ATLANTA SOUTHEAST CENTER FOR EPILEPSY & NEURODEVELOPMENT, PC (NPI# 1023372570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023372570 |
| Entity Type | Organization |
| Organization Name | ATLANTA SOUTHEAST CENTER FOR EPILEPSY & NEURODEVELOPMENT, PC |
| Other Organization Name | ASCEND |
| Practice Address |
5505 Peachtree Dunwoody Rd Ne Suite 500 Atlanta GA 30342-1705 |
| Practice Telephone | 4042563535 |
| Practice Fax Number | 4048471011 |
| Mailing Telephone | 4042563535 |
| Mailing Fax Number | 4048471011 |
| Enumeration Date | 2012-06-29 |
| Last Update Date | 2012-06-29 |
| Authorized Official Name | MS. DEBRA ROSENBERG (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 4042566903 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
022051 | GA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| ASCEND | Doing Business As Name - Organization |
| Street Address |
5505 PEACHTREE DUNWOODY RD NE SUITE 500 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30342-1705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619973815 | James Jordan Wellman | Internal Medicine | 5505 Peachtree Dunwoody Rd Ne, Ste 380, Atlanta, GA 30342-1713 | 2005-06-22 |
| 1073868907 | Amarilis Davis | Massage Therapist | 5505 Peachtree Dunwoody Rd Ne, 250, Atlanta, GA 30342-1705 | 2012-07-17 |
| 1609140151 | Atlanta Advanced Surgery Center, LLC | Clinic/Center | 5505 Peachtree Dunwoody Rd Ne, Suite 150, Atlanta, GA 30342-1705 | 2012-03-01 |
| 1730463753 | Peachtree Orthopaedic Surgery Center At Perimeter | Clinic/Center | 5505 Peachtree Dunwoody Rd Ne, Suite 200, Atlanta, GA 30342-1705 | 2011-10-10 |
| 1437447042 | Sheila Karst Morris | Optometrist | 5505 Peachtree Dunwoody Rd Ne, Suite 300, Atlanta, GA 30342-1705 | 2011-07-17 |
| 1720386865 | Chelsea Lee Miller | Optometrist | 5505 Peachtree Dunwoody Rd Ne, Suite 300, Atlanta, GA 30342-1705 | 2011-03-13 |
| 1346569449 | Kelly W Turner | Physician Assistant | 5505 Peachtree Dunwoody Rd Ne, Suite 412, Atlanta, GA 30342-1705 | 2010-05-28 |
| 1679711618 | Peachtree Orthopaedic Clinic | Durable Medical Equipment & Medical Supplies | 5505 Peachtree Dunwoody Rd Ne, Suite 600, Atlanta, GA 30342-1705 | 2009-01-29 |
| 1730345224 | Lindsey Ann Nichols | Internal Medicine | 5505 Peachtree Dunwoody Rd Ne, Suite 650, Atlanta, GA 30342-1705 | 2008-08-04 |
| 1306022264 | Peachtree Orthopaedic Clinic P.a. | Occupational Therapist | 5505 Peachtree Dunwoody Rd Ne, Suite 250, Atlanta, GA 30342-1705 | 2008-01-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820614 | Nia Charnice Griffin | Nurse Practitioner | 5670 Peachtree Dunwoodyroad, Suite 900, Atlanta, GA 30342 | 2020-10-26 |
| 1255945184 | Jennifer Lynne Cole | Behavior Technician | 5555 Glenridge Con Suite 200, Atlanta, GA 30342 | 2020-09-08 |
| 1093336232 | Van Tran | Respiratory Therapist, Registered | 1000 Johnson Ferry Rd Ne, Atlanta, Ga 30342, Atlanta, GA 30342 | 2020-04-28 |
| 1356978340 | Twyla Douglas Jackson I | Clinical Nutrition, 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 | 2020-03-27 | |
| 1760013411 | Emily Hamm | Dietitian, Registered | 933 D Johnson Ferry Road, Suite 250, Atlanta, GA 30342 | 2020-01-31 |
| 1043855984 | Mackenzie Tucker Wayda | Registered Nurse | 1001 Johnson Ferry Rd. Ne, Atlanta, GA 30342 | 2019-11-14 |
| 1386288454 | Tiauna Lashun Cochman | Psychologist | 1307 Glenridge Dr, Sandy Springs, GA 30342 | 2019-11-01 |
| 1164074399 | Stephen J. White | Hearing Instrument Specialist | 5775 Peachtree Dunwoody Rd Suite 600 Fl. 6, Uhc Hearing, Atl., GA 30342 | 2019-07-09 |
| 1144788142 | Jaytyn LLC | Internal Medicine | 4600 Broswell Road, Atlanta, GA 30342 | 2019-03-08 |
| 1760954705 | Mishele Walker LLC | Counselor | 555 Glenridge Connector, Suite 200, Sandy Springs, GA 30342 | 2018-12-31 |
| Find all providers in zip 30342 | ||||
| Taxonomy Code | 2084N0402X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology with Special Qualifications in Child Neurology |
| A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841677010 | Michelle Tutmaher | Psychiatry & Neurology | 1400 Tullie Rd Ne, Atlanta, GA 30329-2309 | 2015-04-27 |
| 1326470246 | Sonam Chandra Mhohan Bhalla | Psychiatry & Neurology | 1001 Johnson Fy Rd Ne, Atlanta, GA 30342-1605 | 2013-08-01 |
| 1689833683 | Cherise L Frazier | Psychiatry & Neurology | 2015 Uppergate Dr Ne, Atlanta, GA 30322-0001 | 2008-06-04 |
| 1114116480 | Jamika Lashell Hallman-cooper | Psychiatry & Neurology | 2015 Upper Gate Dr Ne, Atlanta, GA 30322-0001 | 2007-10-23 |
| 1932393915 | Stephanie R Keller | Psychiatry & Neurology | 975 Johnson Ferry Rd Ne, Suite 380, Atlanta, GA 30342-1619 | 2007-08-31 |
| 1821297474 | Atlanta Family Neurology, PC | Psychiatry & Neurology | 975 Johnson Ferry Rd Ne, Ste 360, Atlanta, GA 30342-1619 | 2007-07-13 |
| 1649345398 | Raymond Cheng | Psychiatry & Neurology | 5505 Peachtree Dunwoody Rd Ne, Suite 500, Atlanta, GA 30342-1705 | 2006-11-21 |
| 1881769503 | Edward M Goldstein | Psychiatry & Neurology | 5505 Peachtree Dunwoody Rd Ne, Suite 500, Atlanta, GA 30342-1705 | 2006-11-21 |
| 1386719185 | Howard S Schub | Psychiatry & Neurology | 5505 Peachtree Dunwoody Rd Ne, Suite 500, Atlanta, GA 30342-1705 | 2006-11-21 |
| 1306954037 | Han Cam Phan | Psychiatry & Neurology | 1001 Johnson Ferry Rd, Atlanta, GA 30342 | 2006-08-25 |
| Find all providers in ATLANTA | ||||
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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.