton Blvd, Suite 307, Delray Beach, FL 33484-6542 | 2010-03-03 |
| 1700017571 | Ross Myracle Clark | Chiropractor | 1307 W Reelfoot Ave, Union City, TN 38261-5505 | 2009-07-28 |
| 1871653766 | Ross William Clark | Pharmacist | 7025 N Wickham Rd, Suite 113, Melbourne, LA 32940 | 2006-12-11 |
| Street Address |
2738 N DECATUR RD |
| City | DECATUR |
| State | GA |
| Zip Code | 30033-5910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528162450 | Georgia Cvs Pharmacy, L.L.C. | Pharmacy | 2738 N Decatur Rd, Decatur, GA 30033-5910 | 2006-09-12 |
| 1205467180 | Todd P. Haley | Pharmacist | 2738 N Decatur Rd, Decatur, GA 30033-5910 | 2020-01-30 |
| 1154974988 | Chirag Desai | Nurse Practitioner | 2738 N Decatur Rd, Decatur, GA 30033-5910 | 2019-07-21 |
| 1922569813 | Avery Jane Gregory | Nurse Practitioner | 2738 N Decatur Rd, Decatur, GA 30033-5910 | 2019-03-25 |
| 1811465263 | Kylie Christine Williams | Nurse Practitioner | 2738 N Decatur Rd, Decatur, GA 30033-5910 | 2018-11-04 |
| 1265918742 | Brandy Long | Nurse Practitioner | 2738 N Decatur Rd, Decatur, GA 30033-5910 | 2018-07-17 |
| 1962952028 | Shauna Robinson | Nurse Practitioner | 2738 N Decatur Rd, Decatur, GA 30033 | 2016-10-12 |
| 1831584218 | Exie Latrice Lamar | Nurse Practitioner | 2738 N Decatur Rd, Decatur, GA 30033-5910 | 2015-04-01 |
| 1710233309 | Le'keisha Rodriguez | Nurse Practitioner | 2738 N Decatur Rd, Decatur, GA 30033-5910 | 2012-08-01 |
| 1740507029 | Edwin N Njenga | Nurse Practitioner | 2738 N Decatur Rd, Decatur, GA 30033-5910 | 2010-04-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922613785 | Healing Minds, Helping Hearts, LLC | Social Worker | 2532 N Decatur Rd, Apt 1304, Decatur, GA 30033 | 2020-09-09 |
| 1700412517 | Delana Finney | Orthotist | Vamc - Atlanta, 1670 Clairmont Rd, Decatur, GA 30033 | 2020-03-13 |
| 1194389353 | Katherine Serafen | Physician Assistant | 2701 N Decatur Road, Ground Floor Suite 520, Decatur, GA 30033 | 2019-04-23 |
| 1194290973 | Suzanne Johnson | Psychologist | Atlanta Va Health Care System, 1670 Clairmont Rd, Decatur, GA 30033 | 2018-10-09 |
| 1245705334 | Mcleod Counseling Services, LLC | Clinic/Center | 2801 N. Decatur Rd, Suite 185, Decatur, GA 30033 | 2018-10-04 |
| 1225514797 | Erkin Mirkhatovich Turganov | Pharmacist | 2951 Cedar Brook Dr, Decatur, GA 30033 | 2018-07-17 |
| 1356834972 | Sharlencia Lord | Nurse Practitioner | 2738 N Decatur Rd # 292-3173, Decatur, GA 30033 | 2018-06-08 |
| 1194213140 | Zacarias Yanis Jr. | Clinical Neuropsychologist | 1276 Mcconnell Drive Ste C., Decatur, GA 30033 | 2018-04-25 |
| 1780181370 | Ryan Patton | Orthopaedic Surgery | 2723 Hollywood Dr, Decatur, GA 30033 | 2018-04-10 |
| 1437669751 | Sholanda D Hooper | Nurse Practitioner | 1601 Clairmont Rd, Decatur, GA 30033 | 2017-10-02 |
| Find all providers in zip 30033 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134729965 | Jamie Mclemore | Nurse Practitioner | 17619 Hwy 58 North, Decatur, TN 37322-3732 | 2020-10-30 |
| 1790383776 | Angela Tope Adeleke | Nurse Practitioner | 3185 Georgian Woods Cir, Decatur, GA 30034-5105 | 2020-10-13 |
| 1417564147 | Jigna Patel | Nurse Practitioner | 1963 Don Juan Ln, Decatur, GA 30032-4218 | 2020-09-27 |
| 1659983856 | Emilie Carsell Mathias | Nurse Practitioner | 2208 N Crossing Way, Decatur, GA 30033-4175 | 2020-08-19 |
| 1275151078 | Tiffanie Marshall Mcguire | Nurse Practitioner | 2042 Beltline Rd Sw Ste B101, Decatur, AL 35601-5571 | 2020-07-08 |
| 1922623610 | Anastasiya A Drogoul | Nurse Practitioner | 2675 N Decatur Rd Ste 404, Decatur, GA 30033-6133 | 2020-06-09 |
| 1174156244 | Anne Marie Strickland | Nurse Practitioner | 3109 Vicksburg Pl Sw, Decatur, AL 35603-3107 | 2020-02-18 |
| 1174161822 | Allison Leanne Hall | Nurse Practitioner | 304 W Hay St Ste 312, Decatur, IL 62526-4170 | 2019-12-12 |
| 1396387866 | Elizabeth Nichole Mathews | Nurse Practitioner | 2301 S Fm 51 Ste 100, Decatur, TX 76234-3864 | 2019-10-16 |
| 1861040479 | Oladunni Funmi Faminu | Nurse Practitioner | 2701 N Decatur Rd # 2400, Decatur, GA 30033-5918 | 2019-08-27 |
| Find all providers in DECATUR | ||||
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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.