DR. JILL NICOLE DERMYER (NPI# 1063758753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063758753 |
| Entity Type | Individual |
| Full Name | DR. JILL NICOLE DERMYER |
| Credential | PSY.D. |
| Practice Address |
675 Seminole Ave Ne Atlanta Atlanta GA 30307-3408 |
| Practice Telephone | 6787019559 |
| Mailing Telephone | 6787019559 |
| Enumeration Date | 2012-12-27 |
| Last Update Date | 2012-12-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
675 SEMINOLE AVE NE ATLANTA |
| City | ATLANTA |
| State | GA |
| Zip Code | 30307-3408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184602559 | Leslye Pryor | Speech-Language Pathologist | 675 Seminole Ave Ne, Suite T05, Atlanta, GA 30307-3408 | 2006-01-05 |
| 1649724170 | Sadie Forysthe | Social Worker | 675 Seminole Ave Ne, Ste 210, Atlanta, GA 30307-3408 | 2016-08-12 |
| 1861841744 | Intown Atlanta Psychiatry | Nurse Practitioner | 675 Seminole Ave Ne, Suite 111, Atlanta, GA 30307-3408 | 2016-06-10 |
| 1033578034 | The Birdnest Family Services, LLC | Social Worker | 675 Seminole Ave Ne, Unit T-03, Atlanta, GA 30307-3408 | 2016-02-18 |
| 1508222795 | Colleen Stewart | Counselor | 675 Seminole Ave Ne, Suite 107, Atlanta, GA 30307-3408 | 2016-01-05 |
| 1477924074 | Michelle Hession | Social Worker | 675 Seminole Ave Ne, Suite 111, Atlanta, GA 30307-3408 | 2015-10-08 |
| 1457743874 | Treehousedreams LLC | Social Worker | 675 Seminole Ave Ne, Suite 307, Atlanta, GA 30307-3408 | 2015-02-22 |
| 1184013195 | Mr Ray LLC | Counselor | 675 Seminole Ave Ne, Suite 307, Atlanta, GA 30307-3408 | 2015-01-14 |
| 1750781340 | Dermyne & Dwyer LLC | Student in an Organized Health Care Education/Training Program | 675 Seminole Ave Ne, Suite 307, Atlanta, GA 30307-3408 | 2014-09-02 |
| 1740628908 | Intown Atlanta Psychiatry | Nurse Practitioner | 675 Seminole Ave Ne, Suite 111, Atlanta, GA 30307-3408 | 2013-06-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033716774 | Shannon Busby Bagga | Dietitian, Registered | 1806 Dekalb Ave Ne, Atlanta, GA 30307 | 2020-10-06 |
| 1366062846 | Key Counseling Group, LLC | Social Worker | 675 Seminole Ave. Ne, Ste. 111, Atlanta, GA 30307 | 2020-04-24 |
| 1730683749 | Kristina Joy Betz | Pediatrics | 2105 Uppergate Drive, Atlanta, GA 30307 | 2018-03-23 |
| 1336658558 | Erin Asteghene | Specialist/Technologist | 1509 South Ponce De Leon Ave., Atlanta, GA 30307 | 2017-09-20 |
| 1689196446 | Sera Kim | Student in an Organized Health Care Education/Training Program | 1648 Pierce Drive Ne, Atlanta, GA 30307 | 2017-07-13 |
| 1164974168 | Megan Elizabeth Tarshis | Social Worker | 675 Seminole Ave., Suite 210, Atlanta, GA 30307 | 2016-10-26 |
| 1255703880 | Jennifer Browning Eastman | Speech-Language Pathologist | 1053 Oakdale Road, Atlanta, GA 30307 | 2015-10-22 |
| 1639566714 | Amit Shah | Student in an Organized Health Care Education/Training Program | 1648 Pierce Drive, Atlanta, GA 30307 | 2015-04-16 |
| 1134524853 | Sheryl Cababat Caberto | Internal Medicine | 1648 Pierce Dr Ne, Atlanta, GA 30307 | 2014-10-23 |
| 1942568803 | Sarah Coyle Burke | Anesthesiology | 870 Inman Village Pkwy Ne, #305, Atlanta, GA 30307 | 2012-04-30 |
| Find all providers in zip 30307 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417563909 | Josephine Almanzar | Student in an Organized Health Care Education/Training Program | 199 Armour Dr Ne Ste E, Atlanta, GA 30324-3973 | 2020-09-20 |
| 1013532597 | Ivy Elizabeth Cook | Student in an Organized Health Care Education/Training Program | 3121 Flowers Rd S Apt I, Atlanta, GA 30341-5648 | 2020-06-10 |
| 1265055495 | Jeffrey Quinn Taylor II | Student in an Organized Health Care Education/Training Program | 1365 Clifton Rd Ne # 2300b, Atlanta, GA 30322-1013 | 2020-05-21 |
| 1073134391 | Robert Shvarts | Student in an Organized Health Care Education/Training Program | 465 Memorial Dr Se Unit 346, Atlanta, GA 30312-2229 | 2020-04-27 |
| 1477173920 | Ryan William Flanagan | Student in an Organized Health Care Education/Training Program | 2591 Piedmont Rd Ne Apt 1531, Atlanta, GA 30324-6280 | 2020-04-24 |
| 1467071589 | Charles Thomas Reeder | Student in an Organized Health Care Education/Training Program | 1744 Logans Knl Ne, Atlanta, GA 30329-4100 | 2020-04-09 |
| 1548899743 | Chandni Patel | Student in an Organized Health Care Education/Training Program | 700 14th St Nw, Atlanta, GA 30318-5408 | 2020-04-08 |
| 1962031625 | Rachel Reed | Student in an Organized Health Care Education/Training Program | 1364 Clifton Rd Ne Ste H-100, Atlanta, GA 30322-1059 | 2020-04-05 |
| 1629606264 | Jasmine Donesha Shackelford | Student in an Organized Health Care Education/Training Program | Emory Family Medicine, 4500 North Shallowford Road, Atlanta, GA 30338 | 2020-03-30 |
| 1467080218 | Aminah Danielle Phelps | Student in an Organized Health Care Education/Training Program | 395 Saint Jacques Ct Sw, Atlanta, GA 30331-8434 | 2020-03-28 |
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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.