PEDIATRIC, ADOLESCENT SURGICAN ASSOCIATES, P.C. (NPI# 1164499869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164499869 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC, ADOLESCENT SURGICAN ASSOCIATES, P.C. |
| Practice Address |
5455 Meridian Marks Rd Ne Suite 570 Atlanta GA 30342-1654 |
| Practice Telephone | 4042523353 |
| Practice Fax Number | 4042520645 |
| Mailing Telephone | 4042523353 |
| Mailing Fax Number | 4042520645 |
| Enumeration Date | 2006-03-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JEAN CHRISTIAN (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 4046017290 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | NOT APPLICABLE | GA | Other Service Providers |
| Street Address |
5455 MERIDIAN MARKS RD NE SUITE 570 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30342-1654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366441941 | John Christopher Bleacher | Surgery | 5455 Meridian Marks Rd Ne, Suite 570, Atlanta, GA 30342-1654 | 2005-07-18 |
| 1871836197 | Blaire Hatcher Holbrook | Nurse Practitioner | 5455 Meridian Marks Rd Ne, Suite 540, Atlanta, GA 30342-1654 | 2013-04-04 |
| 1093063273 | Lyndsey Lea Mcdonald | Nurse Practitioner | 5455 Meridian Marks Rd Ne, Atlanta, GA 30342-1654 | 2012-08-20 |
| 1871877936 | Adam Jacob Ayer | Nurse Practitioner | 5455 Meridian Marks Rd Ne, Suite 570, Atlanta, GA 30342-1654 | 2011-10-06 |
| 1104114289 | Heather Denise Carlson | Audiologist | 5455 Meridian Marks Rd Ne, Suite 130, Atlanta, GA 30342-1654 | 2011-07-11 |
| 1124328703 | Erin Lynaugh Connelly | Nurse Practitioner | 5455 Meridian Marks Rd Ne, 4th Floor, Atlanta, GA 30342-1654 | 2010-10-28 |
| 1558671396 | Angelyn Isbell Harber | Audiologist | 5455 Meridian Marks Rd Ne, Suite 130, Atlanta, GA 30342-1654 | 2010-10-14 |
| 1205154069 | Abigail Dahl Ivie | Nurse Practitioner | 5455 Meridian Marks Rd Ne, Suite 130, Atlanta, GA 30342-1654 | 2010-05-04 |
| 1437481900 | Wendy Jacek | Nurse Practitioner | 5455 Meridian Marks Rd Ne, Suite 570, Atlanta, GA 30342-1654 | 2010-02-08 |
| 1801121827 | Mary Ellen Ferrand | Nurse Practitioner | 5455 Meridian Marks Rd Ne, Suite 130, Atlanta, GA 30342-1654 | 2009-10-08 |
| 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 | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265030407 | Sandra W Paul | Specialist | 4185 Glad Morning Dr, Atlanta, GA 30349-3902 | 2020-10-10 |
| 1053926154 | Idoc Virtual Neuro Critical Care LLC | Specialist | 159 E Wesley Rd Ne, Atlanta, GA 30305-3707 | 2020-09-15 |
| 1114489663 | Dr. Behling, LLC | Specialist | 1100 Peachtree St Ne Ste 250, Atlanta, GA 30309-4522 | 2019-04-03 |
| 1376013813 | Quality Therapeutic Massage LLC | Specialist | 423 Tazor St Nw, Atlanta, GA 30314-2718 | 2018-11-27 |
| 1467945444 | Lynette Singleton Brown | Specialist | 1509 Virginia Ave, Atlanta, GA 30337-2841 | 2018-06-13 |
| 1952806572 | Prerana Upadhyaya | Specialist | 920 Dannon Vw Sw Ste 3103, Atlanta, GA 30331-2158 | 2018-03-26 |
| 1225566300 | Aspire Fertility Georgia, LLC | Specialist | 6 Concourse Pkwy Ste 250, Atlanta, GA 30328-6117 | 2017-06-01 |
| 1376086256 | Integrated Healthcare Center of Dunwoody LLC | Specialist | 6115 Peachtree Dunwoody Rd, Atlanta, GA 30328-5546 | 2016-11-28 |
| 1063960748 | Lynda Louise Parrish | Specialist | 842 N Highland Ave Ne Ste 223, Atlanta, GA 30306-4530 | 2016-09-12 |
| 1922551118 | Shelley Fondren | Specialist | 5817 Jamerson Dr, Atlanta, GA 30349-7018 | 2016-07-25 |
| Find all providers in ATLANTA | ||||
Please comment or provide details below to improve the information on PEDIATRIC, ADOLESCENT SURGICAN ASSOCIATES, P.C..
| 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.