ALAN MEDFORD (NPI# 1972075117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972075117 |
| Entity Type | Individual |
| Full Name | ALAN MEDFORD |
| Practice Address |
1020 Angelo Ct Ne Atlanta GA 30319-1042 |
| Practice Telephone | 4042459540 |
| Enumeration Date | 2018-12-28 |
| Last Update Date | 2018-12-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225000000X | Orthotic Fitter | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1020 ANGELO CT NE |
| City | ATLANTA |
| State | GA |
| Zip Code | 30319-1042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215556717 | Ronika Cotton | Marriage & Family Therapist | 2002 Summit Boulevard, Suite 300, Atlanta, GA 30319 | 2020-04-14 |
| 1093369548 | Gordon Peace | Physical Therapist | 705 Town Blvd Ne S 550, Atlanta, GA 30319 | 2019-08-01 |
| 1124682281 | Tiffany Nicole Blamble | Physician Assistant | 2235 Briarwood Way Ne, Brookhaven, GA 30319 | 2019-04-24 |
| 1891286860 | Sandy Springs Center for Urologic Surgery LLC | Clinic/Center | 1450 S Johnson Ferry Rd Ste 100, Atlanta, GA 30319 | 2018-05-24 |
| 1578070355 | Aaron Knott | Physical Therapist | 4260 Peachtree Road, Atlanta, GA 30319 | 2018-01-03 |
| 1639683832 | Lauren Hamann | Physical Therapist | 3777 Peachtree Rd Ne Apt 933, Brookhaven, GA 30319 | 2017-11-27 |
| 1760993984 | Caroline M. Brackette | Counselor | 2002 Summit Blvd Ste 300, Brookhaven, GA 30319 | 2017-10-15 |
| 1700328713 | Christina Head | Counselor | 1350 Dresden Drive, Atlanta, GA 30319 | 2016-11-08 |
| 1528432572 | Hillary Allyn Olivier | Occupational Therapist | 3747 Peachtree Rd, Atlanta, GA 30319 | 2015-11-13 |
| 1285025304 | Karl Weismantel | Physical Therapy Assistant | 1000 Lenox Park Blvd, Atlanta, GA 30319 | 2015-02-11 |
| Find all providers in zip 30319 | ||||
| Taxonomy Code | 225000000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Orthotic Fitter |
| An individual trained in the management of fitting prefabricated orthoses. |
| Notes: Source: National Uniform Claim Committee [1/1/2011: title modified, definition modfied] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508105875 | Wayne Washington | Orthotic Fitter | 422 E Park Ave, Valdosta, GA 31602-3036 | 2013-02-06 |
| 1376869263 | Lyvetta Walker Marshall | Orthotic Fitter | 187 Hightower Dr, Suite B, Martinez, GA 30907-8405 | 2010-04-16 |
| 1508923020 | Allison Boynton Beck | Orthotic Fitter | 156 N Main Street, Clayton, GA 30525 | 2007-01-03 |
| 1093881708 | Sheryl Avon Skipper | Orthotic Fitter | 118 S Madison St Ste 1, Thomasville, GA 31792-5400 | 2006-11-27 |
| 1750480901 | Advanced Diabetic Solutions LLC | Orthotic Fitter | 1580 Atkinson Rd, Lawrenceville, GA 30043-5600 | 2006-09-22 |
| 1356450209 | Bari F Levens | Orthotic Fitter | 1303 Dantignac Street, Suite 1000, Augusta, GA 30901-2776 | 2006-08-30 |
| 1083672695 | Melvin Dixon | Orthotic Fitter | 753 N Indian Creek Dr, Clarkston, GA 30021-2347 | 2006-05-03 |
| 1255397147 | Jeffery Dean Parson | Orthotic Fitter | 1619 John Orr Drive, Tifton, GA 31794-3640 | 2006-04-21 |
| 1821269887 | Ehteshamul Haque | Orthotic Fitter | 4820 Armour Rd, Suite A-4, Columbus, GA 31904-5296 | 2008-03-18 |
| 1366623878 | Gregory Allen Hankins | Orthotic Fitter | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2007-11-27 |
| Find all providers with the same taxonomy | ||||
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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.