MS. FRANCINE BLONNETTA RICKETTS (NPI# 1134158413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134158413 |
| Entity Type | Individual |
| Full Name | MS. FRANCINE BLONNETTA RICKETTS |
| Credential | P.A. |
| Practice Address |
430 Centennial Olympic Park Drive Atlanta GA 30313 |
| Mailing Address |
5250 Hwy 138 3811 Union City GA 30291-1881 |
| Practice Telephone | 4046071064 |
| Practice Fax Number | 4046071031 |
| Mailing Telephone | 7703069388 |
| Mailing Fax Number | 7703069388 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
004218 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
430 CENTENNIAL OLYMPIC PARK DRIVE |
| City | ATLANTA |
| State | GA |
| Zip Code | 30313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275067894 | Brittni Fleming | Counselor | 250 Park Avenue West, Atlanta, GA 30313 | 2017-04-20 |
| 1417163916 | Kelly K Hudson | Nurse Practitioner | 239 Ivan Allen Jr. Boulevard, Atlanta, GA 30313 | 2007-05-14 |
| 1053348540 | Deborah Robinson Maclean | Specialist/Technologist | Healthworks/the Coca-cola Company, One Coca-cola Plaza - Hmc, Atlanta, GA 30313 | 2006-06-28 |
| 1851345904 | William C Warren Iv | Pediatrics | 239 Ivan Allen Jr Blvd, Atlanta, GA 30313 | 2006-05-22 |
| 1790222834 | Courtney Dean | Specialist/Technologist | 150 Bobby Dodd Way, Atlanta, GA 30313 | 2017-01-27 |
| 1932503711 | Emory Employer Based Health Services | Clinic/Center | 1 Coca Cola Plz Nw, Atlanta, GA 30313 | 2014-10-22 |
| 1124342019 | Professional Speech & Language Therapy, Inc | Clinic/Center | 210 Walker St Sw Unit 5, Atlanta, GA 30313-1213 | 2010-03-21 |
| 1285145789 | Express At Northside LLC | Pharmacy | 296 Northside Dr Sw, Atlanta, GA 30313-1228 | 2017-10-24 |
| 1730155144 | Javonya Donell Clemons | Speech-Language Pathologist | 210 Walker Street, Loft 5, Atlanta, GA 30313-1257 | 2006-02-24 |
| 1053506162 | Diabetic Foot Care Specialist of Georgia | Podiatrist | 238 Walker St Sw, Unit #12, Atlanta, GA 30313-1266 | 2007-09-11 |
| Find all providers in zip 30313 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245838374 | Erica Elizabeth West | Physician Assistant | 1155 Mount Vernon Hwy Ste 101, Atlanta, GA 30338-5439 | 2020-10-12 |
| 1841851680 | Lauren Price Fogarty | Physician Assistant | 5445 Meridian Marks Rd Ste 430, Atlanta, GA 30342-4755 | 2019-06-24 |
| 1417422916 | Alison Miller | Physician Assistant | 993d Johnson Fy Rd Ne, Atlanta, GA 30342-1602 | 2018-10-10 |
| 1588139414 | Tammy May Luu | Physician Assistant | 1150 Hammond Dr Ste 310, Atlanta, GA 30328-7500 | 2018-10-08 |
| 1104323476 | Cody Weldon Howell | Physician Assistant | 303 Parkway Dr Ne # 404, Atlanta, GA 30312-1212 | 2018-04-12 |
| 1659895373 | Sudhisha Kumari Jala | Physician Assistant | 980 Johnson Ferry Rd Ste 820, Atlanta, GA 30342-1608 | 2017-08-03 |
| 1487178893 | Magdalena Kertscher | Physician Assistant | 105 Collier Rd Nw Ste 2010, Atlanta, GA 30309-1734 | 2017-07-27 |
| 1841738044 | Adrienne Anderson | Physician Assistant | 1800 Howell Mill Rd Nw Ste 450, Atlanta, GA 30318-2508 | 2017-02-08 |
| 1730623802 | Catherine Lynn Johnson | Physician Assistant | 1365 Clifton Rd Ne # C, Atlanta, GA 30322-1013 | 2016-12-08 |
| 1649626938 | Alex Phillip Schultz | Physician Assistant | 476 Wilmer St Ne, Unit 1230, Atlanta, GA 30308-2933 | 2016-05-05 |
| Find all providers in ATLANTA | ||||
Please comment or provide details below to improve the information on MS. FRANCINE BLONNETTA RICKETTS.
| 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.