JEFFREY PERETZ (NPI# 1851551535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851551535 |
Entity Type | Individual |
Full Name | JEFFREY PERETZ |
Credential | MD |
Practice Address |
5671 Peachtree Dunwoody Rd Ne Suite 700 Atlanta GA 30342-5000 |
Practice Telephone | 4048479999 |
Practice Fax Number | 4045318466 |
Mailing Telephone | 4048479999 |
Mailing Fax Number | 4045318466 |
Enumeration Date | 2008-06-16 |
Last Update Date | 2016-10-20 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
065780 | GA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 003109212B | 05 | |
GA | 003109212C | 05 | |
GA | 003109212A | 05 |
Street Address |
5671 PEACHTREE DUNWOODY RD NE SUITE 700 |
City | ATLANTA |
State | GA |
Zip Code | 30342-5000 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164429676 | Joseph A. St. Louis Jr. | Ophthalmology | 5671 Peachtree Dunwoody Rd Ne, Suite 400, Atlanta, GA 30342-5000 | 2005-06-30 |
1295178523 | Jill Heinzmann Smith | Physical Therapist | 5671 Peachtree Dunwoody Rd Ne, Suite 520, Atlanta, GA 30342-5000 | 2013-04-17 |
1497198790 | Laura Ann Huey | Physical Therapist | 5671 Peachtree Dunwoody Rd Ne, Suite 520, Atlanta, GA 30342-5000 | 2013-04-17 |
1659632800 | Bnn Strategic Management, LLC | Anesthesiology | 5671 Peachtree Dunwoody Rd Ne, Suite 680, Atlanta, GA 30342-5000 | 2012-06-05 |
1124389895 | Jordan Lee Hall | Physician Assistant | 5671 Peachtree Dunwoody Rd Ne, Suite 900, Atlanta, GA 30342-5000 | 2012-05-30 |
1831457126 | Pamela C Whitaker | Nurse Practitioner | 5671 Peachtree Dunwoody Rd Ne, Suite 530, Atlanta, GA 30342-5000 | 2012-04-25 |
1417227448 | Alison S Moe | Physician Assistant | 5671 Peachtree Dunwoody Rd Ne, Suite 600, Atlanta, GA 30342-5000 | 2012-01-06 |
1023397213 | Georgia Vascular Clinic At Saint Joseph's, LLC | Surgery | 5671 Peachtree Dunwoody Rd Ne, Suite 250, Atlanta, GA 30342-5000 | 2011-08-05 |
1578854162 | Christopher Ketchey | Anesthesiology | 5671 Peachtree Dunwoody Rd Ne, Ste. 610, Atlanta, GA 30342-5000 | 2011-04-29 |
1932343654 | Linda Fullam | Dietitian, Registered | 5671 Peachtree Dunwoody Rd Ne, Suite 600, Atlanta, GA 30342-5000 | 2009-04-24 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144820614 | Nia Charnice Griffin | Nurse Practitioner | 5670 Peachtree Dunwoodyroad, Suite 900, Atlanta, GA 30342 | 2020-10-26 |
1255945184 | Jennifer Lynne Cole | Behavior Technician | 5555 Glenridge Con Suite 200, Atlanta, GA 30342 | 2020-09-08 |
1093336232 | Van Tran | Respiratory Therapist, Registered | 1000 Johnson Ferry Rd Ne, Atlanta, Ga 30342, Atlanta, GA 30342 | 2020-04-28 |
1356978340 | Twyla Douglas Jackson I | Clinical Nutrition, 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 | 2020-03-27 | |
1760013411 | Emily Hamm | Dietitian, Registered | 933 D Johnson Ferry Road, Suite 250, Atlanta, GA 30342 | 2020-01-31 |
1043855984 | Mackenzie Tucker Wayda | Registered Nurse | 1001 Johnson Ferry Rd. Ne, Atlanta, GA 30342 | 2019-11-14 |
1386288454 | Tiauna Lashun Cochman | Psychologist | 1307 Glenridge Dr, Sandy Springs, GA 30342 | 2019-11-01 |
1164074399 | Stephen J. White | Hearing Instrument Specialist | 5775 Peachtree Dunwoody Rd Suite 600 Fl. 6, Uhc Hearing, Atl., GA 30342 | 2019-07-09 |
1144788142 | Jaytyn LLC | Internal Medicine | 4600 Broswell Road, Atlanta, GA 30342 | 2019-03-08 |
1760954705 | Mishele Walker LLC | Counselor | 555 Glenridge Connector, Suite 200, Sandy Springs, GA 30342 | 2018-12-31 |
Find all providers in zip 30342 |
Taxonomy Code | 207XS0114X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Adult Reconstructive Orthopaedic Surgery |
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720019698 | Thomas Lane Bradbury Jr. | Orthopaedic Surgery | 59 Executive Park S, Atlanta, GA 30329-2208 | 2006-07-06 |
1295761450 | Greg Erens | Orthopaedic Surgery | 59 Executive Park S, Suite 2000, Atlanta, GA 30329-2208 | 2006-06-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013327642 | Richard Allen Boe Jr. | Orthopaedic Surgery | 2041 Mesa Valley Way Ste 100, Austell, GA 30106-6856 | 2014-05-05 |
1881895035 | Providence Orthopedics & Sports Medicine, PC | Orthopaedic Surgery | 1401 W Spring St, Suite 200, Monroe, GA 30655-1760 | 2007-05-29 |
1205274800 | Fernando David Nussenbaum | Orthopaedic Surgery | 135 N Park Pl Ste 101, Stockbridge, GA 30281-7237 | 2013-06-05 |
1265701304 | Tattnall Hospital Company LLC | Orthopaedic Surgery | 459 Ga Highway 119 S, Springfield, GA 31329-3021 | 2011-12-19 |
1760627699 | Stattesboro Orthopaedic Center, Inc | Orthopaedic Surgery | 1497 Fair Rd, Ste 101, Statesboro, GA 30458-0823 | 2008-12-05 |
1801950712 | Randall Miller Meredith | Orthopaedic Surgery | 811 13th St, Suite 20, Augusta, GA 30901-2700 | 2006-12-22 |
1407923089 | Dublin Multispecialty LLC | Orthopaedic Surgery | 100 Medical Dr, Suite 100 & 200, Dublin, GA 31021 | 2006-11-29 |
1518977701 | Timothy Richard Young | Orthopaedic Surgery | 1 Freedom Way, Vamc Orthopedics, Augusta, GA 30904-6258 | 2006-08-09 |
1598717407 | Benjamin Franklin Thomas IIi | Orthopaedic Surgery | 2311 Lake Park Drive, Albany, GA 31707 | 2006-05-17 |
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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.