MID PHYSICIAN NETWORK (OH), LLC


Address: 5665 New Northside Dr, Suite 520, Atlanta, GA 30328-5831
Phone: 8558794332

MID PHYSICIAN NETWORK (OH), LLC (NPI# 1982077590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1982077590
Entity Type Organization
Organization Name MID PHYSICIAN NETWORK (OH), LLC
Practice Address 5665 New Northside Dr
Suite 520
Atlanta
GA 30328-5831
Practice Telephone 8558794332
Enumeration Date 2015-11-04
Last Update Date 2015-11-04
Authorized Official Name ADRIAN DAVIS (CHIEF EXECUTIVE OFFICER)
Authorized Official Telephone 6784912804
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice Allopathic & Osteopathic Physicians

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1184137960 Mid Physician Network (oh), LLC Community/Behavioral Health 5665 New Northside Dr Ste 520, Atlanta, GA 30328-4617 2017-11-15

Office Location

Street Address 5665 NEW NORTHSIDE DR
SUITE 520
City ATLANTA
State GA
Zip Code 30328-5831

Providers in the same location

NPI Name Taxonomy Address Enumeration
1689813628 Michelle Hicks Emergency Medicine 5665 New Northside Dr, Suite #320, Atlanta, GA 30328-5834 2009-02-16
1720560899 Asia Evelyn Scaife Physician Assistant 5665 New Northside Dr, Atlanta, GA 30328-5831 2018-09-05
1811400724 Mid Physician Network (in), LLC Community/Behavioral Health 5665 New Northside Dr, Atlanta, GA 30328-5831 2017-11-14
1346753241 Myidealdoctor LLC Community/Behavioral Health 5665 New Northside Dr, Atlanta, GA 30328-5831 2017-11-14
1598280539 Denise Darlene Morgan Nurse Practitioner 5665 New Northside Dr, Atlanta, GA 30328-5831 2017-08-10
1649703836 Mid Physician Network (wv), Pllc General Practice 5665 New Northside Dr, Suite 520, Atlanta, GA 30328-5831 2017-04-05
1346783388 Mid Physician Network (ky), LLC General Practice 5665 New Northside Dr, Suite 520, Atlanta, GA 30328-5831 2016-11-23
1447793484 Mid Physician Network (in), LLC General Practice 5665 New Northside Dr, Suite 520, Atlanta, GA 30328-5831 2016-11-23
1538527635 Myidealdoctor LLC General Practice 5665 New Northside Dr, Suite 520, Atlanta, GA 30328-5831 2016-02-03
1407231327 Sabrena Delk Nurse Practitioner 5665 New Northside Dr, Suite 320, Atlanta, GA 30328-5831 2015-07-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1467910042 Amber Andrews Behavior Technician 750 Hammond Drive Bldg 7 Suite 100, Atlanta, GA 30328 2019-03-04
1215492830 Ryan William Dubinin Behavior Technician 750 Hammond Drive, Building 7, Suite 100, Atlanta, NJ 30328 2019-02-07
1346710142 Emily Rose Lloyd Swavely Speech-Language Pathologist 5825 Glenridge Rd., Building 1, Suite 133, Atlanta, GA 30328 2018-12-05
1063994481 Mark Edward Brachmanski Optometrist 800 Mount Vernon Highway Ne, Suite 130, Atlanta, GA 30328 2018-09-01
1407352578 Nina Brown Massage Therapist 7100 Peachtree Dunwoody Rd Ste 110, Sandy Springs, GA 30328 2018-04-05
1336657741 Renee Usher Reeves Assistant Behavior Analyst 750 Hammond Dr Building 7, Suite 100, Atlanta, GA 30328 2018-01-19
1487168274 Patricia Nicole Felder Student in an Organized Health Care Education/Training Program 270 Carpenter Dr, Ne, Suite # 400, Atlanta, GA 30328 2017-12-01
1447762927 Ponders Podiatry LLC Podiatrist 275 Carpenter Drive Ne, Suite 106, Atlanta, GA 30328 2017-10-24
1770093601 Syed M Rasheed Physician Assistant 5788 Roswell Rd Ste 100, Atlanta, GA 30328 2017-10-05
1437678190 Jeanette Denise Jones Counselor 270 Carpenter Drive, Suite 400, Sandy Springs, GA 30328 2017-09-13
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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447861950 Phynova Mso, LLC General Practice 1718 Peachtree St Nw Ste 380, Atlanta, GA 30309-2498 2020-08-10
1285265546 Idea Body Institute Atlanta Asc General Practice 371 E Paces Ferry Rd Ne Ste 450, Atlanta, GA 30305-3292 2020-01-27
1770121030 New Life Medical Centers Georgia LLC General Practice 3550 Lenox Rd Ne Ste 2100, Atlanta, GA 30326-1810 2019-12-18
1790292688 Battery Healthcare LLC General Practice 2550 Heritage Ct Se Ste 155, Atlanta, GA 30339-3065 2018-01-02
1255882353 Pro-medical Center LLC General Practice 2090 Dunwoody Club Dr Ste 106-241, Atlanta, GA 30350-5434 2016-10-24
1174917470 Thomas Merryfield Jarrett General Practice 2870 Peachtree Rd Nw Ste 915-3296, Atlanta, GA 30305-2918 2015-03-24
1306247663 Hbisc General Practice 3118 Esplanade Cir Sw, Atlanta, GA 30311-4221 2014-09-05
1891106183 Stephanie Elizabeth James General Practice 315 Boulevard Ne Ste 516, Atlanta, GA 30312 2014-05-08
1871928747 Shefffrin Men's Health-midtown, P.C. General Practice 2025 Monroe Dr Ne, Suite A, Atlanta, GA 30324-4830 2013-09-10
1750721221 International Community Medical Network, LLC General Practice 1900 Windsor Dr Sw, Atlanta, GA 30311-4414 2013-06-28
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Competitor

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City ATLANTA
Zip Code 30328

Improve Information

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Dataset Information

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.

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