NATHANIEL A PTAK


Address: 1670 Clairmont Rd, Decatur, GA 30033-4004
Phone: 4043216111

NATHANIEL A PTAK (NPI# 1194387571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194387571
Entity Type Individual
Full Name NATHANIEL A PTAK
Practice Address 1670 Clairmont Rd
Decatur
GA 30033-4004
Mailing Address 4292 Vineyard Trl
Snellville
GA 30039-6197
Practice Telephone 4043216111
Mailing Telephone 6304647825
Enumeration Date 2019-07-05
Last Update Date 2019-07-05
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207XX0004X Orthopaedic Surgery
Specialization: Foot and Ankle Surgery
0000000000000000 GA Allopathic & Osteopathic Physicians

Office Location

Street Address 1670 CLAIRMONT RD
City DECATUR
State GA
Zip Code 30033-4004

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356342042 Ketayoun Davari Pharmacist 1670 Clairmont Rd, Decatur, GA 30033-4004 2005-08-03
1730780073 Mojisola Mary Bakare Registered Nurse 1670 Clairmont Rd, Decatur, GA 30033-4004 2020-11-03
1346849189 Jessica Astrid George Social Worker 1670 Clairmont Rd, Decatur, GA 30033-4004 2020-10-22
1841807591 Mallorie Gayle Carroll Psychologist 1670 Clairmont Rd, Decatur, GA 30033-4004 2020-09-28
1164036570 Rachel Heatherly Psychologist 1670 Clairmont Rd, Decatur, GA 30033-4004 2020-09-02
1679186670 Martale Jerrell Davis Psychologist 1670 Clairmont Rd, Decatur, GA 30033-4004 2020-08-28
1619580206 Rosetta Yvette Delancy Social Worker 1670 Clairmont Rd, Decatur, GA 30033-4004 2020-08-25
1760095186 Alaisha Delane Wellons Social Worker 1670 Clairmont Rd, Decatur, GA 30033-4004 2020-08-25
1568074797 Hannah F Martyn Psychologist 1670 Clairmont Rd, Decatur, GA 30033-4004 2020-08-19
1285245308 Meera Gupta Pharmacist 1670 Clairmont Rd, Decatur, GA 30033-4004 2020-08-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922613785 Healing Minds, Helping Hearts, LLC Social Worker 2532 N Decatur Rd, Apt 1304, Decatur, GA 30033 2020-09-09
1700412517 Delana Finney Orthotist Vamc - Atlanta, 1670 Clairmont Rd, Decatur, GA 30033 2020-03-13
1194389353 Katherine Serafen Physician Assistant 2701 N Decatur Road, Ground Floor Suite 520, Decatur, GA 30033 2019-04-23
1194290973 Suzanne Johnson Psychologist Atlanta Va Health Care System, 1670 Clairmont Rd, Decatur, GA 30033 2018-10-09
1245705334 Mcleod Counseling Services, LLC Clinic/Center 2801 N. Decatur Rd, Suite 185, Decatur, GA 30033 2018-10-04
1225514797 Erkin Mirkhatovich Turganov Pharmacist 2951 Cedar Brook Dr, Decatur, GA 30033 2018-07-17
1356834972 Sharlencia Lord Nurse Practitioner 2738 N Decatur Rd # 292-3173, Decatur, GA 30033 2018-06-08
1194213140 Zacarias Yanis Jr. Clinical Neuropsychologist 1276 Mcconnell Drive Ste C., Decatur, GA 30033 2018-04-25
1780181370 Ryan Patton Orthopaedic Surgery 2723 Hollywood Dr, Decatur, GA 30033 2018-04-10
1437669751 Sholanda D Hooper Nurse Practitioner 1601 Clairmont Rd, Decatur, GA 30033 2017-10-02
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Taxonomy Information

Taxonomy Code 207XX0004X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Foot and Ankle Surgery

Taxonomy Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: title modified, definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. ACGME Accredited Residency Program Requirements: 1 year of training with 5 years Orthopedic Surgery for a total of 6 years.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1487140950 Kanesha Monique Gillyard Orthopaedic Surgery 1670 Clairmont Rd, Decatur, GA 30033-4004 2018-07-07

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1134546625 Rishin Jatin Kadakia Orthopaedic Surgery 100 Woodruff Cir, Suite 327, Atlanta, GA 30322-0001 2014-03-24
1326333402 Michelle Coleman Orthopaedic Surgery 57 Executive Park S Ste 120, Atlanta, GA 30329-2248 2011-06-16
1992704514 Steven Louis Shapiro Orthopaedic Surgery 6715 Forest Park Dr, Savannah, GA 31406-2507 2005-07-15
1952697336 Michael Gary Hull Orthopaedic Surgery 300 Tower Rd Ne Ste 200, Marietta, GA 30060 2011-06-23
1205071552 Daniel Lee Maxwell Orthopaedic Surgery 150 Clinic Ave Ste 101, Carrollton, GA 30117-4402 2008-12-15
1275601171 Perimeter Orthopaedics, P.C. Orthopaedic Surgery 5673 Peachtree Dunwoody Rd, Suite 825, Atlanta, GA 30342 2006-12-01
1477623098 Paul Victor Spiegl Sr. Orthopaedic Surgery 5673 Peachtree Dunwoody Rd Ne, Suite 825, Atlanta, GA 30342-1731 2006-11-09
1861562381 Lamar L Fleming Orthopaedic Surgery 49 Jesse Hill Jr Dr Se, Suite 311, Atlanta, GA 30303-3049 2006-11-09
1669484903 William Scott Kimmerly Orthopaedic Surgery 2001 Peachtree Rd Ne, Ste 705, Atlanta, GA 30309-1476 2006-08-13
1295785475 Corbett Mark Thigpen Orthopaedic Surgery 3650 J Dewey Gray Cir, Augusta, GA 30909-1867 2006-05-11
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Competitor

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City DECATUR
Zip Code 30033

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Dataset Information

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.

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