US MEDGROUP PA (NPI# 1861795072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861795072 |
| Entity Type | Organization |
| Organization Name | US MEDGROUP PA |
| Practice Address |
200 Tradeport Blvd Suite 211 Atlanta GA 30354-2910 |
| Mailing Address |
5080 Spectrum Dr Suite 1200 West Addison TX 75001-4648 |
| Practice Telephone | 8002323550 |
| Mailing Telephone | 9723648000 |
| Enumeration Date | 2010-12-09 |
| Last Update Date | 2010-12-09 |
| Authorized Official Name | WILLIAM TOM FOGARTY (EVP, CHIEF MEDICAL OFFICER) |
| Authorized Official Telephone | 9723648000 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659650844 | Us Medgroup Pa | Clinic/Center | 1710 W Southern, Mesa, AZ 85202 | 2011-08-05 |
| 1649559832 | Us Medgroup Pa | Clinic/Center | 901 East Jefferson St, Phoenix, AZ 85034 | 2011-08-05 |
| 1144637679 | Us Medgroup Pa | Clinic/Center | 6423 Columbia Ave, Hammond, IN 46320-2747 | 2014-07-16 |
| 1609283142 | Us Medgroup Pa | Clinic/Center | 5940 Decatur Blvd, Indianapolis, IN 46241-9579 | 2014-07-16 |
| 1083021513 | Us Medgroup Pa | Clinic/Center | 5604 W 74th St, Indianapolis, IN 46278-1752 | 2014-07-16 |
| 1568889988 | Us Medgroup Pa | Clinic/Center | 4115 Dorchester Rd, Suie 100, Charleston, SC 29405-7466 | 2014-03-24 |
| 1912324336 | Us Medgroup Pa | Clinic/Center | 7519 Rivers Ave, North Charleston, SC 29406-4662 | 2014-03-24 |
| 1952680993 | Us Medgroup Pa | Clinic/Center | 2455 N 124th St, Brookfield, WI 53005-4630 | 2011-08-09 |
| 1720367923 | Us Medgroup Pa | Clinic/Center | 290 Branch Ave, Providence, RI 02904 | 2011-08-05 |
| 1174802375 | Us Medgroup Pa | Clinic/Center | 8923 W Brown Deer Rd, Milwaukee, WI 53224-2120 | 2011-08-05 |
| Street Address |
200 TRADEPORT BLVD SUITE 211 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30354-2910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902092976 | U.S. Medgroup, P.a. | Clinic/Center | 200 Tradeport Blvd, Suite 211, Atlanta, GA 30354-2910 | 2007-09-24 |
| 1801083472 | U.S. Medgroup, P.a. | Clinic/Center | 200 Tradeport Blvd, Suite 211, Atlanta, GA 30354 | 2007-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700426996 | A Touch of Love Personal Care & Consulting | In Home Supportive Care | 100 Hartsfield Centre Pkwy Suite 500, Atlanta, GA 30354 | 2020-01-15 |
| 1952887168 | Walking In Purpose Inc. | Counselor | 3504 Eisenhower Cir Se, Atlanta, GA 30354 | 2018-07-11 |
| 1699193987 | Airport Spinal Injury | Clinic/Center | 809 North Central Ave, Hapeville, GA 30354 | 2014-04-03 |
| 1801234885 | Allergy Specialists of Georgia | Internal Medicine | 438 Henry Ford, Atlanta, GA 30354 | 2013-06-12 |
| 1851442867 | Harandi, Harandi, Spelios and Associates Hapeville LLC | Point of Service | 785 Virginia Ave, Suite A, Hapeville, GA 30354 | 2007-01-16 |
| 1013068782 | Ali Harandifassih | Dentist | 785 Virginia Avenue, Suite A, Hapeville, GA 30354 | 2007-01-16 |
| 1336207349 | Catherine Clayton Harper | Registered Nurse | 3444 Claire Dr, Hopeville, GA 30354 | 2006-12-04 |
| 1649346099 | Katherine Lee Gill | Registered Nurse | 3444 Claire Drive, Hapeville, GA 30354 | 2006-11-28 |
| 1407865108 | Occupational Health Centers of Georgia PC | Clinic/Center | 3580 Atlanta Avenue, Hapeville, GA 30354 | 2006-08-05 |
| 1063488633 | Anthony Keith Taylor | Physician Assistant | 791 Oak Street, Hapeville, GA 30354 | 2006-02-24 |
| Find all providers in zip 30354 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467066639 | Luminous Care, LLC | Clinic/Center | 285 Boulevard Ne Ste 145, Atlanta, GA 30312-4204 | 2020-09-03 |
| 1487271342 | Temak Telehealth | Clinic/Center | 635 Granville Ct, Atlanta, GA 30328-3445 | 2020-06-26 |
| 1245860816 | The Wellness Sanctuary, Inc | Clinic/Center | 206 Rogers St Ne Apt 117, Atlanta, GA 30317-1035 | 2020-01-22 |
| 1700432465 | Emanate Wellness Chiropractic, PC | Clinic/Center | 905 Juniper St Ne Ste 108, Atlanta, GA 30309-4129 | 2019-08-16 |
| 1689141301 | Happilee Ever After, LLC | Clinic/Center | 1827 Powers Ferry Rd Se Ste 250, Atlanta, GA 30339-5621 | 2018-10-31 |
| 1437625944 | Bowden Weight Loss Center | Clinic/Center | 3280 Howell Mill Rd Nw Ste 233, Atlanta, GA 30327-4100 | 2018-10-23 |
| 1336667997 | Absolute Holistic Medicine | Clinic/Center | 1868 Independence Sq, Suite A, Atlanta, GA 30338 | 2017-09-05 |
| 1013468693 | Harmony Seal Corp | Clinic/Center | 400 Colony Sq Ne, Suite 200, Atlanta, GA 30361-6302 | 2016-10-19 |
| 1225407638 | Margaret Byrne | Clinic/Center | 2933 Townley Cir, Atlanta, GA 30340-4827 | 2015-09-16 |
| 1356738447 | Positive Balance Wellness Center @ Ben Hill United Methodist Church | Clinic/Center | 2099 Fairburn Rd Sw, Atlanta, GA 30331-4812 | 2015-04-16 |
| 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.