DR. MICAH R. TEPPER (NPI# 1114973963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114973963 |
| Entity Type | Individual |
| Full Name | DR. MICAH R. TEPPER |
| Credential | M.D. |
| Practice Address |
1700 Hospital South Dr Suite 409 Austell GA 30106-6810 |
| Mailing Address |
55 Whitcher St Ne Suite 350 Marietta GA 30060-1155 |
| Practice Telephone | 7707329100 |
| Practice Fax Number | 6788190360 |
| Mailing Telephone | 7704246893 |
| Mailing Fax Number | 6788190360 |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2019-12-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
057687 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 186998965M | 05 | |
| GA | 186998965L | 05 | |
| GA | 186998965J | 05 | |
| GA | 186998965K | 05 |
| Street Address |
1700 HOSPITAL SOUTH DR SUITE 409 |
| City | AUSTELL |
| State | GA |
| Zip Code | 30106-6810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215922299 | Michael Hardee | Internal Medicine | 1700 Hospital South Dr, Suite 409, Austell, GA 30106-6810 | 2005-09-15 |
| 1184284010 | West Cobb Specialty Pharmacy | Pharmacy | 1700 Hospital South Dr, Austell, GA 30106-6810 | 2019-06-13 |
| 1972017374 | Nicole Dubois Witt | Nurse Practitioner | 1700 Hospital South Dr, Austell, GA 30106-6810 | 2017-11-21 |
| 1861843815 | Kendra Chavis | Physician Assistant | 1700 Hospital South Dr, Suite #200, Austell, GA 30106-6810 | 2016-06-30 |
| 1285027649 | Karen Monica Sumner | Nurse Practitioner | 1700 Hospital South Dr, Suite 300, Austell, GA 30106-6810 | 2015-03-10 |
| 1962894576 | Hanger Prosthetics & Orthotics Inc | Durable Medical Equipment & Medical Supplies | 1700 Hospital South Dr, Suite 406, Austell, GA 30106-6810 | 2015-02-19 |
| 1790183499 | Yasmeen Girardeau | Nurse Practitioner | 1700 Hospital South Dr, Austell, GA 30106-6810 | 2014-12-11 |
| 1457766875 | Robin Christine Gohacki | Nurse Practitioner | 1700 Hospital South Dr, Suite 202, Austell, GA 30106-6810 | 2014-06-24 |
| 1053740340 | Emily A Goolsby | Advanced Practice Midwife | 1700 Hospital South Dr, Suite 500, Austell, GA 30106 | 2013-11-06 |
| 1487081105 | Michelle Lewis-austin | Nurse Practitioner | 1700 Hospital South Dr, Suite 502, Austell, GA 30106-6810 | 2013-09-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073126231 | Courtney Lashune Dorsett | Nurse Practitioner | 1005 Cureton Drive, Austell, Austell, GA 30106 | 2020-08-27 |
| 1184240491 | Brian H Eves | Dietitian, Registered | 3972 Brantley Drive, Austell, GA 30106 | 2020-06-23 |
| 1669014486 | Jesse Mccoy | Registered Nurse | 3950 Austell Rd., Austell, GA 30106 | 2019-10-14 |
| 1427522820 | Envision Optics LLC | Optometrist | 1680 E West Connector, Austell, GA 30106 | 2019-01-18 |
| 1972042380 | Thomas Dental Group | Clinic/Center | 1133 East West Connector, Suite 120, Austell, GA 30106 | 2017-02-17 |
| 1245779792 | Colton Dental Group | Clinic/Center | 2495 East-west Connector, Ste 60, Austell, GA 30106 | 2017-02-16 |
| 1144691684 | Georgia Dental Professionals, PC | Dentist | 780 East West Connector Sw, Suite 108, Austell, GA 30106 | 2015-10-09 |
| 1285013714 | Ikeade Bello Alamu | Nurse Practitioner | 2870 Betula Drive, Austell, GA 30106 | 2015-05-29 |
| 1376922211 | Jessica Williams | Obstetrics & Gynecology | 1700 Hospital South Dr Ste 500, Austell, GA 30106 | 2015-05-26 |
| 1558799593 | Tonya Renee Baldwin | Speech-Language Pathologist | 4229 Brass Trl., Austell, GA 30106 | 2013-10-30 |
| Find all providers in zip 30106 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215922299 | Michael Hardee | Internal Medicine | 1700 Hospital South Dr, Suite 409, Austell, GA 30106-6810 | 2005-09-15 |
| 1336406131 | Niranjan J Dave Md PC | Internal Medicine | 3825 Medical Park Dr, Suite 100, Austell, GA 30106-6831 | 2012-04-18 |
| 1336327220 | Druenell Elia Linton | Internal Medicine | 3825 Medical Park Dr, Suite 301, Austell, GA 30106-6831 | 2008-02-04 |
| 1083892111 | Jacob Nathan Blatt | Internal Medicine | 1700 Hospital South Dr, Suite 409, Austell, GA 30106-6810 | 2008-01-31 |
| 1639396518 | George T Deriso IIi | Internal Medicine | 1700 Hospital South Dr, Suite 409, Austell, GA 30106-6810 | 2007-04-20 |
| 1144378696 | The Atlatna Cardiology Group, PC | Internal Medicine | 1791 Mulkey Rd, Suite 101, Austell, GA 30106-1124 | 2007-01-08 |
| 1912953340 | Ketan N. Desai | Internal Medicine | 3820 Medical Park Dr, Suite 2200, Austell, GA 30106-1110 | 2006-05-26 |
| 1124074331 | Adam N Lourie | Internal Medicine | 1700 Hospital South Dr, Suite 409, Austell, GA 30106-6810 | 2006-05-26 |
| 1346293164 | Alfonso E. Rea | Internal Medicine | 1700 Hospital South Dr, Suite 409, Austell, GA 30106-6810 | 2006-05-19 |
| 1003860701 | The Heart Clinic, P.C. | Internal Medicine | 1700 Hospital South Dr, Suite 302, Austell, GA 30106-6810 | 2006-05-19 |
| Find all providers in AUSTELL | ||||
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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.