EMORY HEALTHCARE (NPI# 1992164495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992164495 |
| Entity Type | Organization |
| Organization Name | EMORY HEALTHCARE |
| Practice Address |
791 Wylie St Se 102 Atlanta GA 30316-7200 |
| Practice Telephone | 4047884396 |
| Mailing Telephone | 4047884396 |
| Enumeration Date | 2016-02-12 |
| Last Update Date | 2016-03-14 |
| Authorized Official Name | GRETA RUSSLER (NURSE PRACTITIONER) |
| Authorized Official Telephone | 4047884396 |
| Authorized Official Credential | FNP-BC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QX0200X |
Clinic/Center Specialization: Oncology |
RN240539 | GA | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336345982 | Emory Healthcare | Clinic/Center | The Emory Clinic 1525 Clifton Rd, Atlanta, GA 30322-0001 | 2007-06-21 |
| 1740689496 | Emory Healthcare | General Acute Care Hospital | 1364 Clifton Rd Ne, Atlanta, GA 30322-1059 | 2014-08-19 |
| 1578834008 | Emory Healthcare | Nursing Facility/Intermediate Care Facility | 1365 Clifton Rd Ne, Atlanta, GA 30322-1013 | 2012-01-13 |
| 1659674992 | Emory Healthcare | General Acute Care Hospital | 1362 Clifton Rd Ne, Atlanta, GA 30322-1059 | 2010-12-08 |
| 1992018345 | Emory Healthcare | General Acute Care Hospital | 550 Peachtree St Ne, Atlanta, GA 30308-2208 | 2010-07-14 |
| 1154643336 | Emory Healthcare | General Acute Care Hospital | 1364 Clifton Rd Ne, Atlanta, GA 30322-1059 | 2010-02-16 |
| 1669618732 | Emory Healthcare | General Acute Care Hospital | 1364 Clifton Rd Ne, Hb33, Atlanta, GA 30322-1059 | 2008-12-19 |
| 1972792885 | Emory Healthcare | General Acute Care Hospital | 1365 Clifton Rd Ne, Suite A2200, Atlanta, GA 30322-1013 | 2007-10-16 |
| 1417157405 | Emory Healthcare | General Acute Care Hospital | 1364 Clifton Rd Ne, Hospital Medicine Box M7, Atlanta, GA 30322-1064 | 2007-07-19 |
| 1235339227 | Emory Healthcare | General Acute Care Hospital | 1364 Clifton Rd Ne, Hospital Medicine Box M7, Atlanta, GA 30322-1064 | 2007-07-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | EMORY HEALTHCARE | 1550 Litton Dr, Stone Mountain, GA 30083-1302 |
| Street Address |
791 WYLIE ST SE 102 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30316-7200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811021157 | My Heroes, LLC | Clinic/Center | 791 Wylie St Se, Unit 1012, Atlanta, GA 30316-7200 | 2007-03-16 |
| 1417408923 | Erica Lynch | Occupational Therapist | 791 Wylie St Se, Unit 710, Atlanta, GA 30316-7200 | 2016-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073156923 | Rakiya Williams | Counselor | 1030 Fayetteville Rd., Atlanta, GA 30316 | 2019-10-23 |
| 1215585815 | Madison Victoria Baugh | Counselor | Chris180, 1030 Fayetteville Rd, Atlanta, GA 30316 | 2019-08-28 |
| 1265089460 | Josee Dominque Muldrew | Counselor | 1030 Fayetteville Rd. Se, Atlanta, GA 30316 | 2019-08-22 |
| 1255984241 | Monique Overstreet | Counselor | 1030 Fayetteville Road, Atlanta, GA 30316 | 2019-07-19 |
| 1023573979 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 905 Memorial Drive Se, Atlanta-fulton, GA 30316 | 2019-02-05 |
| 1740726454 | Jimmy Brian Sambula | Behavior Technician | 1017 Fayetteville Rd. Se, Atlanta, GA 30316 | 2017-01-19 |
| 1033665039 | Liberty Group Senior Services | Clinic/Center | 1879 Glenwood Avenue, Atlanta, GA 30316 | 2016-08-30 |
| 1043673650 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 800 Glenwood Ave Se, Atlanta, GA 30316 | 2016-03-31 |
| 1992143382 | Ayodele Osasona | Surgery | 2004 Oak Terrace Dr Se, Atlanta, GA 30316 | 2013-06-07 |
| 1891945721 | Denise Renee Cagle | Social Worker | 1471 Town Country Dr Se, Atlanta, GA 30316 | 2008-09-28 |
| Find all providers in zip 30316 | ||||
| Taxonomy Code | 261QX0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Oncology |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment and prescriptive services related to cancerous conditions. Services include chemotherapy infusions and monitoring of implanted chemotherapeutic agents. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972758506 | Emory Healthcare Winship Cancer Institute | Clinic/Center | 1365c Clifton Rd Ne, Suite C2056, Atlanta, GA 30322-1013 | 2008-11-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083629877 | Southeast Georgia Hematology/oncology Assoc. | Clinic/Center | 1111 Glynco Pkwy, Suite 500, Brunswick, GA 31525-7921 | 2006-07-30 |
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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.