DR. RANDALL JAMES DISHAW (NPI# 1023148061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023148061 |
| Entity Type | Individual |
| Full Name | DR. RANDALL JAMES DISHAW |
| Credential | D.C. |
| Practice Address |
270 Hawthorne Ave Athens GA 30606-2881 |
| Mailing Address |
171 Pinecrest Ter Athens GA 30606-2447 |
| Practice Telephone | 7063537779 |
| Mailing Telephone | 7066131125 |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 1986 | GA | Chiropractic Providers |
| Street Address |
270 HAWTHORNE AVE |
| City | ATHENS |
| State | GA |
| Zip Code | 30606-2881 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770506578 | Wayne Samuel Morris | Internal Medicine | 270 Hawthorne Ave, Suite A, Athens, GA 30606-2881 | 2006-07-25 |
| 1841593175 | Russell D Springer, P.C. | Optometrist | 270 Hawthorne Ave, Athens, GA 30606-2881 | 2010-12-08 |
| 1558595066 | Thomas Locke IIi | Internal Medicine | 270 Hawthorne Ave, Suite B, Athens, GA 30606-2881 | 2009-05-12 |
| 1821291857 | Wayne S. Morris, M.d.p.c. | Internal Medicine | 270 Hawthorne Ave, Athens, GA 30606-2881 | 2007-06-07 |
| 1861612525 | Blakely M York | Physician Assistant | 270 Hawthorne Ave, Suite A, Athens, GA 30606-2881 | 2007-04-26 |
| 1588743728 | Zaigham Ashraf Butt | Internal Medicine | 270 Hawthorne Ave, Athens, GA 30606 | 2006-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942816962 | Kofi Darkwa Seffah | Student in an Organized Health Care Education/Training Program | 1199 Prince Ave #70, 1270 Prince Ave Suite 201, Athens, GA 30606 | 2020-09-16 |
| 1831712363 | Rebecca John | Licensed Practical Nurse | 240 Mitchel Bridge Road, Athens, GA 30606 | 2020-05-19 |
| 1497375612 | Alfred Ka-shing Wong | Student in an Organized Health Care Education/Training Program | 1270 Prince Ave Suite 201, Athens, GA 30606 | 2020-04-17 |
| 1881223956 | Lauren Fesperman | Nurse Practitioner | 242 King Ave Ste 130, Athens, GA 30606 | 2020-04-02 |
| 1255966081 | Westminster Presbyterian Homes, Inc. | Skilled Nursing Facility | 1400 Live Oak Ln, Building 100, Athens, GA 30606 | 2020-03-12 |
| 1255981700 | Carol Cameron Cready-pyle | Social Worker | 1551 Jennings Mill Pkwy Ste 1700, Athens, GA 30606 | 2019-09-17 |
| 1013576016 | Lauren Gruendling | Nurse Practitioner | 242 King Avenue, Suite 210, Athens, GA 30606 | 2019-06-12 |
| 1760045223 | Dominic Ofosu Amakye | Student in an Organized Health Care Education/Training Program | 1270 Prince Avenue Suite 201, Athens, GA 30606 | 2019-04-19 |
| 1740740422 | Juan G Salazar Castillo | Student in an Organized Health Care Education/Training Program | Community Internal Medicine of Athens, 1500 Oglethorpe Ave Suite 200d, Athens, GA 30606 | 2019-03-20 |
| 1750869020 | Jennifer Emily Chapman | Physical Therapist | 1021 Parkway Blvd Ste 101, Athens, GA 30606 | 2018-07-30 |
| Find all providers in zip 30606 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265057392 | Kelly Elizabeth Kane | Chiropractor | 29767 Route 220, Athens, PA 18810-9103 | 2020-06-15 |
| 1538675962 | Janet Cheng | Chiropractor | 140 Cleveland Ave, Athens, GA 30601-2318 | 2017-12-21 |
| 1891123493 | Sanford L. Golenberg | Chiropractor | 26 E Park Dr, Athens, OH 45701-5003 | 2013-10-17 |
| 1023378668 | Athens Atlas Chiropractic Center, Inc | Chiropractor | 855 Sunset Dr Ste 8, Athens, GA 30606-7717 | 2012-05-16 |
| 1275834111 | Dr. Karyn L Ross | Chiropractor | 203 South St Ste D, Athens, PA 18810-1146 | 2010-11-09 |
| 1275775132 | Alma Maria Uthlaut | Chiropractor | 216 S Marion St, Suite B, Athens, AL 35611-2568 | 2009-03-24 |
| 1386889723 | Timothy Harold Pierce | Chiropractor | 210 Sanders St, Athens, AL 35611-1420 | 2008-12-15 |
| 1568613057 | Allison Kennamer LLC | Chiropractor | 2080 Prince Ave, Athens, GA 30606-6047 | 2008-10-02 |
| 1972750610 | J. Kenneth Cook | Chiropractor | 101 Cedar Rock Trce, Athens, GA 30605-7701 | 2008-08-25 |
| 1518139419 | Trent Parsons | Chiropractor | 806 S Clinton St, Athens, AL 35611-3540 | 2008-03-31 |
| Find all providers in ATHENS | ||||
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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.