EASTERN HEALTH CENTER PC (NPI# 1134383565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134383565 |
| Entity Type | Organization |
| Organization Name | EASTERN HEALTH CENTER PC |
| Practice Address |
1455 Old Mcdonough Hwy #c Conyers GA 30094 |
| Mailing Address |
Po Box 500067 Atlanta GA 31150 |
| Practice Telephone | 6782102225 |
| Practice Fax Number | 6782012226 |
| Mailing Telephone | 6787012225 |
| Mailing Fax Number | 6787012226 |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2008-07-15 |
| Authorized Official Name | DR. PATRICIA BENTON (CEO) |
| Authorized Official Telephone | 6787012225 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208D00000X | General Practice | Allopathic & Osteopathic Physicians | ||
| Y | 111N00000X | Chiropractor | Chiropractic Providers |
| Street Address |
1455 OLD MCDONOUGH HWY #C |
| City | CONYERS |
| State | GA |
| Zip Code | 30094 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164029054 | Darlene Fletcher | Counselor | 827 St. Clair Dr., Conyers, GA 30094 | 2020-10-05 |
| 1194363366 | Clara A Matthews | Physician Assistant | 1930 Windsor Creek Drive Sw, Conyers, GA 30094 | 2019-12-18 |
| 1659838571 | Sensitive Home Care Agency Inc. | PACE Provider Organization | 2225 Morning Dew, Conyers, GA 30094 | 2019-02-27 |
| 1679097992 | Sheira Dennis | Case Management | 3828 Martingale Dr Se, Conyers, GA 30094 | 2017-07-28 |
| 1730571399 | Wellness and Trauma Recovery Center | Counselor | 1775 Parker Rd. Building C, Suite 210, Conyers, GA 30094 | 2015-02-19 |
| 1760870612 | Michael Terrell | Technician/Technologist | 806 Cambridge Creek Dr, Conyers, GA 30094 | 2014-12-30 |
| 1538567466 | Jennifer Angela Johnson | Registered Nurse | 2240 Wren Rd Se, Conyers, GA 30094 | 2014-12-09 |
| 1225445208 | Wanda Marcella Rainey-reed | Counselor | 1453 Klondike Rd Sw Ste D, Conyers, GA 30094 | 2014-07-22 |
| 1508155268 | Nicklaus Trent Rice | Obstetrics & Gynecology | 2750 Owens Dr, Conyers, GA 30094 | 2011-04-04 |
| 1720219660 | Candace Alexander | Dentist | 863 Flat Shoals Rd Se, Suite C #220, Conyers, GA 30094 | 2009-07-27 |
| Find all providers in zip 30094 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528608585 | The Wellness Sanctuary International Corp | Chiropractor | 1003 E Freeway Dr Se Ste B, Conyers, GA 30094-5927 | 2020-01-08 |
| 1528523768 | Ryan Phillip Collins | Chiropractor | 2202 Salem Rd Se Ste B, Conyers, GA 30013-1843 | 2019-02-01 |
| 1922470350 | Alexis Smith | Chiropractor | 1927 Highway 138 Ne Ste 500, Conyers, GA 30013-1254 | 2015-10-26 |
| 1194100370 | Boscher Enterprises | Chiropractor | 2365 Wall St Se Ste 100, Conyers, GA 30013-2197 | 2015-07-29 |
| 1982004271 | Performance Chiropractic of Georgia | Chiropractor | 889 Commerce Dr Sw, Suite A, Conyers, GA 30094-6624 | 2014-08-25 |
| 1609185537 | Holistic Health Management, LLC | Chiropractor | 1650 Honey Creek Commons Se, Suite F, Conyers, GA 30013-5831 | 2010-09-27 |
| 1417270778 | Tania A. Klubenspies | Chiropractor | 2375 Wall St Se Ste 135, Conyers, GA 30013 | 2010-03-01 |
| 1982803441 | Karen Stefani Isaacson | Chiropractor | 2202 Salem Rd Se, Conyers, GA 30013-1843 | 2007-07-15 |
| 1508995770 | Sheila Belanger | Chiropractor | 1003 E Freeway Dr Se Ste A, Conyers, GA 30094-5927 | 2007-03-05 |
| 1215077649 | David Anthony Lascala | Chiropractor | 1226 Royal Dr Sw, Conyers, GA 30094-5966 | 2007-02-07 |
| Find all providers in CONYERS | ||||
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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.