ATLANTA CLINICAL RESEARCH CENTER (NPI# 1942578281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942578281 |
| Entity Type | Organization |
| Organization Name | ATLANTA CLINICAL RESEARCH CENTER |
| Practice Address |
3562 Habersham At Northlake Building J Tucker GA 30084-4010 |
| Practice Telephone | 7706219656 |
| Enumeration Date | 2011-12-01 |
| Last Update Date | 2011-12-01 |
| Authorized Official Name | DR. NADYA MERCHANT (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 7706219656 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1744R1102X |
Specialist Specialization: Research Study |
Other Service Providers |
| Street Address |
3562 HABERSHAM AT NORTHLAKE BUILDING J |
| City | TUCKER |
| State | GA |
| Zip Code | 30084-4010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629277017 | Atlanta Cardiology Primary Care PC | Internal Medicine | 3562 Habersham At Northlake, Building J, Tucker, GA 30084-4009 | 2007-07-16 |
| 1194106310 | First Aid Community Healthcare, Inc | Clinic/Center | 3562 Habersham At Northlake, Tucker, GA 30084-4010 | 2015-06-12 |
| 1073906962 | Adrian Verwayne | Counselor | 3562 Habersham At Northlake, Building J, Tucker, GA 30084 | 2015-03-17 |
| 1295003531 | Atlanta Vascular Research Foundation | Specialist | 3562 Habersham At Northlake, Building J, Tucker, GA 30084-4010 | 2011-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609401355 | Excellent Medical Transport | Ambulance | 4378 Sentry Dr, Tucker, GA 30084 | 2020-03-03 |
| 1811468796 | Caleb Lee Ebbets | Physical Therapist | 1459 Montreal Road, Medical Office Building, Suite 301, Tucker, GA 30084 | 2018-12-17 |
| 1417436130 | Benjamin Han Wook Chong | Physical Therapist | 1460 Montreal Road East, Suite 300, Tucker, GA 30084 | 2018-08-13 |
| 1336659325 | Lavista Acupuncture and Herbal Medicine | Acupuncturist | 4915 Lavista Rd, Tucker, GA 30084 | 2017-10-04 |
| 1699294207 | Debrica Butler | Counselor | 1021 Oak Chase Dr., Apt C, Tucker, GA 30084 | 2017-09-14 |
| 1295264695 | Jolanta Wazgowska Hopkins | Social Worker | 4404 Idlewood Lane, Tucker, GA 30084 | 2017-06-08 |
| 1164956157 | Sage Dental Group of Georgia LLC | Dentist | 4320 Lavista Rd, Suite C119, Tucker, GA 30084 | 2017-04-17 |
| 1689107807 | Mashail Manzur | Podiatrist | 1460 Montreal Rd E, Ste 275, Tucker, GA 30084 | 2017-04-05 |
| 1053765578 | Jessica Spruyt | Speech-Language Pathologist | 3756 Lavista Rd Suite 104, Tucker, GA 30084 | 2016-04-21 |
| 1265802318 | Spine and Orthopedics of Atlanta, LLC | Clinic/Center | 1462 Montreal Rd Ste 218, Tucker, GA 30084 | 2015-10-01 |
| Find all providers in zip 30084 | ||||
| Taxonomy Code | 1744R1102X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| Specialization | Research Study |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295003531 | Atlanta Vascular Research Foundation | Specialist | 3562 Habersham At Northlake, Building J, Tucker, GA 30084-4010 | 2011-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649676156 | Aaron Tomer | Specialist | 2 Ivy Pkwy Ne, Atlanta, GA 30342-4241 | 2014-11-10 |
| 1982969937 | Kenneth Lee Dominguez | Specialist | 1229 Wildcliff Pkwy Ne, Atlanta, GA 30329-3464 | 2012-07-05 |
| 1134240484 | Jennifer Mae Hootman | Specialist | 3004 Windward Dr Nw, Kennesaw, GA 30152-4668 | 2007-04-03 |
| 1285153122 | Populations and Interventions Team Company (pitc) | Specialist | 3182 Berthas Overlook, Douglasville, GA 30135-8458 | 2017-09-12 |
| 1437514031 | James Alec Ellison Jr. | Specialist | 1600 Clifton Rd Ne, Mailstop G33, Atlanta, GA 30329-4018 | 2015-12-23 |
| 1235296443 | Executive Health and Research Associates, Inc. | Specialist | 5505 Peachtree Dunwoody Rd Ne, Suite 650, Atlanta, GA 30342-1705 | 2007-01-03 |
| 1679682728 | Anna Marie Likos | Specialist | 1600 Clifton Rd Ne, Atlanta, GA 30329-4018 | 2006-08-30 |
| 1578552881 | Eleanor Geller Botha | Specialist | 2165 N Decatur Rd, Of Human Genetics/division of Medical Genetics, Decatur, GA 30033-5307 | 2005-10-19 |
Please comment or provide details below to improve the information on ATLANTA CLINICAL RESEARCH CENTER.
| 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.