SURAYYAH W. FAREED (NPI# 1952603201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952603201 |
| Entity Type | Individual |
| Full Name | SURAYYAH W. FAREED |
| Credential | NP.CNM |
| Practice Address |
2855 Candler Rd Ste 14 Decatur GA 30034-1415 |
| Practice Telephone | 4042434433 |
| Practice Fax Number | 4042434449 |
| Mailing Telephone | 4042434433 |
| Mailing Fax Number | 4042434449 |
| Enumeration Date | 2010-11-18 |
| Last Update Date | 2013-06-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
RN092866 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367A00000X | Advanced Practice Midwife | RN092866 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2855 CANDLER RD STE 14 |
| City | DECATUR |
| State | GA |
| Zip Code | 30034-1415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316370745 | Women's Healthcare Network | Advanced Practice Midwife | 2855 Candler Rd Ste 14, Decatur, GA 30034-1415 | 2013-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689289803 | Kalesha Uneek Presswood | Behavior Technician | 5361 Roswell Rd, Atlanta, GA 30034 | 2020-09-14 |
| 1447876768 | Rosemary Maines | Recreation Therapist | The Maines Group LLC Dba Maines Health and Wellness, 3461 Jessica Run, Decatur, GA 30034 | 2020-06-23 |
| 1437775764 | The Maines Group, LLC | Adult Companion | The Maines Group, LLC Dba Maines Health and Wellness, 3461 Jessica Run, Decatur, GA 30034 | 2020-06-23 |
| 1801351994 | Anthony E. Parrish, D.d.s., PC | Dentist | 3653 Flakes Mill Road, Suite E, Deactur, GA 30034 | 2019-02-04 |
| 1164916813 | Lenina O Chi-ukpai | Nurse Practitioner | 2942 Secretariat Ct, Decatur, GA 30034 | 2018-06-17 |
| 1154662765 | Zackery Kanel Thomas | Driver | 2782 Green Marsh Court, Decatur, GA 30034 | 2013-03-06 |
| 1033472642 | Lakeba Hibbler Williams | Counselor | 4147 Flat Shoals Pkwy, Decatur, GA 30034 | 2012-06-19 |
| 1164789632 | Foot Solutions of Georgia | Durable Medical Equipment & Medical Supplies | 3011 S Rainbow Dr, Suite 160, Decatur, GA 30034 | 2012-04-20 |
| 1699096172 | Wanda P Garrett | Social Worker | 3013 Rainbow Drive, Suite 112-e, South Dekalb Office Park, Decatur, GA 30034 | 2010-06-18 |
| 1245558022 | Teresa Behrend Fletcher | Counselor | 3915 Brookside Pkwy, Decatur, GA 30034 | 2010-05-04 |
| Find all providers in zip 30034 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497368328 | Jennifer Cobb | Nurse Practitioner | 130 Champlain St, Decatur, GA 30030-1803 | 2020-08-29 |
| 1992235469 | Nijah Alish Chapman | Nurse Practitioner | 2665 N Decatur Rd Ste 255, Decatur, GA 30033-6176 | 2017-06-15 |
| 1598041741 | Netcare Medical Clinic Decatur, Inc | Nurse Practitioner | 4284 Memorial Dr Ste C, Suite C, Decatur, GA 30032-1220 | 2011-11-01 |
| 1801103387 | State of Alabama Department of Public Health | Nurse Practitioner | 510 Cherry St. Ne, Decatur, AL 35602-1628 | 2010-09-07 |
| 1467462085 | Connie H Requarth | Nurse Practitioner | 2905 North Main Street, Decatur, IL 62526-4274 | 2006-08-08 |
| 1871502005 | Evelyn R Morales | Nurse Practitioner | 2675 N Decatur Rd Ste 301, Suite 301, Decatur, GA 30033-6132 | 2006-08-05 |
| 1497354054 | Hannah Elizabeth Bergbower | Nurse Practitioner | 2675 N Decatur Rd Ste 607, Decatur, GA 30033-6134 | 2020-10-23 |
| 1912325267 | Diane Rainford | Nurse Practitioner | 3110 Clifton Springs Rd, Decatur, GA 30034-4600 | 2014-04-03 |
| 1902220429 | Andi Christine Petito | Nurse Practitioner | 3110 Clifton Springs Rd, Decatur, GA 30034-4600 | 2014-02-05 |
| 1104264183 | Jessica Je'nae Thomas | Nurse Practitioner | 1458 Church St Ste B, Decatur, GA 30030-1672 | 2013-06-12 |
| Find all providers in DECATUR | ||||
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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.