GRANT PARK FAMILY HEALTH CENTER, INC. (NPI# 1871669358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871669358 |
| Entity Type | Organization |
| Organization Name | GRANT PARK FAMILY HEALTH CENTER, INC. |
| Other Organization Name | GRANT PARK CLINIC |
| Practice Address |
1340 Boulevard Se Atlanta GA 30315-3016 |
| Practice Telephone | 4046274259 |
| Practice Fax Number | 4046245795 |
| Mailing Telephone | 4046274259 |
| Mailing Fax Number | 4046245795 |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. TERRY W. WOOD (DIRECTOR) |
| Authorized Official Telephone | 4046274259 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Grant Park Clinic | Doing Business As Name - Organization |
| Street Address |
1340 BOULEVARD SE |
| City | ATLANTA |
| State | GA |
| Zip Code | 30315-3016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316904220 | Terry W. Wood | Internal Medicine | 1340 Boulevard Se, Atlanta, GA 30315-3016 | 2006-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083181341 | Erin Cole | Specialist/Technologist | Lakewood Ave Se, Atlanta, GA 30315 | 2018-10-25 |
| 1942701081 | Julie Crocker | Dental Hygienist | 1046 Ridge Ave. Sw, Atlanta, GA 30315 | 2018-02-23 |
| 1457695850 | Dominica Aquino Morales-gibson | Physical Therapist | 2850 Springdale Road Sw, Atlanta, GA 30315 | 2012-11-26 |
| 1912264813 | Maxwell Uhakheme | Internal Medicine | 6875 Douglas Blvd, Suite A, Kaiser Permanente Douglasville Medical Center, Douglasville, GA 30315 | 2012-04-16 |
| 1427329093 | Sulonda Smith | Counselor | 34 Atlanta Ave. Se, Hank Aaron Blvd, Atlanta, GA 30315 | 2012-01-13 |
| 1407152507 | Gerald Leroy Griffin | Pharmacist | 520 Boulevard, Atlanta, GA 30315 | 2011-02-07 |
| 1245404854 | Tunisia Finch Cornelius | Dermatology | 1039 Grant St Se Ste A-11, Atlanta, GA 30315 | 2008-04-15 |
| 1356512180 | Chandra Blakely | Counselor | 215 Lakewood Way, Suite 205, Atlanta, GA 30315 | 2008-03-19 |
| 1104043967 | Alvin H. Clair, M.d.p.c. | Dermatology | 777 Cleveland Ave.,sw Ste.500, Atlanta, GA 30315 | 2007-04-20 |
| 1396877742 | Scott M Russell | Speech-Language Pathologist | 1364 Clifton Road, Atlanta, GA 30315 | 2007-03-12 |
| Find all providers in zip 30315 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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| 1699282665 | Healthy Children Pediatrics, LLC | Clinic/Center | 1448 Lucile Ave Sw, Atlanta, GA 30310-1217 | 2017-12-29 |
| 1205347424 | Juliet Asher, Md, P.C. | Clinic/Center | 3193 Howell Mill Rd Nw Ste 104, Atlanta, GA 30327-2100 | 2017-10-15 |
| 1861870891 | Intown Medicine Inc | Clinic/Center | 3200 Downwood Cir Nw Ste 680, Atlanta, GA 30327-1624 | 2015-05-11 |
| 1780083188 | Amina Medical Consultants PC | Clinic/Center | 2840 Northeast Expy Ne, Suite#116, Atlanta, GA 30345-4214 | 2014-08-21 |
| 1902236656 | Destiny Family Medical Center, LLC | Clinic/Center | 3654 Chattahoochee Summit Dr Se, Atlanta, GA 30339-3254 | 2013-11-16 |
| 1689017170 | Clinica Medica Prenatal Inc | Clinic/Center | 4300 Buford Hwy Ne, Suite: 216, Atlanta, GA 30345-1003 | 2013-04-15 |
| 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.