THE FIDELITY HEALTH CARE GROUP, LLC (NPI# 1174905830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174905830 |
| Entity Type | Organization |
| Organization Name | THE FIDELITY HEALTH CARE GROUP, LLC |
| Practice Address |
950 Eagles Landing Pkwy # 152 Stockbridge GA 30281-7343 |
| Practice Telephone | 7039298967 |
| Practice Fax Number | 4046018328 |
| Mailing Telephone | 7039298967 |
| Mailing Fax Number | 4046018328 |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2015-06-18 |
| Authorized Official Name | DR. JOHN A GLENN JR. (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 4782908509 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
038495 | GA | Behavioral Health & Social Service Providers |
| Y | 261Q00000X | Clinic/Center | 038495 | GA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | NPI | 1194765420 | 01 |
| Street Address |
950 EAGLES LANDING PKWY # 152 |
| City | STOCKBRIDGE |
| State | GA |
| Zip Code | 30281-7343 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033218581 | Charla V Johnson | Physician Assistant | 950 Eagles Landing Pkwy, Suite 212, Stockbridge, GA 30281-7343 | 2006-09-21 |
| 1528523073 | Caregiver Assist Transportation LLC | Non-emergency Medical Transport (VAN) | 950 Eagles Landing Pkwy, Suite 631, Stockbridge, GA 30281-7343 | 2019-02-08 |
| 1083153142 | Connie J Young-gibraltarik | Counselor | 950 Eagles Landing Pkwy, Suite 665, Stockbridge, GA 30281-7343 | 2017-02-21 |
| 1083160436 | Noah's Ark Urgent Care LLC | Clinic/Center | 950 Eagles Landing Pkwy, Suite 212, Stockbridge, GA 30281-7343 | 2016-08-26 |
| 1164899225 | Qaran Glenn | Case Manager/Care Coordinator | 950 Eagles Landing Pkwy, Unit 152, Stockbridge, GA 30281-7343 | 2015-08-25 |
| 1245547751 | Ax Stockbridge Services Inc | Clinic/Center | 950 Eagles Landing Pkwy, Suite 324, Stockbridge, GA 30281-7343 | 2010-09-03 |
| 1063644078 | Carla Swanson Judah | Home Health | 950 Eagles Landing Pkwy, Stockbridge, GA 30281-7343 | 2009-08-10 |
| 1467619940 | The Palmer Group Inc | Physician Assistant | 950 Eagles Landing Pkwy, Suite 323, Stockbridge, GA 30281-7343 | 2008-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164039095 | Colette Alls | Social Worker | 447 Lakeshore Dr, Stockbridge, GA 30281 | 2020-09-24 |
| 1982216800 | Pediatric and Family Behavioral Health of Georgia | Counselor | 1004 Ulster Court, Stockbridge, GA 30281 | 2020-08-21 |
| 1518577659 | Qunique Taveka Toxey | Behavior Technician | 115 N Park Trail, Suite 123, Stockbridge, GA 30281 | 2020-08-04 |
| 1497377675 | Melanie Harvey | Pharmacist | 4467 North Henry Boulevard, Stockbridge, GA 30281 | 2020-05-11 |
| 1114550571 | Cecile Maria Dunkley Layne | Counselor | 255 Corporte Drive, Stockbridge, GA 30281 | 2020-02-13 |
| 1306407143 | Palliative Care of Georgia. LLC | Home Health | 275 Corporate Center Court Ste C, Stockbridge, GA 30281 | 2019-06-24 |
| 1154883791 | Aaliyah Nura Fardan-alexander | Nurse's Aide | 105 Singletree, Stockbridge, GA 30281 | 2019-04-02 |
| 1306306261 | Prosthetic Care, Inc. | Prosthetic/Orthotic Supplier | 150 County Club Drive, Suite 200, Stockbridge, GA 30281 | 2019-03-25 |
| 1356814172 | Kristina Louissaint | Nurse Practitioner | 650 Country Club Dr, Stockbridge, GA 30281 | 2019-01-03 |
| 1942789284 | Cameren Barnes | Physical Therapist | 5473 N Henry Blvd, Stockbridge, GA 30281 | 2018-08-08 |
| Find all providers in zip 30281 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245547751 | Ax Stockbridge Services Inc | Clinic/Center | 950 Eagles Landing Pkwy, Suite 324, Stockbridge, GA 30281-7343 | 2010-09-03 |
| 1528231131 | Rediclinic Us, LLC | Clinic/Center | 5600 N Henry Blvd, Stockbridge, GA 30281-3246 | 2008-04-04 |
| 1023186491 | Rediclinic LLC | Clinic/Center | 5600 N Henry Blvd, Stockbridge, GA 30281-3246 | 2006-12-01 |
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|---|---|---|---|---|
| 1619578820 | Pinpoint Covid Testing Inc | Clinic/Center | 3075 Tower Rd Ste A, Columbus, GA 31909-2537 | 2020-11-04 |
| 1194331439 | Shittu Family Practice,llc | Clinic/Center | 11679 Bruce Dr, Hampton, GA 30228-4008 | 2020-09-22 |
| 1154937050 | Staywellatl,llc | Clinic/Center | 2550 Heritage Ct Se Ste 135, Atlanta, GA 30339-3528 | 2020-09-17 |
| 1164035564 | The Lotus Haven PC | Clinic/Center | 950 Dannon Vw Sw Ste 4101, Atlanta, GA 30331-2159 | 2020-08-25 |
| 1518585868 | Robin June Dc, LLC | Clinic/Center | 400 Embassy Row Ste 110, Sandy Springs, GA 30328-5723 | 2020-07-13 |
| 1740808773 | All Test Services | Clinic/Center | 575 Sigman Rd Ne, Conyers, GA 30013-1311 | 2020-07-07 |
| 1134741580 | Knowles Exams & More | Clinic/Center | 123 Glyndale Dr Ste 107, Brunswick, GA 31520-1404 | 2020-05-08 |
| 1558981985 | Elite Mens' Health, LLC | Clinic/Center | 3361 Nottinghill Ln, Valdosta, GA 31605-5874 | 2020-04-27 |
| 1447886320 | Momentum Rehab & Therapy | Clinic/Center | 5349 Snapfinger Woods Dr, Decatur, GA 30035-4028 | 2020-03-23 |
| 1073146759 | Transitional Care Clinic LLC | Clinic/Center | 2084 Newnan Crossing Blvd E Ste 300, Newnan, GA 30265-2561 | 2020-02-20 |
| Find all providers with the same taxonomy | ||||
| City | STOCKBRIDGE |
| Zip Code | 30281 |
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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.