CLEAR MEDICAL CONCEPTS LLC (NPI# 1841616653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841616653 |
| Entity Type | Organization |
| Organization Name | CLEAR MEDICAL CONCEPTS LLC |
| Practice Address |
526 Forest Pkwy Suite K Forest Park GA 30297-6140 |
| Mailing Address |
526 Forest Pkwy Ste K Forest Park GA 30297-6140 |
| Practice Telephone | 7705452052 |
| Mailing Telephone | 7705452052 |
| Enumeration Date | 2014-03-17 |
| Last Update Date | 2014-10-06 |
| Authorized Official Name | MR. ANDREVIUS JEFFERSON (CHIEF OF OPERATIONS) |
| Authorized Official Telephone | 7705452052 |
| Authorized Official Credential | PA-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 61157 | GA | Allopathic & Osteopathic Physicians |
| N | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
62629 | GA | Allopathic & Osteopathic Physicians |
| Y | 146M00000X | Emergency Medical Technician, Intermediate | PA004496 | GA | Emergency Medical Service Providers |
| Street Address |
526 FOREST PKWY SUITE K |
| City | FOREST PARK |
| State | GA |
| Zip Code | 30297-6140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922464536 | Rescue Ambulance Service, LLC | Ambulance | 526 Forest Pkwy, Suite D, Forest Park, GA 30297-6140 | 2016-01-12 |
| 1164826178 | Truliant Health Systems LLC and Plaza Consultants LLC A Partnership | Community/Behavioral Health | 526 Forest Pkwy, Suite D, Forest Park, GA 30297-6140 | 2014-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548747173 | Ga Peach Medical Transportation, LLC | Ambulance | 5023 Highway 85, Forest Park, GA 30297 | 2018-07-26 |
| 1871940437 | Crystal Harrison | Counselor | 4659 Ruby Ln, Forest Park, GA 30297 | 2016-05-24 |
| 1467807156 | Naundria Jackson | Nurse Practitioner | Apmc, Forest Park, GA 30297 | 2016-04-29 |
| 1891156089 | Gentle Care Medical Trans LLC | Ambulance | 530 Forest Parkway Suite B, Forest Park, GA 30297 | 2016-03-15 |
| 1811318835 | Kim Mckinney | Case Manager/Care Coordinator | 1104 South Parkwood Drive, Forest Park, GA 30297 | 2013-12-17 |
| 1215361910 | Tiffany Nadine Adams | Specialist | 228 Morrow Rd 18h, Forest Park, GA 30297 | 2013-08-29 |
| 1851663124 | Daffodil Pediatrics and Family Medicine | Pediatrics | 4905 Courtney Drive, Forest Park, GA 30297 | 2012-02-02 |
| 1093093759 | Truliant Health Systems | Community/Behavioral Health | 526 Forest Parkway Ste D, Forest Park, GA 30297 | 2011-07-29 |
| 1811134133 | Sharonda Renee Forte | Orthopaedic Surgery | 4940 Governors Park Drive, Forest Park, GA 30297 | 2009-01-08 |
| 1215173737 | Comfort Personal Care Service | Assisted Living Facility | 5530 Old Dixie Highway, D-9, Forest Park, GA 30297 | 2009-01-06 |
| Find all providers in zip 30297 | ||||
| Taxonomy Code | 146M00000X |
| Grouping | Emergency Medical Service Providers |
| Classification | Emergency Medical Technician, Intermediate |
| An Intermediate EMT is an individual trained and certified to perform intermediate life support treatment in medical emergencies based on individual state boards. |
| Notes: Sources: Tabers Medical Dictionary and Florida EMS Clearing House. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437567385 | Anthony Quinn Hodge | Emergency Medical Technician, Intermediate | 4035 Jonesboro Rd Ste 240, Forest Park, GA 30297-1035 | 2014-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346850856 | Christopher Lee Bailey | Emergency Medical Technician, Intermediate | 1893 Lathrop St Se, Atlanta, GA 30315-6917 | 2020-08-10 |
| 1881214872 | Roger Lee Jackson II | Emergency Medical Technician, Intermediate | 713 Clifton Rd Se, Atlanta, GA 30316-2229 | 2020-04-20 |
| 1487210704 | Andre Grant | Emergency Medical Technician, Intermediate | 2136 W Park Ct Ste B, Stone Mountain, GA 30087-3528 | 2019-05-13 |
| 1760944334 | Arelious Dunn | Emergency Medical Technician, Intermediate | 6722 Highway 85 Ste 5, Riverdale, GA 30274-2373 | 2019-04-03 |
| 1811488836 | Jeffrey Touchberry | Emergency Medical Technician, Intermediate | 217 Lovebridge Dr Se, Calhoun, GA 30701-4800 | 2018-05-24 |
| 1750800058 | Shawn Anthony Moore | Emergency Medical Technician, Intermediate | 900 N Hairston Rd Ste A3, Stone Mountain, GA 30083-2857 | 2017-09-18 |
| 1689101479 | Pamela Olivia Dugar | Emergency Medical Technician, Intermediate | 3117 Deans Bridge Rd, Augusta, GA 30906-3379 | 2017-05-11 |
| 1457890824 | James Richard Dow II | Emergency Medical Technician, Intermediate | 1453 Wood Park Way Nw, Kennesaw, GA 30152-4670 | 2017-02-18 |
| 1023566387 | Kalli Pelar Coleman Addison | Emergency Medical Technician, Intermediate | 131 Cypress Ln, Eatonton, GA 31024-7567 | 2016-09-15 |
| 1720353642 | Santos Efrain Ortiz | Emergency Medical Technician, Intermediate | 4761 Pauline Rd, Douglasville, GA 30135-4575 | 2012-03-09 |
| Find all providers with the same taxonomy | ||||
| City | FOREST PARK |
| Zip Code | 30297 |
Please comment or provide details below to improve the information on CLEAR MEDICAL CONCEPTS LLC.
| 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.