METRO ATLANTA ACCESS CENTER LLC (NPI# 1982818951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982818951 |
Entity Type | Organization |
Organization Name | METRO ATLANTA ACCESS CENTER LLC |
Practice Address |
3885 Princeton Lakes Way Sw Suite 314 Atlanta GA 30331-5589 |
Practice Telephone | 4043497770 |
Practice Fax Number | 4043497778 |
Mailing Telephone | 4043497770 |
Mailing Fax Number | 4043497778 |
Enumeration Date | 2007-05-09 |
Last Update Date | 2011-09-20 |
Authorized Official Name | ANGUS C HOWARD JR. (PRESIDENT - CHAIRMAN OF THE BOARD) |
Authorized Official Telephone | 4046967300 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 174400000X | Specialist | Other Service Providers | ||
Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | NPI | 1598755993 | 01 |
GA | NPI | 1730127945 | 01 |
GA | 221585150A | 05 | |
GA | NPI | 1649345919 | 01 |
Street Address |
3885 PRINCETON LAKES WAY SW SUITE 314 |
City | ATLANTA |
State | GA |
Zip Code | 30331-5589 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811989478 | Lisa C Perry-gilkes | Otolaryngology | 3885 Princeton Lakes Way Sw, Suite 312a, Atlanta, GA 30331-5589 | 2005-08-19 |
1861933178 | Southwest Atlanta Vascular Care, LLC | Radiology | 3885 Princeton Lakes Way Sw, Suite 314, Atlanta, GA 30331-5589 | 2017-03-20 |
1598127540 | Interventional Spine and Pain Management Center, PC | Pain Medicine | 3885 Princeton Lakes Way Sw, Atlanta, GA 30331-5589 | 2016-03-28 |
1326409566 | Interventional Spine and Pain Management Center, PC | Pain Medicine | 3885 Princeton Lakes Way Sw, Suite 225, Atlanta, GA 30331-5589 | 2016-03-16 |
1811357080 | S.val Plastic Surgery P.C. | Plastic Surgery | 3885 Princeton Lakes Way Sw, Suite 312, Atlanta, GA 30331-5589 | 2016-03-02 |
1366841744 | Southern Crescent Physicians Group, Inc | Psychiatry & Neurology | 3885 Princeton Lakes Way Sw, Atlanta, GA 30331-5589 | 2014-08-21 |
1205267192 | Wellstar Medical Group, LLC | Internal Medicine | 3885 Princeton Lakes Way Sw, Suite 300, Atlanta, GA 30331-5589 | 2013-12-03 |
1942548870 | Ispm Asc At Camp Creek LLC | Clinic/Center | 3885 Princeton Lakes Way Sw, Ste 400, Atlanta, GA 30331-5589 | 2013-01-28 |
1447594106 | Ispm Asc At Camp Creek LLC | Clinic/Center | 3885 Princeton Lakes Way Sw, Suite 400, Atlanta, GA 30331-5589 | 2012-11-19 |
1356685390 | Camp Creek LLC | Specialist | 3885 Princeton Lakes Way Sw, Ste 400, Atlanta, GA 30331-5589 | 2012-11-15 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861001174 | Whitney Flemister | Social Worker | 3961 Princeton Lakes Way Sw, Atlanta, GA 30331 | 2020-07-23 |
1982237400 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 5829 Campbellton Road, S.w, Suite 110, Atlanta, GA 30331 | 2020-02-13 |
1295375558 | Drusilla Precious Cudjoe | Behavior Technician | 3800 Camp Creek Parkway Sw, Building 1400, Atlanta, GA 30331 | 2020-01-14 |
1497262778 | Champions Pharmacy | Pharmacy | 3886 Princeton Lakes Way Suite 180, Atlanta, GA 30331 | 2018-01-08 |
1033629779 | Carmen Ardoin | Counselor | 2636 Martin Luther King Jr. Drive, Suite 12, Atlanta, GA 30331 | 2017-10-09 |
1346759974 | Neva R Allison | Nurse Practitioner | 2611 Dayview Ln, Atlanta, GA 30331 | 2017-09-26 |
1538678255 | Natalie Mckay | Technician/Technologist | 3915 Cascade Rd, 220, Atlanta, GA 30331 | 2017-09-26 |
1700304268 | Tyrone Pipkin | Contractor | 415 Kendrick Terrace Sw, Atlanta, GA 30331 | 2017-09-05 |
1073031688 | Kristen Wooldridge | Pharmacist | 3695 Cascade Road, Atlanta, GA 30331 | 2017-09-04 |
1548704687 | Advance Pain Management | Health Maintenance Organization | 2950 Stone Hogan Road Connector, Atlanta, GA 30331 | 2016-12-08 |
Find all providers in zip 30331 |
Taxonomy Code | 207RN0300X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Nephrology |
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134524853 | Sheryl Cababat Caberto | Internal Medicine | 1648 Pierce Dr Ne, Atlanta, GA 30307 | 2014-10-23 |
1902143233 | Barry Jay Rosenbaum | Internal Medicine | 2000 Castleway Dr Ne, Atlanta, GA 30345-3914 | 2013-01-07 |
1194060483 | Hypertension and Kidney Center LLC | Internal Medicine | 6069 Harleston Rd, Atlanta, GA 30328-4105 | 2012-11-28 |
1659627248 | Tina Thomas | Internal Medicine | 5671 Peachtree Dunwoody Rd Ste 500, Atlanta, GA 30342-5019 | 2012-08-01 |
1437449741 | Srijita Kumar | Internal Medicine | 5667 Peachtree Dunwoody Rd Ste 260, Atlanta, GA 30342-1714 | 2011-04-08 |
1548562580 | Rahul Bhardwaj | Internal Medicine | 1639 Pierce Drive Ste 338, Atlanta, GA 30322 | 2010-11-24 |
1063740793 | Midtown Atlanta Nephrology PC | Internal Medicine | 650 Peachtree St Ne, Suite 1650, Atlanta, GA 30308-2310 | 2009-11-18 |
1407026818 | Jason Cobb | Internal Medicine | 550 Peachtree Street Mot 7th Floor Nephrology, Atlanta, GA 30308 | 2008-03-03 |
1558547943 | Roderic L. Woodson II | Internal Medicine | 105 Collier Rd N.w., Suite 1000, Atlanta, GA 30309 | 2008-01-15 |
1710160023 | Leonard Gyebi | Internal Medicine | 2001 Peachtree Rd Ne Ste 560, Atlanta, GA 30309-1476 | 2007-12-10 |
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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.