BRANT CLATTERBUCK (NPI# 1184030322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184030322 |
| Entity Type | Individual |
| Full Name | BRANT CLATTERBUCK |
| Credential | MD |
| Practice Address |
69 Jesse Hill Jr Dr Se Fl 3 Atlanta GA 30303-3033 |
| Practice Telephone | 4042518915 |
| Practice Fax Number | 4045233931 |
| Mailing Telephone | 4042518915 |
| Mailing Fax Number | 4045233931 |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2020-06-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 86162 | GA | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | LL38517 | SC | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 2014023267 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
69 JESSE HILL JR DR SE FL 3 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30303-3033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942437363 | Keneeshia Nicole Williams | Surgery | 69 Jesse Hill Jr Dr Se Fl 3, Atlanta, GA 30303-3033 | 2009-06-11 |
| 1205068723 | Elizabeth Innes Deans | Obstetrics & Gynecology | 69 Jesse Hill Jr Dr Se Fl 3, Emory University, Atlanta, GA 30303-3033 | 2009-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811597461 | Nanoresearch, Inc | Point of Service | 58 Edgewood Ave Ne, Suite 122, Collabtech., Gsu, Atlanta, GA 30303 | 2020-10-31 |
| 1952917155 | Alesha Deshay Elbert | Behavior Technician | 206 Peachstreet Ne Suite 2200, Atlanta, GA 30303 | 2020-09-22 |
| 1033759386 | Mark Bush | Case Manager/Care Coordinator | 50 Hurt Plaza Se Suite 1108, Atlanta, GA 30303 | 2020-01-14 |
| 1053965855 | Patrice Munsel Henry | Nurse Practitioner | 80 Jessie Hill Drive Se, Atlanta, GA 30303 | 2019-07-30 |
| 1356826564 | United States Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 260 Peachtree Street Nw, Suite 2200, Office 2228, Atlanta, GA 30303 | 2018-10-03 |
| 1336645290 | Joseph Bahng | Student in an Organized Health Care Education/Training Program | 69 Jesse Hill Jr Drive Se, Glenn Building, 4th Floor - 412b, Atlanta, GA 30303 | 2018-03-31 |
| 1841704707 | Amber Peach LLC | Family Medicine | 260 Peachtree St Nw Suite 2200, Atlanta, GA 30303 | 2017-11-29 |
| 1447778089 | Jasmine Williams | Behavioral Analyst | 260 Peachtree Street Nw, Suite 2200, Atlanta, GA 30303 | 2017-09-05 |
| 1982138236 | Mahek Dossani | Behavior Technician | 260 Peachtree Street Nw, Suite 2200, Atlanta, GA 30303 | 2017-04-13 |
| 1255872420 | Alexis Annick Auger | Behavior Technician | 260 Peachtree St. Nw, Suite 2200, Atlanta, GA 30303 | 2017-03-20 |
| Find all providers in zip 30303 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073028866 | Empire Medical Billing Solutions, Lls | Surgery | 3535 Peachtree Rd Ne Ste 520-252, Atlanta, GA 30326-3287 | 2017-12-03 |
| 1316338197 | My Concierge Surgery LLC | Surgery | 1233 Spring Park Dr Sw, Atlanta, GA 30311-2410 | 2015-02-14 |
| 1467841445 | Atlanta Surgery Associates LLC | Surgery | 550 Peachtree St Ne Ste 1430, Atlanta, GA 30308-2242 | 2015-01-14 |
| 1205230554 | Intralign Ga PC | Surgery | 993 Johnson Fy Rd Ne # C, Atlanta, GA 30342-1620 | 2014-10-15 |
| 1457789570 | Just Breast, LLC | Surgery | 1841 Hedge Rose Dr Ne, Atlanta, GA 30324-2784 | 2013-10-29 |
| 1992143382 | Ayodele Osasona | Surgery | 2004 Oak Terrace Dr Se, Atlanta, GA 30316 | 2013-06-07 |
| 1962846873 | James Middleton Chang | Surgery | 5673 Peachtree Dunwoody Rd Ste 675, Atlanta, GA 30342-1774 | 2013-04-22 |
| 1346583028 | Katherine Jane Baxter | Surgery | 1364 Clifton Rd Ne Rm H120, Atlanta, GA 30322-1059 | 2013-04-01 |
| 1629311451 | Yuda Liu | Surgery | 5665 Peachtree Dunwoody Rd Ste 200, Atlanta, GA 30342-1701 | 2013-03-29 |
| 1609117357 | Brook Cardiothoracic Surgery LLC | Surgery | 550 Peachtree St Ne Ste 1035, Atlanta, GA 30308-2221 | 2013-03-05 |
| Find all providers in ATLANTA | ||||
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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.