NORTHEAST GA MIDLEVEL SERVICES (NPI# 1811321011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811321011 |
| Entity Type | Organization |
| Organization Name | NORTHEAST GA MIDLEVEL SERVICES |
| Practice Address |
2800 Crane Mill Rd Alto GA 30510-3621 |
| Practice Telephone | 7063383898 |
| Practice Fax Number | 8883538976 |
| Mailing Telephone | 7063383898 |
| Mailing Fax Number | 8883538976 |
| Enumeration Date | 2013-08-25 |
| Last Update Date | 2013-08-25 |
| Authorized Official Name | MRS. CHRISTINE ANDERSON (OWNDER) |
| Authorized Official Telephone | 7063383898 |
| Authorized Official Credential | PA-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
4789 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2800 CRANE MILL RD |
| City | ALTO |
| State | GA |
| Zip Code | 30510-3621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073847828 | Eklas Mohammed | Advanced Practice Midwife | 2023a Gainsville Highway South, Alto, GA 30510 | 2009-09-28 |
| 1679780845 | Joyce Campbell | Nurse Practitioner | 2023 A Gainesville Highway South, Alto, GA 30510 | 2007-05-17 |
| 1922219948 | David Morris Walker | Family Medicine | 2023a Gainesville Highway South, Alto, GA 30510-0709 | 2007-05-24 |
| 1659456622 | Ana Garfield Inc | Case Management | 3104 Crane Mill Rd, Alto, GA 30510-2632 | 2006-10-26 |
| 1821386061 | Michelle Annette Callaway | Case Manager/Care Coordinator | 3104 Crane Mill Rd, Alto, GA 30510-2632 | 2011-07-20 |
| 1023193083 | Ana Garfield | Case Manager/Care Coordinator | 3104 Crane Mill Rd, Alto, GA 30510-2632 | 2006-10-26 |
| 1780903245 | Georgia Mountains Community Services | Day Training, Developmentally Disabled Services | 2454 Mud Creek Rd, Alto, GA 30510-2707 | 2010-05-24 |
| 1245649938 | Chrissy Owenby | Contractor | 1837 Wilbanks Rd, Alto, GA 30510-3363 | 2014-08-06 |
| 1851882013 | Lee Arrendale State Prison Pharmacy | Pharmacy | 2023a Gainesville Hwy, Alto, GA 30510-4435 | 2018-05-23 |
| 1952783177 | Healthstat Onsite Clinic Mvm Alto | Preventive Medicine | 2850 Gainesville Hwy, Alto, GA 30510-4719 | 2015-06-24 |
| Find all providers in zip 30510 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336748409 | Jesse Aaron Denson | Physician Assistant | 2046 Point Grey Ct Nw, Kennesaw, GA 30152-8276 | 2020-10-20 |
| 1568074227 | James D Craig | Physician Assistant | 3210 New College Way, Cumming, GA 30041-2896 | 2020-08-23 |
| 1982223244 | Keith Hawkins | Physician Assistant | 8498 Glenview St, Douglasville, GA 30134-5639 | 2020-04-15 |
| 1639704307 | Spectrum Surgical LLC | Physician Assistant | 3142 Highway 278 Nw # 135, Covington, GA 30014-2304 | 2020-03-03 |
| 1255962205 | Songthu Nguyen | Physician Assistant | 6119 Foxcroft Ct, Morrow, GA 30260-1069 | 2020-01-29 |
| 1265071229 | Stellar Surgical Assisting | Physician Assistant | 3446 Winder Hwy Ste M-322, Flowery Branch, GA 30542-3007 | 2019-12-22 |
| 1194363366 | Clara A Matthews | Physician Assistant | 1930 Windsor Creek Drive Sw, Conyers, GA 30094 | 2019-12-18 |
| 1922640739 | Jeremiah George Blair | Physician Assistant | 61 Whitcher St Suite 2100, Marietta, GA 30060 | 2019-10-14 |
| 1710528401 | Hannah Ingrid Boomgarden | Physician Assistant | 1467 Harper Street Hb 5040, Augusta, GA 30912-5775 | 2019-10-03 |
| 1891257028 | Symmetry Surgical Billing LLC | Physician Assistant | 5135 Mirror Lake Dr, Cumming, GA 30028-7216 | 2019-04-05 |
| 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.