QRC 360 ENTERPRISES (NPI# 1912407719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912407719 |
| Entity Type | Organization |
| Organization Name | QRC 360 ENTERPRISES |
| Other Organization Name | MEDI-WEIGHTLOSS |
| Practice Address |
12195 Highway 92 Ste 144 Woodstock GA 30188-3603 |
| Mailing Address |
720 Quail Run Ct Johns Creek GA 30005-8920 |
| Practice Telephone | 6785407827 |
| Mailing Telephone | 4042930173 |
| Mailing Fax Number | 8886570467 |
| Enumeration Date | 2018-02-19 |
| Last Update Date | 2018-02-19 |
| Authorized Official Name | MR. ARTHUR TSIROPOULOS (PRESIDENT & CEO) |
| Authorized Official Telephone | 4042930173 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
218918RN | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 207Q00000X | Family Medicine | 30053 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 1265505531 | 05 | |
| GA | 1184161622 | 05 |
| Other Name | Type Code |
|---|---|
| Medi-Weightloss | Doing Business As Name - Organization |
| Street Address |
12195 HIGHWAY 92 STE 144 |
| City | WOODSTOCK |
| State | GA |
| Zip Code | 30188-3603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265903421 | Amanda Naseef Volker | Nurse Practitioner | 12195 Highway 92 Ste 144, Woodstock, GA 30188-3603 | 2018-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730715814 | Tyler Rose | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 116 South Mill Creek Court, Woodstock, GA 30188 | 2020-03-20 |
| 1881224897 | Dr. Tom LLC | Clinic/Center | 5431 Old Highway 5 Ste 206, Holly Springs, GA 30188 | 2020-01-17 |
| 1467090175 | Stacey Robin Hill | Dietitian, Registered | 210 Mcaffee St, Street Address 2, Woodstock, GA 30188 | 2019-12-12 |
| 1326681784 | Margo Vanderveen | Massage Therapist | 605 Old Hickory Road, Woodstock, GA 30188 | 2019-10-17 |
| 1275093437 | Rebekah Ruth Tchouta | Social Worker | 5166 Shotwell St, Woodstock, GA 30188 | 2019-03-23 |
| 1205395829 | Angela M Graves | Behavior Technician | 3229 S Cherokee Ln Ste 1400, Woodstock, GA 30188 | 2019-03-13 |
| 1396233391 | Costco Wholesale Corporation | Hearing Aid Equipment | 113 Lincoln Street, Woodstock, GA 30188 | 2018-04-25 |
| 1659878080 | Alexis K. Brown | Counselor | 3380 Trickum Rd., Bldg 700, Woodstock, GA 30188 | 2018-04-11 |
| 1427555440 | Lisa Marie Anthony | Specialist/Technologist | 400 Arnold Mill Rd, Woodstock, GA 30188 | 2018-04-06 |
| 1497254122 | J.a.h. Enterprises, LLC | Audiologist | 12195 Hwy. 92, Suite 114-325, Woodstock, GA 30188 | 2018-02-08 |
| Find all providers in zip 30188 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245844489 | Jovita Zalwango Nassolo | Family Medicine | 116 1/2 N Benton St Apt 2d, Woodstock, IL 60098-3272 | 2020-09-04 |
| 1649623414 | Emily Chan | Family Medicine | 759 S Main St Ste 310, Woodstock, VA 22664-1156 | 2016-07-18 |
| 1164843389 | Stacey A O'brien | Family Medicine | 14205 Highway 92 Ste 105, Woodstock, GA 30188-7138 | 2013-12-16 |
| 1386997765 | Weatherstone Medical Care LLC. | Family Medicine | 3203 S Cherokee Ln, Suite 220, Woodstock, GA 30188-4461 | 2012-10-22 |
| 1629396585 | Lata Parvathaneni | Family Medicine | 900 Towne Lake Pkwy Ste 410, Woodstock, GA 30189-1604 | 2010-05-17 |
| 1992934400 | Donn J. Wiedershine, M.d., P.C. | Family Medicine | 62 Ricks Road, Woodstock, NY 12498 | 2009-07-06 |
| 1699899096 | Hugh P Hermann | Family Medicine | Hugh P. Hermann, 4 The Green, Woodstock, VT 05091 | 2007-03-19 |
| 1538293725 | Hugh P. Hermann, M.d. | Family Medicine | 4 The Grn, Woodstock, VT 05091-1345 | 2007-03-16 |
| 1912038142 | Northside Family Practice, LLC | Family Medicine | 100 Stone Forest Drive, Suite 320, Woodstock, GA 30189 | 2007-03-08 |
| 1336224260 | Jacob Ward | Family Medicine | 1200 Buckhead Xing Ste B, Woodstock, GA 30189-4259 | 2006-10-26 |
| Find all providers in WOODSTOCK | ||||
Please comment or provide details below to improve the information on QRC 360 ENTERPRISES.
| 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.