DR. AUNDREA VEREEN EADY (NPI# 1124315965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124315965 |
| Entity Type | Individual |
| Full Name | DR. AUNDREA VEREEN EADY |
| Credential | DMD |
| Practice Address |
2485 Park Central Blvd Ste 3 Decatur GA 30035-3903 |
| Practice Telephone | 7705934976 |
| Enumeration Date | 2011-06-30 |
| Last Update Date | 2020-04-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
DN015060 | GA | Dental Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
2485 PARK CENTRAL BLVD STE 3 |
| City | DECATUR |
| State | GA |
| Zip Code | 30035-3903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972079978 | James L Vinson, Phd | Home Health Aide | 4050 Snapfinger Woods Drive, Suite 201, Decatur, GA 30035 | 2018-10-17 |
| 1417445206 | Kamla Gonzales | Nurse Practitioner | 5146 Miller Woods Trl, Decatur, GA 30035 | 2018-04-26 |
| 1578924924 | Alicia Marie Johnson Bryant | Social Worker | 5878 Covington Hwy, Decater, GA 30035 | 2016-03-14 |
| 1568865756 | Tracy Roberson | Counselor | 4150 Snapfinger Woods Drive, Decatur, GA 30035 | 2014-10-01 |
| 1972927861 | Tyrone D. Lane Enterprises, Incorporated | Psychologist | 5304 Panola Industrial Boulevard, Suite L, Decatur, GA 30035 | 2014-02-12 |
| 1013255355 | Mervin E Williams | Pharmacist | 2075 South Hairston, Decatur, GA 30035 | 2013-01-22 |
| 1205187572 | Mariana Simpson-walker | Speech-Language Pathologist | 4262 Clausell Ct Ste A, Decatur, GA 30035 | 2012-09-27 |
| 1053683854 | Jimiesh G Crane | Dentist | 5243 Snapfinger Woods Dr Ste 105, Decatur, GA 30035 | 2012-02-08 |
| 1568765824 | Salih Robinson | Health Educator | 2511 Lantrac Ct, Decatur, GA 30035 | 2010-12-08 |
| 1831428234 | Thomas Counseling | Counselor | 3781 Presidential Parkway, Suite 111c, Chamblee, GA 30035 | 2009-12-14 |
| Find all providers in zip 30035 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912077462 | Kirby Clements Sr. | Dentist | 4555 Flat Shoals Pkwy, Suite 102, Decatur, CA 30034 | 2006-11-09 |
| 1053496430 | William Smythe Tener | Dentist | 302 W Hay St Ste Ll115, Decatur, IL 62526-4195 | 2006-10-26 |
| 1912009184 | Michael Alan Carpenter | Dentist | 1924 Clairmont Rd, Suite 100, Decatur, GA 30033-3412 | 2006-09-01 |
| 1356378350 | Dara Jewell Barron | Dentist | Atlanta Vamc Dental Clinic (160), 1670 Clairmont Rd., Decatur, GA 30033 | 2006-06-26 |
| 1881892867 | Benjamin A Hill | Dentist | 1991 N Williamsburg Dr, Decatur, GA 30033-3500 | 2007-07-11 |
| 1043347891 | Charles L Abney | Dentist | 1991 N Williamsburg Dr, Decatur, GA 30033-3500 | 2007-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396382354 | Astoria Dentistry LLC | Dentist | 2233 Peachtree Rd. Nw, Suite 300, Atlanta, GA 30309 | 2019-12-09 |
| 1770132581 | Auburn Periodontics of Columbus, LLC | Dentist | 400 Brookstone Centre Pkwy Ste 100, Columbus, GA 31904-3640 | 2019-09-05 |
| 1942655816 | Dental Rescue Therapy Group, LLC | Dentist | 39 Vernon Glen Ct, Atlanta, GA 30338-5422 | 2016-04-28 |
| 1033576921 | Hal Arnold | Dentist | 50 Old Ivy Rd Ne, Suite 100, Atlanta, GA 30342-4538 | 2016-01-22 |
| 1265815997 | Fadi Al Farawati | Dentist | Au Dental Associates 1430 John Wesley Gilbert Drive, Augusta, GA 30912-0415 | 2015-06-30 |
| 1801124466 | Janine J Bethea | Dentist | 5546 Waterford Green Gln, Marietta, GA 30068-2930 | 2009-11-19 |
| 1770718553 | Anna Magdalena Refai | Dentist | 200 Galleria Pkwy, Suite 1830, Atlanta, GA 30339 | 2009-05-21 |
| 1467693952 | Cathy J Smith | Dentist | 4469 Columbia Rd Ste E, Augusta, GA 30907-4572 | 2009-03-13 |
| 1578729083 | James S. Wheeler | Dentist | 214 Arrowhead Blvd, Jonesboro, GA 30236-1102 | 2008-08-04 |
| 1679763684 | Benjamin Allan Blackburn IIi | Dentist | 75 Piedmont Ave Ne Ste 400, Atlanta, GA 30303-2509 | 2007-07-26 |
| Find all providers with the same taxonomy | ||||
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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.