STAR FAMILY HEALTHCARE AND WELLNESS CENTER LLC (NPI# 1083958623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083958623 |
| Entity Type | Organization |
| Organization Name | STAR FAMILY HEALTHCARE AND WELLNESS CENTER LLC |
| Practice Address |
5337 Old National Hwy Suite 100 College Park GA 30349-3208 |
| Practice Telephone | 4047677777 |
| Practice Fax Number | 4047677770 |
| Mailing Telephone | 4047677777 |
| Mailing Fax Number | 4047677770 |
| Enumeration Date | 2012-11-20 |
| Last Update Date | 2013-03-07 |
| Authorized Official Name | DR. HELEN ONYEDIKACHI UZOKWE (OWNER) |
| Authorized Official Telephone | 4047677777 |
| Authorized Official Credential | DNP, FMP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN145805 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 617170200 | 05 |
| Street Address |
5337 OLD NATIONAL HWY SUITE 100 |
| City | COLLEGE PARK |
| State | GA |
| Zip Code | 30349-3208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306018445 | Helen O Uzokwe | Nurse Practitioner | 5337 Old National Hwy, Suite 100, College Park, GA 30349-3208 | 2008-03-28 |
| 1407476013 | Keisha A Murray | Radiologic Technologist | 5337 Old National Hwy, College Park, GA 30349-3208 | 2020-04-23 |
| 1346590221 | Star Family Healthcare and Wellness Center | Nurse Practitioner | 5337 Old National Hwy, Suite 100, College Park, GA 30349-3208 | 2012-09-18 |
| 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 |
| 1063805091 | Southwest Atlanta Medical & Rehabilitation Clinic LLC | Family Medicine | 495 85 Circle, Suite 100, Atlanta, GA 30349 | 2015-03-16 |
| Find all providers in zip 30349 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548872385 | Canuella Serwah Akrofi | Nurse Practitioner | 9314 Cherry Hill Rd Apt 1112, College Park, MD 20740-1254 | 2020-08-22 |
| 1255833315 | Daljinder Sahney | Nurse Practitioner | 1895 Phoenix Blvd Ste 235, College Park, GA 30349-5171 | 2018-03-05 |
| 1083152284 | Kabrima Y Petty | Nurse Practitioner | 10201 Baltimore Ave Apt 5102, College Park, MD 20740 | 2017-02-08 |
| 1326418997 | Sikangezile Zulu | Nurse Practitioner | 2505 Creel Rd, College Park, GA 30349-4886 | 2015-09-25 |
| 1306226808 | Linda Ronma Williams | Nurse Practitioner | 4701 Melbourne Place, College Park, MD 20740 | 2015-06-01 |
| 1023345873 | Deborah Ekighalo Okonofua | Nurse Practitioner | 7100 Baltimore Ave Ste 510, College Park, MD 20740-3641 | 2009-11-13 |
| 1912026626 | Karen Jaffe Lefler | Nurse Practitioner | University of Maryland Health Ctr, Campus Drive Bldg 140, College Park, MD 20742-0001 | 2007-03-27 |
| 1336643444 | Helina Airoboma Esene | Nurse Practitioner | 7100 Baltimore Ave, Suite 510, College Park, MD 20740 | 2018-03-22 |
| 1548774524 | Itamar Simhon | Nurse Practitioner | 9658 Baltimore Ave Ste 420, College Park, MD 20740 | 2017-11-28 |
| 1528570504 | Darlene Mccullough | Nurse Practitioner | 2575 Jolly Rd, College Park, GA 30349-3165 | 2017-10-30 |
| Find all providers in COLLEGE PARK | ||||
| City | COLLEGE PARK |
| Zip Code | 30349 |
Please comment or provide details below to improve the information on STAR FAMILY HEALTHCARE AND WELLNESS CENTER 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.