MONAL, LLC (NPI# 1104274323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104274323 |
| Entity Type | Organization |
| Organization Name | MONAL, LLC |
| Practice Address |
1014 Sycamore Dr Suite B Decatur GA 30030-1644 |
| Practice Telephone | 4042991700 |
| Practice Fax Number | 4042991616 |
| Mailing Telephone | 4042991700 |
| Mailing Fax Number | 4042991616 |
| Enumeration Date | 2016-05-27 |
| Last Update Date | 2016-05-31 |
| Authorized Official Name | ALEX PHILLIP SCHULTZ (PHYSICIAN ASSISTANT) |
| Authorized Official Telephone | 5042393467 |
| Authorized Official Credential | PA-C, MMSC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
7967 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
7967 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1014 SYCAMORE DR SUITE B |
| City | DECATUR |
| State | GA |
| Zip Code | 30030-1644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770528895 | Valerie Lynne Compson | Specialist/Technologist | 1014 Sycamore Dr, Suite A, Decatur, GA 30030-1644 | 2006-06-20 |
| 1245863174 | Emory Physical Therapy, LLC | Physical Therapist | 1014 Sycamore Dr, Decatur, GA 30030-1644 | 2020-02-19 |
| 1265849343 | Gary Anthony Rudolph Bowen | Physician Assistant | 1014 Sycamore Dr, Suite B, Decatur, GA 30030-1644 | 2014-07-21 |
| 1275760720 | Daniel Thomas Huttman | Orthopaedic Surgery | 1014 Sycamore Dr, Suite B, Decatur, GA 30030-1644 | 2009-06-11 |
| 1346474004 | Amanda Lauren Dempsey | Orthopaedic Surgery | 1014 Sycamore Dr, Suite B, Decatur, GA 30030-1644 | 2009-05-11 |
| 1043461650 | Alexandra Moran | Physical Therapist | 1014 Sycamore Dr, Suite A, Decatur, GA 30030-1644 | 2008-10-02 |
| 1700965159 | Diana Spock Adebulehin | Physician Assistant | 1014 Sycamore Dr, Ste. B, Decatur, GA 30030-1644 | 2006-11-06 |
| 1790864049 | Timothy J. Mills | Registered Nurse | 1014 Sycamore Dr, Ste. B, Decatur, GA 30030-1644 | 2006-11-06 |
| 1720167083 | Jessica E. Simbro | Physical Therapist | 1014 Sycamore Dr, Ste. B, Decatur, GA 30030-1644 | 2006-11-06 |
| 1396824991 | Corey Darnell Bennett | Specialist/Technologist | 1014 Sycamore Dr, Ste. B, Decatur, GA 30030-1644 | 2006-11-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801413174 | Pa-c Surgical Assist, LLC | Clinic/Center | 520 W Ponce Leon Ave #1706, Decatur, GA 30030 | 2020-07-02 |
| 1417587478 | Elizabeth Heffron | Acupuncturist | 619b East College Avenue, Decatur, GA 30030 | 2020-01-17 |
| 1669016143 | Atlanta Upper Cervical Chiropractic LLC | Chiropractor | 125 E Trinity Place, Suite #247, Decatur, GA 30030 | 2019-10-29 |
| 1831757418 | Jessica Stewart | Counselor | 755 Commerce Dr Ste 903, Decatur, GA 30030 | 2019-05-30 |
| 1699238733 | Dinah Augustin | Registered Nurse | 1458 Church St., Unit B, Decatur, GA 30030 | 2019-04-06 |
| 1093284291 | Eliza Segell | Social Worker | 165 Dekalb Industrial Way Ste D-1, Decatur, GA 30030 | 2018-11-16 |
| 1912476466 | Positive Impact Health Centers, Inc. | Pharmacy | 523 Church Street, Suite B, Decatur, GA 30030 | 2018-11-14 |
| 1932685096 | T2 Imaging | Radiology | 1376 Church Street, Suite 100, Decatur, GA 30030 | 2018-07-12 |
| 1992292858 | Keeanna M Powell | Counselor | Agape Transformation Practice, 235 E. Ponce De Leon Ave Suite 103, Decatur, GA 30030 | 2018-04-17 |
| 1780185488 | Solutions Ae Inc | Counselor | One West Square Court, Suite 710, Decatur, GA 30030 | 2018-02-27 |
| Find all providers in zip 30030 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487291878 | Ashley Cohen | Physician Assistant | 250 E Ponce De Leon Ave Ste 800, Decatur, GA 30030-3438 | 2019-12-04 |
| 1932757606 | Andrea J Holley | Physician Assistant | 1629 Austin Meadows Dr, Decatur, GA 30032-3888 | 2019-08-27 |
| 1073904181 | Nathan Potter | Physician Assistant | 798 Larry Ln, Decatur, GA 30033-4817 | 2015-02-11 |
| 1932467479 | Shannon L Hill | Physician Assistant | 1074 Ashbury Dr, Decatur, GA 30030-4165 | 2012-05-02 |
| 1578754792 | John Cicero Crawford II | Physician Assistant | 3941 John Hopkins Ct, Decatur, GA 30034-5709 | 2007-08-05 |
| 1437299773 | Barbar A Young | Physician Assistant | 3290 Memorial Dr Ste B3, Decatur, GA 30032-3400 | 2007-02-07 |
| 1992842595 | Veronica G Dockery | Physician Assistant | 346 N. Main St, Decatur, AR 72722-0735 | 2007-01-31 |
| 1649344938 | Telicia Dequai Scott | Physician Assistant | 4153b Flat Shoals Pkwy Ste 200, Decatur, GA 30034-4189 | 2006-11-20 |
| 1699773234 | Joanne Gilby Beer | Physician Assistant | 3292 Mountain Dr Ste A, Decatur, GA 30032-1102 | 2005-07-08 |
| 1871063263 | Paige Birge | Physician Assistant | 2300 N Edward St, Decatur, IL 62526-4163 | 2018-11-28 |
| Find all providers in DECATUR | ||||
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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.