DR. CLINTON EMMITT BRANCH JR. (NPI# 1184739435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184739435 |
| Entity Type | Individual |
| Full Name | DR. CLINTON EMMITT BRANCH JR. |
| Credential | M.D., F.A.A.N. |
| Practice Address |
1240 Jesse Jewell Pkwy Se Suite 400 Gainesville GA 30501-3862 |
| Practice Telephone | 7705341117 |
| Practice Fax Number | 7705037285 |
| Mailing Telephone | 7705341117 |
| Mailing Fax Number | 7705037285 |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2020-03-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
016878 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | MEDICARE ID | 13DDMF | 01 |
| GA | 000178637F | 05 | |
| GA | LICENSE | 016878 | 01 |
| GA | DEA | AB8718821 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 200 Patewood Dr Ste B350, Greenville, SC 296156337 | 8644544500 |
| Street Address |
1240 JESSE JEWELL PKWY SE SUITE 400 |
| City | GAINESVILLE |
| State | GA |
| Zip Code | 30501-3862 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609879881 | C. Shane Bussler | Internal Medicine | 1240 Jesse Jewell Pkwy Se, Ste 500, Gainesville, GA 30501-3861 | 2005-05-23 |
| 1346780251 | Ashley Wilkins | Physician Assistant | 1240 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3862 | 2017-02-27 |
| 1962948422 | Charlsie A Thomas | Physician Assistant | 1240 Jesse Jewell Pkwy Se, Suite 500, Gainesville, GA 30501-3862 | 2017-01-09 |
| 1780128272 | Lauren H Darnell | Nurse Practitioner | 1240 Jesse Jewell Pkwy Se, Suite 500, Gainesville, GA 30501-3862 | 2016-12-19 |
| 1912452061 | Kristina Stefanova James | Nurse Practitioner | 1240 Jesse Jewell Pkwy Se, Suite 400, Gainesville, GA 30501-3862 | 2016-08-18 |
| 1124486238 | Brandon Lee Morrow | Physician Assistant | 1240 Jesse Jewell Pkwy Se, Ste 300, Gainesville, GA 30501-3862 | 2016-02-03 |
| 1427413962 | Sherry Hope Flanagan | Nurse Practitioner | 1240 Jesse Jewell Pkwy Se, Suite 500, Gainesville, GA 30501-3862 | 2015-12-29 |
| 1457757593 | Colleen Mccoy | Physician Assistant | 1240 Jesse Jewell Pkwy Se, Gainesville, GA 30501 | 2014-11-18 |
| 1689009953 | Ernie Loza Aldaco | Registered Nurse | 1240 Jesse Jewell Pkwy Se, Suite 300, Gainesville, GA 30501-3862 | 2013-09-05 |
| 1871838375 | Laura J Johansen | Physical Therapist | 1240 Jesse Jewell Pkwy Se, Suite 500, Gainesville, GA 30501-3862 | 2012-12-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437782851 | Madison Raye Huth | Physician Assistant | 743 Spring Street Se, Gainesville, GA 30501 | 2020-02-13 |
| 1205487659 | Grace M Walker Brown | Nurse Practitioner | 592 Medical Park Dr., Suite A, Gainesville, GA 30501 | 2019-09-26 |
| 1174086987 | Nayab Ahmed | Student in an Organized Health Care Education/Training Program | 743 Spring Street, Suite 710, Gainesville, GA 30501 | 2019-04-09 |
| 1154881118 | Ryan D Berry | Student in an Organized Health Care Education/Training Program | 734 Spring St Se Ste 710, Gainesville, GA 30501 | 2019-03-24 |
| 1609336304 | Harper E Niver | Student in an Organized Health Care Education/Training Program | 743 Spring St., Suite 710, Gainesville, GA 30501 | 2019-03-20 |
| 1508336173 | Bradee Burrell Aderholt | Nurse Practitioner | 663 Lanier Park Drive, Gainesville, GA 30501 | 2018-11-27 |
| 1578068359 | Soammy Liz Matias | Chiropractor | 961 Green Street, Gainesville, GA 30501 | 2018-03-26 |
| 1811496896 | Matthew Brown | Speech-Language Pathologist | 500 Spring St. Se Suite 101, Gainesville, GA 30501 | 2018-02-06 |
| 1346769825 | Dr. Skeete & Associates of North Georgia, P.C. | Optometrist | 150 Pearl Nix Parkway, Suite D3a, Gainesville, GA 30501 | 2017-09-15 |
| 1932624723 | M & B Imaging, PC | Radiology | 1640 Jesse Jewell Pkwy Se Ste 2, Gainesville, GA 30501 | 2017-08-14 |
| Find all providers in zip 30501 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215315569 | Kathryn Pax Lattimore Moore | Psychiatry & Neurology | Uf Health Center for Movement Disorder and Restoration, 3450 Hull Rd, Gainesville, FL 32607 | 2015-05-07 |
| 1760801815 | Pouya Alexander Ameli | Psychiatry & Neurology | Uf Neurology Mcknight Brain Institute 1149 Newell Drive, Gainesville, FL 32610-0001 | 2014-04-15 |
| 1104265909 | Nakia Wilson | Psychiatry & Neurology | 100 Newell Dr Ste L3-100, Gainesville, FL 32610 | 2013-06-14 |
| 1760829824 | Justin Michael Yancey | Psychiatry & Neurology | 4343 W Newberry Rd Ste 3, Gainesville, FL 32607 | 2013-05-30 |
| 1457643314 | Addie Patterson | Psychiatry & Neurology | 3450 Hull Rd Fl 4, Gainesville, FL 32607-4144 | 2011-05-11 |
| 1629380720 | Qingshan Teng | Psychiatry & Neurology | 100 S Newell Dr, L3-100, Gainesville, FL 32610-0236 | 2010-07-06 |
| 1942432067 | Buna Joe Wilder Sr. | Psychiatry & Neurology | 10530 Nw 15th Pl, Gainesville, FL 32606 | 2009-08-24 |
| 1457568644 | Daniel Lamar Cobb | Psychiatry & Neurology | 1485 Jesse Jewell Pkwy Ne Ste 240, Gainesville, GA 30501-3801 | 2007-05-17 |
| 1962620070 | Suvarchala Somayajula | Psychiatry & Neurology | 1315 Jesse Jewell Parkway Se, Suite 300, Gainesville, GA 30501 | 2007-04-23 |
| 1346348281 | George G Feussner Md Pa | Psychiatry & Neurology | 7106 Nw 11th Place, Suite A, Gainesville, FL 32605-3157 | 2006-09-21 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 30501 |
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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.