ROCKDALE PHYSICIAN PRACTICES LLC (NPI# 1811272495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811272495 |
Entity Type | Organization |
Organization Name | ROCKDALE PHYSICIAN PRACTICES LLC |
Other Organization Name | GEORGIA PRIMARY URGENT CARE |
Practice Address |
1301 Sigman Rd Ne Suite 230 Conyers GA 30012-3812 |
Practice Telephone | 6786094912 |
Practice Fax Number | 6786094932 |
Mailing Telephone | 6786094912 |
Mailing Fax Number | 6786094932 |
Enumeration Date | 2011-10-14 |
Last Update Date | 2011-10-14 |
Authorized Official Name | JESS N. JUDY (PRESIDENT) |
Authorized Official Telephone | 6153728508 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Georgia Primary Urgent Care | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891050381 | Rockdale Physician Practices LLC | Psychiatry & Neurology | 1301 Sigman Rd Ne, Suite 225, Conyers, GA 30012-3812 | 2012-07-10 |
1568772580 | Rockdale Physician Practices LLC | Obstetrics & Gynecology | 1301 Sigman Rd Ne, Suite 230, Conyers, GA 30012-3812 | 2010-10-08 |
1720391808 | Rockdale Physician Practices LLC | Obstetrics & Gynecology | 1301 Sigman Rd Ne, Suite 230, Conyers, GA 30012-3812 | 2010-07-19 |
1023321346 | Rockdale Physician Practices LLC | Surgery | 1301 Sigman Rd Ne, Conyers, GA 30012-3812 | 2010-07-15 |
1437472511 | Rockdale Physician Practices LLC | Family Medicine | 1775 Parker Rd Se, Suite C240, Conyers, GA 30094-6654 | 2010-03-03 |
1619205754 | Rockdale Physician Practices LLC | Orthopaedic Surgery | 1301 Sigman Rd, Suite 125, Conyers, GA 30012-3812 | 2009-12-01 |
Street Address |
1301 SIGMAN RD NE SUITE 230 |
City | CONYERS |
State | GA |
Zip Code | 30012-3812 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396732657 | Roy Lamar Talley Jr. | Anesthesiology | 1301 Sigman Rd Ne, Suite 100, Conyers, GA 30012 | 2005-10-03 |
1235671645 | Michelle Emerson | Physical Therapist | 1301 Sigman Rd Ne, Suite 220, Conyers, GA 30012-3812 | 2016-11-16 |
1194267260 | Sovereign Rehabilitation of Georgia, LLC | Physical Therapist | 1301 Sigman Rd Ne, Suite 220, Conyers, GA 30012-3812 | 2016-11-07 |
1679933774 | Excalibur Anesthesia Associates Inc | Anesthesiology | 1301 Sigman Rd Ne, Suite 120, Conyers, GA 30012-3812 | 2016-03-02 |
1730576786 | Erika Dorsey | Nurse Practitioner | 1301 Sigman Rd Ne, Suite 200, Conyers, GA 30012-3812 | 2015-04-16 |
1376965947 | April Ramsey | Registered Nurse | 1301 Sigman Rd Ne, Ste 130, Conyers, GA 30012-3812 | 2014-01-15 |
1386065878 | Patricia Julia Gonzalez | Physical Therapist | 1301 Sigman Rd Ne, Suite 220, Conyers, GA 30012-3812 | 2013-12-30 |
1891050381 | Rockdale Physician Practices LLC | Psychiatry & Neurology | 1301 Sigman Rd Ne, Suite 225, Conyers, GA 30012-3812 | 2012-07-10 |
1245503515 | Ips of Conyers LLC | Anesthesiology | 1301 Sigman Rd Ne, Suite 120, Conyers, GA 30012-3812 | 2012-02-17 |
1861765224 | Beate Sass | Physical Therapist | 1301 Sigman Rd Ne, Suite 220, Conyers, GA 30012-3812 | 2012-02-15 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578188306 | The Eye Md | Ophthalmology | 1359 Milstead Road, Suite #103, Conyers, GA 30012 | 2020-06-08 |
1043855836 | Maurvet Minto | Counselor | 1175 Green St, Conyers, Conyers, GA 30012 | 2019-11-15 |
1770054561 | Sarah Elizabeth Brooks | Physical Medicine & Rehabilitation | 1290 Milstead Ave Ne, Conyers, GA 30012 | 2018-12-06 |
1679091276 | Valorie Antoinette Jones | Counselor | 1175 Green St Se, Conyers, GA 30012 | 2017-09-02 |
1558886341 | Synergy Radiology, LLC | Radiology | 1501 Milstead Road, Suite 140, Conyers, GA 30012 | 2017-08-14 |
1558813295 | Salon Lyon, LLC | Specialist | 1112 West Ave, Se, B, Conyers, GA 30012 | 2016-10-28 |
1992252753 | Traci Hunter Bryan | Pharmacist | 1501 Milstead Ave Ne, Suite 110, Conyers, GA 30012 | 2016-09-08 |
1316491830 | Hye Rim Kim | Anesthesiologist Assistant | 1380 Milstead Rd Ne, Suite G, Conyers, GA 30012 | 2016-08-12 |
1235591397 | David Jeffrey Wasserman | Optometrist | 1192 Dogwood Dr Sw, Conyers, GA 30012 | 2016-03-28 |
1174919187 | Anique Archer | Health Educator | 2170 Lester Rd Nw, Conyers, GA 30012 | 2015-04-07 |
Find all providers in zip 30012 |
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 |
---|---|---|---|---|
1528358280 | Camille Patrice Mclean | Internal Medicine | 2347 New Haven Pl, Conyers, GA 30094-3358 | 2011-04-14 |
1508186867 | Craig O'neil Campbell | Internal Medicine | 1525 Paceville Ct, Conyers, GA 30012-7125 | 2010-06-09 |
1982832739 | Gregory E. Jones | Internal Medicine | 1415 Milstead Ave Ne, Conyers, GA 30012 | 2009-06-30 |
1982845665 | Samuel Davis Mintlow | Internal Medicine | 3241 Lindas Cir Se, Conyers, GA 30013-2238 | 2009-03-10 |
1689730244 | Bassam Tome | Internal Medicine | 1277 Wellbrook Cir Ne, Suite C, Conyers, GA 30012-3873 | 2006-12-28 |
1437211703 | Eastside Internal Medicine, LLC | Internal Medicine | 2080 Eastside Dr, Suite A, Conyers, GA 30013-1953 | 2006-12-14 |
1457446189 | Mary Harris Stephens | Internal Medicine | 1301 Wellbrook Circle, Conyers, GA 30012-3873 | 2006-10-04 |
1457446171 | James Ransford De Give | Internal Medicine | 1301 Well Brook Circle, Conyers, GA 30012-3873 | 2006-10-04 |
1215028253 | Harmon Andrew Smith | Internal Medicine | 1080 Green St Sw, Conyers, GA 30012-5269 | 2006-09-27 |
1386735066 | East Metro Internal Medicine | Internal Medicine | 3641 Highway 20 Se, Suite A, Conyers, GA 30013-3064 | 2006-09-27 |
Find all providers in CONYERS |
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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.