WILLIAM C LAVELY (NPI# 1164449146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164449146 |
| Entity Type | Individual |
| Full Name | WILLIAM C LAVELY |
| Credential | M.D. |
| Practice Address |
1000 Johnson Ferry Road Atlanta GA 30342 |
| Mailing Address |
5605 Glenridge Dr Ste 325 Atlanta GA 30342-1365 |
| Practice Telephone | 4048516323 |
| Practice Fax Number | 4043033747 |
| Mailing Telephone | 6785537783 |
| Mailing Fax Number | 6785537793 |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2019-05-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207U00000X | Nuclear Medicine | 042877 | GA | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
D0063572 | MD | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
042877 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000740693B | 05 | |
| GA | AMERIGROUP | 10070880 | 01 |
| GA | WELLCARE | N361611 | 01 |
| GA | RAILROAD MEDICARE | P00340704 | 01 |
| GA | PEACH STATE HEALTH PLAN | 000740693B | 01 |
| GA | BCBS | 52670338002 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871927822 | William T Lavely | Nurse Practitioner | 510 Spring St, Jeffersonville, IN 47130-3554 | 2013-08-27 |
| Street Address |
1000 JOHNSON FERRY ROAD |
| City | ATLANTA |
| State | GA |
| Zip Code | 30342 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962498022 | Raul G Velarde | Anesthesiology | 1000 Johnson Ferry Road, Atlanta, GA 30342 | 2005-09-23 |
| 1568705986 | Adam Stephen Young | Radiology | 1000 Johnson Ferry Road, Atlanta, GA 30342 | 2013-04-03 |
| 1447540091 | Ngoc Ha Thi Gunter | Internal Medicine | 1000 Johnson Ferry Road, Kaiser Permanente @ Northside Hospital, Atlanta, GA 30342 | 2011-04-17 |
| 1801106703 | Kevin M. Dean | Anesthesiologist Assistant | 1000 Johnson Ferry Road, Atlanta, GA 30342 | 2010-10-14 |
| 1639487309 | Melissa Shanahan | Psychologist | 1000 Johnson Ferry Road, Northside Hospital, Atlanta, GA 30342 | 2010-09-16 |
| 1104144484 | Uma V Patwardhan | Internal Medicine | 1000 Johnson Ferry Road, Kaiser Permanente @ Northside Hospital, Atlanta, GA 30342 | 2010-05-11 |
| 1316104557 | Idrissa Ne'e'le'ge Ismail-joseph | Internal Medicine | 1000 Johnson Ferry Road, Kaiser Permanente Northside Hospital, Atlanta, GA 30342 | 2008-05-16 |
| 1427232990 | Milan Rajendra Mehta | Radiology | 1000 Johnson Ferry Road, Atlanta, GA 30342 | 2007-12-19 |
| 1407042021 | Anthony L Massey | Anesthesiologist Assistant | 1000 Johnson Ferry Road, Atlanta, GA 30342 | 2007-09-18 |
| 1235325853 | Geobila Dangoh | Anesthesiologist Assistant | 1000 Johnson Ferry Road, Atlanta, GA 30342 | 2007-09-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820614 | Nia Charnice Griffin | Nurse Practitioner | 5670 Peachtree Dunwoodyroad, Suite 900, Atlanta, GA 30342 | 2020-10-26 |
| 1255945184 | Jennifer Lynne Cole | Behavior Technician | 5555 Glenridge Con Suite 200, Atlanta, GA 30342 | 2020-09-08 |
| 1093336232 | Van Tran | Respiratory Therapist, Registered | 1000 Johnson Ferry Rd Ne, Atlanta, Ga 30342, Atlanta, GA 30342 | 2020-04-28 |
| 1356978340 | Twyla Douglas Jackson I | Clinical Nutrition, 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 | 2020-03-27 | |
| 1760013411 | Emily Hamm | Dietitian, Registered | 933 D Johnson Ferry Road, Suite 250, Atlanta, GA 30342 | 2020-01-31 |
| 1043855984 | Mackenzie Tucker Wayda | Registered Nurse | 1001 Johnson Ferry Rd. Ne, Atlanta, GA 30342 | 2019-11-14 |
| 1386288454 | Tiauna Lashun Cochman | Psychologist | 1307 Glenridge Dr, Sandy Springs, GA 30342 | 2019-11-01 |
| 1164074399 | Stephen J. White | Hearing Instrument Specialist | 5775 Peachtree Dunwoody Rd Suite 600 Fl. 6, Uhc Hearing, Atl., GA 30342 | 2019-07-09 |
| 1144788142 | Jaytyn LLC | Internal Medicine | 4600 Broswell Road, Atlanta, GA 30342 | 2019-03-08 |
| 1760954705 | Mishele Walker LLC | Counselor | 555 Glenridge Connector, Suite 200, Sandy Springs, GA 30342 | 2018-12-31 |
| Find all providers in zip 30342 | ||||
| Taxonomy Code | 207U00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Nuclear Medicine |
| A nuclear medicine specialist employs the properties of radioactive atoms and molecules in the diagnosis and treatment of disease and in research. Radiation detection and imaging instrument systems are used to detect disease as it changes the function and metabolism of normal cells, tissues and organs. A wide variety of diseases can be found in this way, usually before the structure of the organ involved by the disease can be seen to be abnormal by any other techniques. Early detection of coronary artery disease (including acute heart attack), early cancer detection and evaluation of the effect of tumor treatment, diagnosis of infection and inflammation anywhere in the body and early detection of blood clot in the lungs are all possible with these techniques. Unique forms of radioactive molecules can attack and kill cancer cells (e.g., lymphoma, thyroid cancer) or can relieve the severe pain of cancer that has spread to bone |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Nuclear Medicine, 2007. http://www.abnm.org/. A doctor of osteopathy was able to obtain a Certificate of Added Qualifications in the field of Nuclear Medicine. The Certificate is NO longer offered. - American Osteopathic Board of Nuclear Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Nuclear Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164698460 | Xuexian Yan | Nuclear Medicine | 1364 Clifton Rd Ne # H184, Atlanta, GA 30322-1064 | 2008-05-06 |
| 1912185075 | Rajesh Singh Dhillon | Nuclear Medicine | 1109 Summit Pointe Way Ne, Atlanta, GA 30329-4040 | 2008-01-31 |
| 1104267525 | Manohar Kuruva | Nuclear Medicine | 1364 Clifton Rd Ne, Atlanta, GA 30322 | 2013-07-14 |
| 1447541362 | Ila Sethi | Nuclear Medicine | 1364 Clifton Rd Ne, Atlanta, GA 30322-3201 | 2011-04-26 |
| 1245529536 | Anton Shapoval | Nuclear Medicine | 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 | 2011-04-07 |
| 1447432471 | Valeria Moncayo | Nuclear Medicine | 1364 Clifton Rd Ne, Atlanta, GA 30322-1059 | 2007-11-30 |
| 1639378268 | Wanzhen Zeng | Nuclear Medicine | 1364 Clifton Rd Ne, Rm D118, Atlanta, GA 30322 | 2007-07-13 |
| 1023177862 | Roderic Ivan Pettigrew | Nuclear Medicine | 1364 Clifton Rd Ne, Department of Radiology, Atlanta, GA 30322-1059 | 2006-12-07 |
| 1114952645 | Raghuveer Krishna Halkar | Nuclear Medicine | 1364 Clifton Rd Ne, Nuclear Medicine /radiology Dept /euh, Atlanta, GA 30322-1059 | 2006-07-12 |
| 1245293968 | Nicholass Adam Plaxton | Nuclear Medicine | Emory University Hospital, 1364 Clifton Rd Ne, Atlanta, GA 30322-0001 | 2006-04-11 |
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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.