MRS. RETAUNDA MONIQUE RILEY (NPI# 1831261395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831261395 |
| Entity Type | Individual |
| Full Name | MRS. RETAUNDA MONIQUE RILEY |
| Credential | PA-C |
| Practice Address |
1701 Hardee Ave Sw Atlanta GA 30330-1062 |
| Mailing Address |
730 Cannoli Ct Mcdonough GA 30253-3907 |
| Practice Telephone | 4044640469 |
| Mailing Telephone | 7702882479 |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1054922 | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1701 HARDEE AVE SW |
| City | ATLANTA |
| State | GA |
| Zip Code | 30330-1062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851904379 | Varrenza Lashaun Baker | Recreation Therapist | 1701 Hardee Ave Sw, Atlanta, GA 30310-5110 | 2020-08-25 |
| 1356977904 | Alexander Scott | Social Worker | 1701 Hardee Ave Sw, Atlanta, GA 30310-5110 | 2020-03-16 |
| 1740820901 | Latonja Ann White | Social Worker | 1701 Hardee Ave Sw, Atlanta, GA 30310-5110 | 2020-01-15 |
| 1033751136 | Carlis Hollings Hughes | Counselor | 1701 Hardee Ave Sw, Atlanta, GA 30310-5110 | 2019-10-10 |
| 1730650078 | Leah Bougere | Psychologist | 1701 Hardee Ave Sw, Atlanta, GA 30310-5110 | 2018-12-16 |
| 1669940979 | Jami Michelle Gauthier | Psychologist | 1701 Hardee Ave Sw, Office 2a 326, Atlanta, GA 30310-5110 | 2018-11-05 |
| 1568937530 | Henry Arness Wynne Jr. | Psychologist | 1701 Hardee Ave Sw, Atlanta, GA 30310-5110 | 2018-10-05 |
| 1386139509 | Donlarae Curtis Richardson | Social Worker | 1701 Hardee Ave Sw, Atlanta, GA 30310-5110 | 2018-06-29 |
| 1659739449 | Atlanta Vamc | Psychiatric Residential Treatment Facility | 1701 Hardee Ave Sw, Atlanta, GA 30310-5110 | 2016-02-08 |
| 1225424195 | Otega Edukuye | Psychiatry & Neurology | 1701 Hardee Ave Sw, Atlanta, GA 30310-5110 | 2015-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619170198 | Eisenhower Army Medical Center | Clinic/Center | 1701 Hardee Avenue, S.w., Fort Mcpherson, GA 30330 | 2007-06-11 |
| 1114120821 | Sonja Diane Foots | Registered Nurse | 1701 Hardee Ave S.w., Fort Mcpherson, AL 30330 | 2007-06-08 |
| 1790988657 | Dianne Terrell Smith I | Registered Nurse | 1701 Hardee Ave. S W, Fort Mcpherson, GA 30330 | 2007-06-07 |
| 1639389042 | Ileana Rogers | Registered Nurse | 1701 Hardee Avenue S. W., Fort Mcpherson, GA 30330 | 2007-05-23 |
| 1205981974 | Lawrence Joel Army Health Clinic | Clinic/Center | 1701 Hardee Ave S. W., Fort Mcpherson, Atlanta, GA 30330 | 2007-01-24 |
| 1376696856 | Christine G. Casey | Internal Medicine | 1701 Hardee Ave Se, Lawrence Joel Health Clini, Ft Mcpherson, GA 30330 | 2007-01-19 |
| 1023180577 | Tony Serrano-padin | Family Medicine | 1701 Hardee Ave. Sw, Bldg 125, Fort Mcpherson - Army Health Clinic, Atlanta, GA 30330 | 2006-11-13 |
| 1083796072 | Brenda Gale Hubbard | Pharmacist | 1701 Hardee Ave, Ft Mcpherson, GA 30330 | 2006-10-19 |
| 1679774848 | Corrinne Anne Thames | Licensed Practical Nurse | 1701 Hardee Avenue, Fort Mcpherson, GA 30330 | 2007-05-29 |
| 1912108101 | A. Z. Hooker II | Licensed Practical Nurse | 1701 Hardee Avenue Sw, Ft.pherson, GA 30330 | 2007-05-29 |
| Find all providers in zip 30330 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659970408 | Laura N Gillespie | Physician Assistant | 1800 Howell Mill Rd., Suite 450, Atlanta, GA 30318 | 2020-10-22 |
| 1104433689 | Alexander Hartley Sprague | Physician Assistant | 244 13th St Ne Apt 208, Atlanta, GA 30309-3656 | 2020-09-28 |
| 1972117919 | Gregory Zimmerman | Physician Assistant | 2669 Fleur De Lis Pl, Atlanta, GA 30360-1409 | 2020-09-08 |
| 1083227821 | Jessica Haley Senft | Physician Assistant | 4274 Olde Mill Ln Ne, Atlanta, GA 30342-3400 | 2020-08-30 |
| 1801405758 | Philip Sangster | Physician Assistant | 3485 Greystone Cir, Atlanta, GA 30341-5854 | 2020-07-27 |
| 1114544525 | Nicole Warner | Physician Assistant | 1100 Faith Ave Se, Atlanta, GA 30316-1504 | 2020-07-01 |
| 1770108516 | Bita Ranjbari | Physician Assistant | 659 Auburn Ave Se, Suite 505, Atlanta, GA 30312 | 2020-06-08 |
| 1972125557 | Karen Charisse Forbes | Physician Assistant | 1600 Clifton Rd Ne # H16-1, Atlanta, GA 30329-4018 | 2020-05-17 |
| 1588290316 | Julie Teresa Lovelly | Physician Assistant | 1220 Caroline St Ne Ste A-230, Atlanta, GA 30307-2749 | 2020-03-12 |
| 1104463645 | Hannah Elyse Galvan | Physician Assistant | 550 Peachtree St Ne Bldg Rm3245a, Atlanta, GA 30308-2247 | 2019-12-03 |
| Find all providers in ATLANTA | ||||
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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.