CLAIRE K WILLIE (NPI# 1790711141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790711141 |
| Entity Type | Individual |
| Full Name | CLAIRE K WILLIE |
| Credential | MD |
| Practice Address |
1324 Highway 138 Sw Riverdale GA 30296-1404 |
| Mailing Address |
Po Box 9 Fayetteville GA 30214-0009 |
| Practice Telephone | 7709074949 |
| Practice Fax Number | 7709074022 |
| Mailing Telephone | 7709074949 |
| Mailing Fax Number | 7709074022 |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2011-08-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 039177 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00639779 | 05 |
| Street Address |
1324 HIGHWAY 138 SW |
| City | RIVERDALE |
| State | GA |
| Zip Code | 30296-1404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710922075 | Caedel Medical Group | Internal Medicine | 1324 Highway 138 Sw, Riverdale, GA 30296-1404 | 2006-06-19 |
| 1194188516 | Jodi Tallman | Nurse Practitioner | 1324 Highway 138 Sw, Riverdale, GA 30296-1404 | 2016-04-02 |
| 1649520800 | Tannisa D Bailey | Registered Nurse | 1324 Highway 138 Sw, Riverdale, GA 30296 | 2012-09-14 |
| 1891977146 | James Oliviere Jr. | Family Medicine | 1324 Highway 138 Sw, Riverdale, GA 30296-1404 | 2007-11-28 |
| 1356545586 | Camille Pleshette Cook | Nurse Practitioner | 1324 Highway 138 Sw, Riverdale, GA 30296-1404 | 2007-06-12 |
| 1710082458 | Lula Sherri M Mitchell | Physician Assistant | 1324 Highway 138 Sw, Riverdale, GA 30296-1404 | 2006-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558594 | James D Hickman | Home Health Aide | 2252 Addison Park, Riverdale, GA 30296 | 2020-11-04 |
| 1255973251 | Octavia Bostic | Nurse's Aide | 7670 Creekside Lane, Riverdale, GA 30296 | 2019-10-10 |
| 1548746829 | Verna Stoner-frazier | Physical Therapist | 1542 Bethaven Rd, Riverdale, GA 30296 | 2018-07-19 |
| 1346762705 | Letty Searcy | Case Manager/Care Coordinator | 7125 E. Village Ct, Riverdale, GA 30296 | 2017-07-07 |
| 1225402639 | Optima Physical Therapy Services | Clinic/Center | 808 Commerce Boulevard, Riverdale, GA 30296 | 2015-11-23 |
| 1437409224 | Mobile Nursing Service LLC | Nursing Care | 829 Scott Rd, Riverdale, GA 30296 | 2012-09-19 |
| 1104069517 | Taina S. Holly | Licensed Practical Nurse | 1234 Elgin Way, Riverdale, GA 30296 | 2009-04-15 |
| 1386720118 | Absolute Healthcare & Rehab Center | Chiropractor | 1807 Hwy 138 Sw, Riverdale, GA 30296 | 2006-10-27 |
| 1467558650 | Daniel Tesfa Redie | Dentist | 1849 Hwy 138, Riverdale, GA 30296 | 2006-09-15 |
| 1033214184 | Malcolm Hill | Chiropractor | 1296 Hwy 138, Suite 105, Riverdale, GA 30296 | 2006-09-13 |
| Find all providers in zip 30296 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790167799 | Cristian Carbuccia | Internal Medicine | 33 Upper Riverdale Rd Sw Ste 10, Riverdale, GA 30274 | 2015-06-25 |
| 1821418468 | Christopher Charles Richardson I | Internal Medicine | 3567 W Mount Whitney Ave, Riverdale, CA 93656 | 2014-04-22 |
| 1386922441 | Kathleen O'hara Johnson | Internal Medicine | 6330 Riverdale Rd, Riverdale, GA 30274-1617 | 2011-07-23 |
| 1104092048 | Victor Ezinna Okeh | Internal Medicine | 483 Upper Riverdale Rd Sw Ste F, Riverdale, GA 30274 | 2008-04-30 |
| 1619158730 | Alpesh Bhagubhai Patel | Internal Medicine | 11 Upper Riverdale Rd Sw Fl 6, Riverdale, GA 30274-2615 | 2007-11-16 |
| 1194913053 | South Metro Primary Care | Internal Medicine | 261 Medical Way, Suite A, Riverdale, GA 30274-2522 | 2007-10-04 |
| 1821126673 | Douglas Satcher | Internal Medicine | 261 Medical Way Ste A, Riverdale, GA 30274-2522 | 2007-03-02 |
| 1730235771 | Victoria Harris Thedford | Internal Medicine | 155 Medical Way Ste E, Riverdale, GA 30274 | 2007-01-25 |
| 1184782369 | Reva Gill | Internal Medicine | 6510 Kenilworth Avenue, Suite 2400, Riverdale, MD 20737 | 2006-12-04 |
| 1447329263 | Deepak Bhagwandas | Internal Medicine | 7529 Shannon Oak Dr, Riverdale, GA 30296-1445 | 2006-11-07 |
| Find all providers in RIVERDALE | ||||
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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.