JEREMY WHITLEY (NPI# 1023437035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023437035 |
| Entity Type | Individual |
| Full Name | JEREMY WHITLEY |
| Credential | M.D. |
| Practice Address |
6325 Hospital Pkwy Johns Creek GA 30097-5775 |
| Practice Telephone | 6784747100 |
| Mailing Telephone | 6784747100 |
| Enumeration Date | 2014-04-08 |
| Last Update Date | 2017-02-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 7093 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
6325 HOSPITAL PKWY |
| City | JOHNS CREEK |
| State | GA |
| Zip Code | 30097-5775 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972504488 | Clyde Tyrone Jacob IIi | Obstetrics & Gynecology | 6325 Hospital Pkwy, Johns Creek, GA 30097-5775 | 2005-08-09 |
| 1437784758 | Brandon John Smercansky | Nurse Anesthetist, Certified Registered | 6325 Hospital Pkwy, Johns Creek, GA 30097-5775 | 2020-03-06 |
| 1255890943 | Rachel Middleton Spagnoli | Registered Nurse | 6325 Hospital Pkwy, Johns Creek, GA 30097-5775 | 2019-03-13 |
| 1598220378 | Shanandra Williams | Technician/Technologist | 6325 Hospital Pkwy, Johns Creek, GA 30097-5775 | 2019-02-05 |
| 1952870891 | Lixuan Ma | Nurse Practitioner | 6325 Hospital Pkwy, Johns Creek, GA 30097-5775 | 2018-11-21 |
| 1821590423 | Victor Alan Couch | Registered Nurse | 6325 Hospital Pkwy, Johns Creek, GA 30097-5775 | 2018-02-28 |
| 1346791217 | Emily Ramnarine | Nurse Anesthetist, Certified Registered | 6325 Hospital Pkwy, Johns Creek, GA 30097-5775 | 2016-10-17 |
| 1639540461 | Rano Rakhmanova | Nurse Practitioner | 6325 Hospital Pkwy, Johns Creek, GA 30097 | 2015-10-20 |
| 1255713616 | Keerthi Reddy Padooru | Internal Medicine | 6325 Hospital Pkwy, Johns Creek, GA 30097-5775 | 2015-06-22 |
| 1841678380 | Heba Al Zubaidi | Hospitalist | 6325 Hospital Pkwy, Johns Creek, GA 30097 | 2015-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659986057 | Herman Medical Solutions, LLC | Internal Medicine | 10700 Medlock Bridge Road, Suite 207, Duluth, GA 30097 | 2020-09-11 |
| 1649808619 | Kirsty Amber Ramirez | Behavior Technician | 218 Premiere Pkwy #500, Duluth, GA 30097 | 2020-03-27 |
| 1386277820 | Cristina Madalina Niculas | Pharmacist | Kroger Pharmacy 476, 6555 Sugarloaf Parkway, Duluth, GA 30097 | 2020-02-12 |
| 1619514924 | Opesdei Health Solutions | Home Health Aide | 6615 Abbotts Bridge Road, 6615 Abbotts Bridge Road Unit 1111, Johns Creek, GA 30097 | 2019-12-05 |
| 1700422979 | Ria Alexander | Nurse Practitioner | 6300 Hospital Parkway Ste 300, Johns Creek, GA 30097 | 2019-11-22 |
| 1043867765 | Mosesal Zakia White | Nurse Practitioner | 10680 Medlock Bridge Rd #102, Johns Creek, GA 30097 | 2019-08-19 |
| 1982187068 | Lighthouse Clinical Counseling, LLC | Counselor | 3883 Rogers Bridge Road, Suite 601, Duluth, GA 30097 | 2018-09-13 |
| 1376025643 | Faithe Beanne Kimsey | Counselor | 3883 Rogers Bridge Road Nw, Suite 601, Duluth, GA 30097 | 2018-09-04 |
| 1306330303 | Denise Jackson | Prosthetist | 11720 Medlock Bridge Rd Ste 155, Johns Creek, GA 30097 | 2018-06-21 |
| 1407363328 | Berkeley Van Dyke | Physical Therapist | 6335 Hospital Pkwy Ste 316, Johns Creek, GA 30097 | 2017-12-30 |
| Find all providers in zip 30097 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902863004 | Earl Alwin Grubbs | Emergency Medicine | 375 High Bridge Chase, Johns Creek, GA 30022-5512 | 2006-05-01 |
| 1205855814 | Arthur A Griffiths | Emergency Medicine | 6325 Hospital Pkwy, Johns Creek, GA 30097-5775 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760081657 | Rtw Health Services LLC | Emergency Medicine | 1951 Lenox Rd Ne, Atlanta, GA 30306-3059 | 2020-10-21 |
| 1790396984 | Chisholm Trail Urgent Care Pllc | Emergency Medicine | 11 Tsys Way, Columbus, GA 31901 | 2020-08-12 |
| 1275141467 | Viral Solutions LLC | Emergency Medicine | 1752 Moonstone Ct, Decatur, GA 30033-1411 | 2020-07-14 |
| 1376102830 | John Edward Cooke | Emergency Medicine | 2411 Tuxedo Ln Nw, Marietta, GA 30064-1898 | 2019-06-10 |
| 1538646526 | Edwige Goby Konwo-tayo | Emergency Medicine | 1183 S Hairston Rd Ste A, Stone Mountain, GA 30088-2796 | 2018-07-23 |
| 1548763899 | South Georgia Er Services, LLC | Emergency Medicine | 313 Carrick Way, Macon, GA 31210-4952 | 2018-03-13 |
| 1922517945 | Infinity Wellness Solutions LLC | Emergency Medicine | 3240 Pointe Parkway, Suite 100, Norcross, GA 30092 | 2017-09-21 |
| 1528594314 | Kendra Chantelle Krieg | Emergency Medicine | 185 Anniversary Ln, Acworth, GA 30102 | 2017-05-11 |
| 1114450806 | Peyton Jones Syed | Emergency Medicine | 13765 Brittle Rd, Alpharetta, GA 30004-3592 | 2017-04-10 |
| 1437690658 | Miles Anthony Medina | Emergency Medicine | 1133 Eagles Landing Pkwy # Er, Stockbridge, GA 30281-5085 | 2017-03-20 |
| Find all providers with the same taxonomy | ||||
| City | JOHNS CREEK |
| Zip Code | 30097 |
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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.