NOUVEAU MEDIC LLC (NPI# 1104100395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104100395 |
Entity Type | Organization |
Organization Name | NOUVEAU MEDIC LLC |
Practice Address |
3224 Washington Rd Suite B East Point GA 30344-5421 |
Practice Telephone | 6786530045 |
Mailing Telephone | 6786530045 |
Enumeration Date | 2011-10-05 |
Last Update Date | 2016-12-12 |
Authorized Official Name | DR. JOY S EDWARDS (OWNER) |
Authorized Official Telephone | 6786530045 |
Authorized Official Credential | NMD,MPH. RN. PHD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
051126 | GA | Allopathic & Osteopathic Physicians |
N | 207QA0000X |
Family Medicine Specialization: Adolescent Medicine |
051126 | GA | Allopathic & Osteopathic Physicians |
Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
Street Address |
3224 WASHINGTON RD SUITE B |
City | EAST POINT |
State | GA |
Zip Code | 30344-5421 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750719860 | Angel Heart Homecare and Hospice, Inc | Hospice Care, Community Based | 3224 Washington Rd, Ste B, East Point, GA 30344-5421 | 2013-10-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306468053 | Comfortlink Healthcare, LLC | Home Health | 2691 Harris Street, Eastpoint, GA 30344 | 2020-05-15 |
1881159028 | Brandon Norris Spires | Specialist/Technologist | 6000 S Terminal Pkwy, Atlanta, GA 30344 | 2019-02-01 |
1568983435 | Rhonda Charlette Bussey | Social Worker | 3173 Delowe Dr, East Point, GA 30344 | 2017-06-30 |
1801324603 | Megan Marie Timpone | Physician Assistant | 1135 Cleveland Ave Ste 513, Atlanta, GA 30344 | 2017-05-24 |
1861837577 | Propsych Behavioral Health Care Services LLC | Community/Behavioral Health | 1847 Washington Road, East Point, GA 30344 | 2013-05-08 |
1932459096 | Kimberly Ann Bogard | Counselor | 4373 Sun Valley Blvd Rm A, East Point, GA 30344 | 2012-09-17 |
1376815621 | Love Angels | Home Health | 307 Crest Ridge Dr., East Point, GA 30344 | 2012-02-02 |
1861701054 | John Allen Reed IIi | Physical Therapist | 1657 Dorsey Ave., East Point, GA 30344 | 2010-10-05 |
1437482783 | Winston Daniels | Home Health Aide | 5100 High Point Rd Ste.36, Union City, GA 30344 | 2009-09-17 |
1649405572 | Kenyotta Hannah | Counselor | 1514 Cleveland Avenue, East Point, GA 30344 | 2009-05-21 |
Find all providers in zip 30344 |
Taxonomy Code | 261QM1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Multi-Specialty |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811304884 | Theradox | Clinic/Center | 2705 Church St, Suite B, East Point, GA 30344-3209 | 2014-07-22 |
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1285242024 | Vernu 2 Inc | Clinic/Center | 501 S Main St Ste 201, Alpharetta, GA 30009-1975 | 2020-07-17 |
1598373755 | Pediatric Developmental Services | Clinic/Center | 2250 N Druid Hills Rd Ne Ste 265, Atlanta, GA 30329-3141 | 2020-07-14 |
1992322549 | Doctorsbeyond Inc. | Clinic/Center | 277 Skyview Court, Newnan, GA 30265 | 2020-06-30 |
1366068728 | Wood Health LLC | Clinic/Center | 310 Gold Creek Trl Ste 100, Woodstock, GA 30188-5436 | 2020-06-22 |
1790307924 | Cryogen Plus LLC | Clinic/Center | 1039 Grant St Se Bldg A, Atlanta, GA 30315-2014 | 2020-05-11 |
1174154496 | Meridian Corporate Healthcare of Georgia P C | Clinic/Center | 2305 Abutment Rd, Dalton, GA 30721-4881 | 2020-01-27 |
1447881768 | Meridian Corporate Healthcare of Georgia P C | Clinic/Center | 2225 S Hamilton St, Dalton, GA 30721-4975 | 2020-01-27 |
Find all providers with the same taxonomy |
City | EAST POINT |
Zip Code | 30344 |
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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.