PRODIAGNOSTICS MEDICAL CENTER (NPI# 1851805469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851805469 |
| Entity Type | Organization |
| Organization Name | PRODIAGNOSTICS MEDICAL CENTER |
| Practice Address |
6460 Highway 92 Ste 200 Acworth GA 30102-2998 |
| Practice Telephone | 6789151891 |
| Practice Fax Number | 6789151893 |
| Mailing Telephone | 6789151891 |
| Enumeration Date | 2017-11-20 |
| Last Update Date | 2017-11-20 |
| Authorized Official Name | CARLOS ALBERTO ESCOBAR (APRN) |
| Authorized Official Telephone | 7708804517 |
| Authorized Official Credential | APRN, MSN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720598030 | Prodiagnostics Medical Center | Nurse Practitioner | 6460 Highway 92 Ste 200, Acworth, GA 30102-2998 | 2017-10-02 |
| Street Address |
6460 HIGHWAY 92 STE 200 |
| City | ACWORTH |
| State | GA |
| Zip Code | 30102-2998 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720598030 | Prodiagnostics Medical Center | Nurse Practitioner | 6460 Highway 92 Ste 200, Acworth, GA 30102-2998 | 2017-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821563677 | Amanda Kristine Roberts | Specialist/Technologist | 1493 Highway 92, Acworth, GA 30102 | 2018-10-09 |
| 1265958391 | Hannah Pepper | Doula | 115 Bennett Farms Dr, Acworth, GA 30102 | 2017-08-21 |
| 1528594314 | Kendra Chantelle Krieg | Emergency Medicine | 185 Anniversary Ln, Acworth, GA 30102 | 2017-05-11 |
| 1215484860 | Jackson Family Therapy and Counseling | Community/Behavioral Health | 2117 Hamby Cove Dr, Nw, Acworth, GA 30102 | 2016-09-01 |
| 1295089134 | The Hopequest Ministry Group, Inc. | Substance Abuse Rehabilitation Facility | 5345 Crossroads Drive, Acworth, GA 30102 | 2012-10-30 |
| 1851609887 | Health Cord of Georgia Inc | Emergency Medical Technician, Basic | 5345 Bells Ferry Rd, Acworth, GA 30102 | 2010-09-24 |
| 1073842928 | Susan Rachel Layton | Clinical Nurse Specialist | 519 Olympic Way, Acworth, GA 30102 | 2009-12-23 |
| 1073779971 | Karen Casadaban | Speech-Language Pathologist | 4957 Day Lily Way, Acworth, GA 30102 | 2008-07-31 |
| 1538205109 | Alan Stuart Horlick | Dentist | 6572 Highway 92, Suite 120, Acworth, GA 30102 | 2007-01-30 |
| 1982620472 | Samuel Arthur Mielcarski | Physical Therapist | 5505 Bells Ferry Rd, Suite 240, Acworth, GA 30102 | 2006-07-15 |
| Find all providers in zip 30102 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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|---|---|---|---|---|
| 1164936217 | Acworth Medical and Respite Care | Clinic/Center | 605 Ceremony Way, Acworth, GA 30102-3730 | 2017-11-28 |
| 1124568704 | Healthy Heart Imaging, LLC | Clinic/Center | 2539 Ramblewood Ct, Acworth, GA 30102-2162 | 2017-03-02 |
| 1346318961 | Rediclinic LLC | Clinic/Center | 1762 Mars Hill Rd Nw, Acworth, GA 30101-8091 | 2006-12-01 |
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| 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.