JOHN MICHAEL BUCHANAN (NPI# 1982679684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982679684 |
| Entity Type | Individual |
| Full Name | JOHN MICHAEL BUCHANAN |
| Credential | DO |
| Practice Address |
3575 Braselton Hwy Dacula GA 30019-1155 |
| Mailing Address |
Po Box 742616 Atlanta GA 30374-2616 |
| Practice Telephone | 7708485300 |
| Mailing Telephone | 7702198420 |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2020-11-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
054557 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 444911088N | 05 | |
| GA | 444911088P | 05 | |
| GA | MEDICARE PIN THE BRASELTON CLINIC | 08CBBNC | 01 |
| GA | 444911088S | 05 | |
| GA | 444911088Q | 05 | |
| GA | MEDICARE PIN QUICK CARE | 08CBCHP | 01 |
| GA | 444911088L | 05 | |
| GA | MEDICARE PIN ADVANTAGE SPORTS MEDICINE | 511I080027 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5445 Meridian Marks Rd Ne, Ste 250, Atlanta, GA 303424763 | 4042551933 | 4042567924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356866180 | John Buchanan | Driver | 101 Pocahontas St, Franklin, VA 23851-2330 | 2017-08-14 |
| 1689795627 | John A Buchanan | Chiropractor | 128 Birchwood Dr, Brick, NJ 08723-3443 | 2007-04-03 |
| 1538252127 | John C Buchanan | Chiropractor | 15 Sw 20th Avenue, Battle Ground, WA 98604 | 2006-10-02 |
| 1235142191 | John Patrick Buchanan | Social Worker | 6729 4th St Nw, Albuquerque, NM 87107-6114 | 2006-08-14 |
| 1952340101 | John Glen Buchanan | Dentist | 245 E Center St, Lexington, NC 27292-3343 | 2006-06-05 |
| 1457671620 | John Buchanan | Specialist | 2108 E 3rd St Ste 100, Chattanooga, TN 37404-2623 | 2010-06-10 |
| 1356469282 | John Whittaker Buchanan | Dentist | 546 Park St, Ste 100, Bowling Green, KY 42101 | 2007-03-27 |
| 1730232927 | John Leo Buchanan | Dentist | 46-056 Kamehameha Hwy, Kaneohe, HI 96744-3755 | 2007-01-19 |
| 1437244720 | John Terrance Buchanan | Family Medicine | 116 Spit Brook Rd, Nashua, NH 03062-2711 | 2006-10-04 |
| 1811009145 | John Philip Buchanan | Dentist | 5800 Ridgewood Rd, Suite 101, Jackson, MS 39211-2667 | 2006-08-31 |
| Street Address |
3575 BRASELTON HWY |
| City | DACULA |
| State | GA |
| Zip Code | 30019-1155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841794757 | Samantha Brooke Ledbetter | Internal Medicine | 3575 Braselton Hwy, Dacula, GA 30019 | 2018-03-23 |
| 1295199677 | Elvira Jasarevic | Family Medicine | 3575 Braselton Hwy, Dacula, GA 30019-1027 | 2016-04-11 |
| 1629443106 | Kate Anderson Bass | Social Worker | 3575 Braselton Hwy, Dacula, GA 30019-1027 | 2015-12-09 |
| 1871789271 | Jody Marie Bahnmiller-brasil | Family Medicine | 3575 Braselton Hwy, Dacula, GA 30019-1027 | 2007-09-19 |
| 1669673331 | Holly Davidson Corley | Internal Medicine | 3575 Braselton Hwy, Dacula, GA 30019-1027 | 2007-05-30 |
| 1740332840 | Inchol Yun | Family Medicine | 3575 Braselton Hwy, Dacula, GA 30019-1027 | 2007-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780228171 | Mackenson Lafortune | Physical Therapy Assistant | 1424 Filigree Pl, Dacula, GA 30019 | 2019-10-29 |
| 1780167452 | Adenike Alaga | Registered Nurse | 3196 Dolostone Way, Dacula, GA 30019 | 2018-09-10 |
| 1780160580 | Cielitha Ruffin | Nurse Practitioner | 1223 Bentley Estates Dr., Dacula, GA 30019 | 2018-07-15 |
| 1386135663 | Anke Mbapeh | Nurse Practitioner | 2100 Browning Bend Ct, Dacula, GA 30019 | 2018-05-23 |
| 1053820282 | Ethan Zachariah Merrow | Student in an Organized Health Care Education/Training Program | 1701 Mulberry Lake Drive, Dacula, GA 30019 | 2017-09-20 |
| 1043737547 | Dawn Hedley | Dietitian, Registered | 3567 Vern Way, Dacula, GA 30019 | 2017-08-25 |
| 1831545367 | Angela Owusu-edusei | Nurse Practitioner | 3226 Dolostone Way, Dacula, GA 30019 | 2016-05-13 |
| 1528458718 | Philomena Gyamfi | Registered Nurse | 1088 Milford Ln, Dacula, GA 30019 | 2015-01-27 |
| 1417375247 | Casey Goldman Sommerfeld | Pediatrics | 2240 Hamilton Creek Pkwy Ste 600, Dacula, GA 30019 | 2014-03-29 |
| 1417398215 | Samia Tahil | Home Health | 2821 Spence Ct, Dacula, GA 30019 | 2013-07-10 |
| Find all providers in zip 30019 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://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 Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306108279 | Casey Wagner | Family Medicine | 7813 Spivey Station Blvd Ste 220, Jonesboro, GA 30236 | 2012-06-15 |
| 1831422682 | Koji Nishimura | Family Medicine | Commander, Usameddac and Martin Army Community Hospital, 7950 Martin Loop, Fort Benning, GA 31905 | 2009-09-11 |
| 1073787305 | Mark James Sakr | Family Medicine | 3400 Old Milton Pkwy Ste C190, Alpharetta, GA 30005-4481 | 2008-04-17 |
| 1104009059 | Northeast Georgia Physicians Group, Inc. | Family Medicine | 115 Towne Center Pkwy, Suite 113, Hoschton, GA 30548-2213 | 2007-12-14 |
| 1366549073 | Michael Joseph Huey | Family Medicine | Emory University Student Health Services, 1525 Clifton Road, Atlanta, GA 30322-0001 | 2006-09-17 |
| 1942234281 | Charles Edward Garten II | Family Medicine | 3200 Downwood Cir Nw Ste 340, Atlanta, GA 30327-1605 | 2006-07-11 |
| 1477597979 | John M. Henderson Sr. | Family Medicine | 1900 10th Ave Suite 320, Columbus, GA 31901 | 2006-06-15 |
| 1609843481 | Tracy R Ray | Family Medicine | 1305 Jennings Mill Rd Ste 110, Watkinsville, GA 30677-7241 | 2006-03-01 |
| 1770562852 | Neeru Jayanthi | Family Medicine | 6335 Hospital Pkwy Ste 302, Emory Orthopaedics, Sports, Spine, Johns Creek, GA 30097-5712 | 2006-01-17 |
| 1255972840 | Chelsey Beckham | Family Medicine | 400 Arnold Mill Rd, Woodstock, GA 30188-2834 | 2019-10-04 |
| 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.