METRO ATLANTA ACCESS CENTER LLC


Address: 3885 Princeton Lakes Way Sw, Suite 314, Atlanta, GA 30331-5589
Phone: 4043497770

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
GA NPI 1598755993 01
GA NPI 1730127945 01
GA 221585150A 05
GA NPI 1649345919 01

Office Location

Street Address 3885 PRINCETON LAKES WAY SW
SUITE 314
City ATLANTA
State GA
Zip Code 30331-5589

Providers in the same location

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
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Providers in the same zip code

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 Information

Taxonomy Code 207RN0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Nephrology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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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Competitor

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City ATLANTA
Zip Code 30331

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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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