ALTERGYN, LLC (NPI# 1851861660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851861660 |
| Entity Type | Organization |
| Organization Name | ALTERGYN, LLC |
| Practice Address |
3823 Roswell Rd Ste 201 Marietta GA 30062-6295 |
| Practice Telephone | 6782472115 |
| Practice Fax Number | 4043938059 |
| Mailing Telephone | 6782472115 |
| Mailing Fax Number | 4043938059 |
| Enumeration Date | 2018-12-05 |
| Last Update Date | 2018-12-05 |
| Authorized Official Name | DR. JAMES ROCHESTER GRANGER III (M.D./OWNER) |
| Authorized Official Telephone | 6782472115 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | GENERAL PRACTICE | 1073714580 | 01 |
| Other Name | Type Code |
|---|---|
| Acupuncture and Injury | Doing Business As Name - Organization |
| Street Address |
3823 ROSWELL RD STE 201 |
| City | MARIETTA |
| State | GA |
| Zip Code | 30062-6295 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073714580 | James R Granger IIi | Family Medicine | 3823 Roswell Rd Ste 201, Marietta, GA 30062-6295 | 2007-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578051 | Pamela D Kretzmer | Social Worker | 3855 Shallowford Road, Suite 420, Marietta, GA 30062 | 2020-11-03 |
| 1932714680 | Michelle Chambless | Physical Therapist | Team Rehabilitation Ga01, LLC, 1401 Johnson Ferry Road, Suite 340, Marietta, GA 30062 | 2020-09-10 |
| 1700408887 | Life University | Chiropractor | 1323 Roswell Road, Marietta, GA 30062 | 2020-05-12 |
| 1104451160 | Sno Healthcare Group | Clinic/Center | 2424 Roswell Rd Ste 120, Marietta, GA 30062 | 2020-03-10 |
| 1811536212 | Sandy Plains Dental Group, PC | Dentist | 3460 Sandy Plains Rd, Suite 240, Marietta, GA 30062 | 2020-01-02 |
| 1073159034 | Magdala Tulcie Jodesty-jackson | Social Worker | 4343 Shalloword Road, Building H, Suite 4 Lower Level, Marietta, GA 30062 | 2019-11-25 |
| 1598235178 | Matthew Driggers | Counselor | 4343 Shallowford Rd C2, Marietta, GA 30062 | 2018-11-27 |
| 1750895785 | Emily Grace Minday | Counselor | 4343 Shallowford Road Building C, Suite 1 Lower Level, Marietta, GA 30062 | 2017-11-29 |
| 1477072122 | Jason Lee Amos | Speech-Language Pathologist | 3660 Chestnut Ridge Court, Marietta, GA 30062 | 2017-09-13 |
| 1346761376 | Marian Pomaah Opoku-agyeman | Nurse Practitioner | 4661 Andrea Pointe, Marietta, GA 30062 | 2017-06-29 |
| Find all providers in zip 30062 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265894265 | George F. Lasker | General Practice | 3921 Bays Ferry Trl, Marietta, GA 30062-5294 | 2016-03-28 |
| 1356733687 | Rodolfo Agraz | General Practice | 538 Heyward Cir Nw, Marietta, GA 30064-1406 | 2015-02-24 |
| 1265879977 | Afc Physicians of Georgia, PC | General Practice | 3481 Ernest Barrett Parkway Sw, Marietta, GA 30064-2703 | 2013-06-04 |
| 1366611071 | Harmar Village Medical Inc | General Practice | 119 Maple Street, Marietta, OH 45750 | 2008-02-27 |
| 1548459043 | Decatur Medical Group LLC | General Practice | 445 Windy Hill Rd Se # 222, Marietta, GA 30060-7342 | 2007-10-20 |
| 1184810913 | Draco Group of Marietta, Inc. | General Practice | 3020 Roswell Rd Ste 216-a, Marietta, GA 30062-4996 | 2007-09-14 |
| 1427244250 | Alpheus Wellness Center, Inc. | General Practice | 445 Windy Hill Rd Se Ste 122, Marietta, GA 30060-7342 | 2007-09-14 |
| 1508051244 | Marietta Medical Associates LLC | General Practice | 445 Windy Hill Rd Se, Suite 200, Marietta, GA 30060-7342 | 2007-09-06 |
| 1700077138 | Omega Health Care LLC | General Practice | 445 Windy Hill Rd, Suite 226, Marietta, GA 30060 | 2007-08-09 |
| 1306036249 | Rainbow Group Services, Inc. | General Practice | 445 Windy Hill Rd Se Ste 102, Marietta, GA 30060-7342 | 2007-07-26 |
| Find all providers in MARIETTA | ||||
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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.