SOUTHWEST ATLANTA MEDICAL & REHABILITATION CLINIC LLC (NPI# 1063805091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063805091 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST ATLANTA MEDICAL & REHABILITATION CLINIC LLC |
| Practice Address |
495 85 Circle Suite 100 Atlanta GA 30349 |
| Practice Telephone | 6787051733 |
| Practice Fax Number | 6785735039 |
| Mailing Telephone | 6787051733 |
| Mailing Fax Number | 6785735039 |
| Enumeration Date | 2015-03-16 |
| Last Update Date | 2015-03-16 |
| Authorized Official Name | DR. DALE A CAREY (OWNER) |
| Authorized Official Telephone | 6787051733 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
495 85 CIRCLE SUITE 100 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30349 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376185686 | Kmb Diagnostics | Durable Medical Equipment & Medical Supplies | 941 Flat Shoals Rd, Atlanta, GA 30349 | 2019-10-09 |
| 1114575859 | Justin Vassell | Registered Nurse | 1903 Phoenix Boulevard, Suite 200, College Park, GA 30349 | 2019-08-27 |
| 1841856663 | Kennyetta Danielle Watkins | Counselor | 1431 Riverwalk Ln, Apt. F, College Park, GA 30349 | 2019-05-16 |
| 1275002636 | Patriot Healthcare of Georgia, LLC | Family Medicine | 1587 Phoenix Boulevard, Suite 6, College Park, GA 30349 | 2018-11-15 |
| 1669971875 | Ee Consulting Solution | Case Management | 6320 Topaz Tral, Arlanta, GA 30349 | 2018-02-03 |
| 1629595640 | Shayla Bouie | Contractor | 5420 Riverdale Rd Apt D17, Atlanta, GA 30349 | 2017-08-30 |
| 1114475563 | Jasmine V Mccully | Social Worker | 5864 Summergien Lane, College Park, GA 30349 | 2016-09-14 |
| 1639537681 | Shelia Thornton | Counselor | 5856 Seabright Lane, Atlanta, GA 30349 | 2016-02-05 |
| 1346610177 | Joanne Resilard | Nurse Practitioner | 2931 Herron Ln Sw, Atlanta, GA 30349 | 2015-10-06 |
| 1144619586 | Catina Hart | Social Worker | 5737 Old National Highway, Suite 300, Atlanta, GA 30349 | 2015-01-22 |
| Find all providers in zip 30349 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972021301 | Docpecox, LLC | Family Medicine | 755 Mount Vernon Hwy Ne Ste 350, Atlanta, GA 30328-4291 | 2017-09-06 |
| 1891190997 | Patricia Moody | Family Medicine | 564 Ridgecrest Rd Ne, Atlanta, GA 30307-1846 | 2014-10-31 |
| 1639177066 | Jean Joseph Philippe | Family Medicine | 5825 Glenridge Dr Ne, Bldg 2 Ste 120, Atlanta, GA 30328-5387 | 2005-07-11 |
| 1609874023 | Courtney D Shelton | Family Medicine | 315 Boulevard Ne, Suite 310, Atlanta, GA 30312-1200 | 2005-07-10 |
| 1952957052 | Sandhya Gupta | Family Medicine | 901 Rice St Nw, Atlanta, GA 30318-4938 | 2019-08-14 |
| 1376989517 | Jjp Internal Medicine Group LLC | Family Medicine | 5825 Glenridge Dr Ne, Bldg 2 Suite 120, Atlanta, GA 30328-5387 | 2013-05-15 |
| 1164563557 | Michelle Evans, PC | Family Medicine | 35 Collier Rd Nw Ste 185, Atlanta, GA 30309-1671 | 2007-02-09 |
| 1518067636 | Madeleine Fortin | Family Medicine | 20 Glenlake Pkwy Ne, Atlanta, GA 30328-3473 | 2006-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306464250 | Leah Reed | Family Medicine | 2082 Cherokee Farms Cv, Buford, GA 30519-7004 | 2020-07-08 |
| 1083240766 | Carehere LLC | Family Medicine | 114 N Jackson St, Albany, GA 31701-2583 | 2020-03-13 |
| 1518590744 | Octavia Raquel Holloway-freeman | Family Medicine | 301 Denmark St, Statesboro, GA 30458-5208 | 2020-02-17 |
| 1891331575 | Jenna Barnes | Family Medicine | 1107 Memorial Dr Ste 300, Dalton, GA 30720-8664 | 2019-11-18 |
| 1023651205 | Carehere LLC | Family Medicine | 750 S Perry St Ste 200, Lawrenceville, GA 30046-4804 | 2019-10-21 |
| 1003385733 | James G Hamilton Jr Md LLC | Family Medicine | 4898 Highway 197, Mount Airy, GA 30563-2442 | 2018-11-26 |
| 1780161323 | Personal Wellness Inc. | Family Medicine | 625 Boxwood Ter, Johns Creek, GA 30005-7217 | 2018-07-26 |
| 1073005138 | Lake Oconee Wellness Associates LLC | Family Medicine | 1097 Lake Oconee Pkwy Ste 201, Eatonton, GA 31024-9510 | 2018-06-05 |
| 1376034983 | Lee Pennington Mcnichols | Family Medicine | 2300 Bethelview Rd Ste 110-332, Cumming, GA 30040-9475 | 2018-05-21 |
| 1619493939 | Unicare Family Practice | Family Medicine | 4439 Austell Rd, Austell, GA 30106-1839 | 2017-08-17 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SOUTHWEST ATLANTA MEDICAL & REHABILITATION CLINIC LLC.
| 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.