SHEFFRIN MEN'S HEALTH, LLC (NPI# 1881978898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881978898 |
| Entity Type | Organization |
| Organization Name | SHEFFRIN MEN'S HEALTH, LLC |
| Other Organization Name | AGELESS HEALTH MD, LLC |
| Practice Address |
1000 Johnson Ferry Rd Suite B155 Marietta GA 30068-2114 |
| Practice Telephone | 4043231777 |
| Practice Fax Number | 8884737093 |
| Mailing Telephone | 7709771414 |
| Mailing Fax Number | 8884737093 |
| Enumeration Date | 2011-10-10 |
| Last Update Date | 2013-06-13 |
| Authorized Official Name | MICHAEL A. SHEFFRIN (PRESIDENT) |
| Authorized Official Telephone | 7709771414 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
055194 | GA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Ageless Health MD, LLC | Former Legal Business Name - Organization |
| Street Address |
1000 JOHNSON FERRY RD SUITE B155 |
| City | MARIETTA |
| State | GA |
| Zip Code | 30068-2114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326041971 | James Ralph Smouse | Dentist | 1000 Johnson Ferry Rd, Bldg H, Marietta, GA 30068-5518 | 2005-05-27 |
| 1497262737 | Emma Bausback | Physical Therapist | 1000 Johnson Ferry Rd, Marietta, GA 30068-2114 | 2018-01-09 |
| 1942605589 | Meghan Brianna Harris | Physical Therapist | 1000 Johnson Ferry Rd, Suite A-12, Marietta, GA 30068-2114 | 2014-10-24 |
| 1508294810 | Anjenette Moranda Sorapuru | Nurse Practitioner | 1000 Johnson Ferry Rd, Ste. B155, Marietta, GA 30068-2114 | 2013-10-23 |
| 1437584307 | Sheffrin Men's Health-nw Atl | General Practice | 1000 Johnson Ferry Rd, Suite B155, Marietta, GA 30068-2114 | 2013-09-10 |
| 1053757450 | Leah Soyars Heisler | Speech-Language Pathologist | 1000 Johnson Ferry Rd, Suite A-100, Marietta, GA 30068-2114 | 2013-05-13 |
| 1144579186 | Brittany N Carroll | Speech-Language Pathologist | 1000 Johnson Ferry Rd, Suite A-100, Marietta, GA 30068-2114 | 2012-09-06 |
| 1487923082 | Karlie P Wilson | Speech-Language Pathologist | 1000 Johnson Ferry Rd, #b200, Marietta, GA 30068-2114 | 2011-12-28 |
| 1619254869 | Joshua D Blackmon | Speech-Language Pathologist | 1000 Johnson Ferry Rd, Suite A100, Marietta, GA 30068-2114 | 2011-11-15 |
| 1811279383 | Gina Britt Mervis | Speech-Language Pathologist | 1000 Johnson Ferry Rd, Suite A100, Marietta, GA 30068-2114 | 2011-09-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831798917 | Barbara Ann Goldschmidt | Pharmacist | 4088 Lower Roswell Rd, Marietta, GA 30068 | 2020-10-20 |
| 1285274480 | Cory Plasker | Chiropractor | 519b Johnson Ferry Road, Suite 350, Marietta, GA 30068 | 2020-01-15 |
| 1952949893 | Dr Amy L Varner LLC | Internal Medicine | 1000 Johnson Ferry Rd Bldg E Ste 200, Marietta, GA 30068 | 2019-12-11 |
| 1417501834 | Cornerstone Hospice and Palliative Care of Georgia, LLC | Hospice Care, Community Based | 1225 Johnson Ferry Rd., Bldg. 100, Suite 160, Marietta, GA 30068 | 2019-07-25 |
| 1639721038 | Cayla Clark | Behavior Technician | 137 Johnson Ferry Road Suite 2170, Marietta, GA 30068 | 2019-07-15 |
| 1467910828 | 2me Healthcare,llc | Home Health | 2586 Club Valley Drive Ne, Marietta, GA 30068 | 2019-03-05 |
| 1265912604 | Feidy Chiropractic Clinic Inc, Dba Cardwell Chiropractic Clinic | Chiropractor | 1230 Johnson Ferry Pl Ste G30, Marietta, GA 30068 | 2018-08-15 |
| 1225514219 | Audrey Hughes. Lcsw, LLC | Clinic/Center | 1212 Johnson Ferry Rd, Suite 300, Marietta, GA 30068 | 2018-07-13 |
| 1316461379 | Evan King | Registered Nurse | 52 Pioneer Trl, Marietta, GA 30068 | 2017-08-01 |
| 1912431867 | Anthony Izore | Nurse Practitioner | 5163 Tall Oak Drive, Marietta, GA 30068 | 2017-04-18 |
| Find all providers in zip 30068 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497074298 | Lashaun Denise Elliott | Family Medicine | 3600 Dallas Hwy, Suite 230, # 282, Marietta, GA 30064-1785 | 2010-05-19 |
| 1255690475 | Medic One LLC | Family Medicine | 2621 Sandy Plains Rd, Suite 304, Marietta, GA 30066-4267 | 2012-05-08 |
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| 1306464250 | Leah Reed | Family Medicine | 2082 Cherokee Farms Cv, Buford, GA 30519-7004 | 2020-07-08 |
| 1083240766 | Carehere LLC | Family Medicine | 114 N Jackson St, Albany, GA 31701-2583 | 2020-03-13 |
| 1518590744 | Octavia Raquel Holloway-freeman | Family Medicine | 301 Denmark St, Statesboro, GA 30458-5208 | 2020-02-17 |
| 1891331575 | Jenna Barnes | Family Medicine | 1107 Memorial Dr Ste 300, Dalton, GA 30720-8664 | 2019-11-18 |
| 1023651205 | Carehere LLC | Family Medicine | 750 S Perry St Ste 200, Lawrenceville, GA 30046-4804 | 2019-10-21 |
| 1003385733 | James G Hamilton Jr Md LLC | Family Medicine | 4898 Highway 197, Mount Airy, GA 30563-2442 | 2018-11-26 |
| 1780161323 | Personal Wellness Inc. | Family Medicine | 625 Boxwood Ter, Johns Creek, GA 30005-7217 | 2018-07-26 |
| 1073005138 | Lake Oconee Wellness Associates LLC | Family Medicine | 1097 Lake Oconee Pkwy Ste 201, Eatonton, GA 31024-9510 | 2018-06-05 |
| 1376034983 | Lee Pennington Mcnichols | Family Medicine | 2300 Bethelview Rd Ste 110-332, Cumming, GA 30040-9475 | 2018-05-21 |
| 1972021301 | Docpecox, LLC | Family Medicine | 755 Mount Vernon Hwy Ne Ste 350, Atlanta, GA 30328-4291 | 2017-09-06 |
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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.