MEDICLINIC (NPI# 1215270699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215270699 |
| Entity Type | Organization |
| Organization Name | MEDICLINIC |
| Practice Address |
355 Upper Riverdale Rd A8 Jonesboro GA 31141 |
| Mailing Address |
355 Upper Riverdale Rd Ste# A-8 Jonesboro GA 31141 |
| Practice Telephone | 7708766972 |
| Mailing Telephone | 7708766972 |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2013-04-03 |
| Authorized Official Name | MS. SARA BADIE (BILLING) |
| Authorized Official Telephone | 7708766972 |
| Authorized Official Credential | NA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 007116 | GA | Chiropractic Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | MEDICLINIC, CORP. | 37 Idaho Ave, Staten Island, Ny 10309 |
| Street Address |
355 UPPER RIVERDALE RD A8 |
| City | JONESBORO |
| State | GA |
| Zip Code | 31141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871008425 | Survival 2 Victory, Inc. | Community/Behavioral Health | 3579 Chamblee Tucker Rd Unit 941245a, Atlanta, GA 31141-1009 | 2017-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407901 | Cpg Private Home Care Providers, LLC | Home Health | 238 Stockbridge Rd Ste 215, Jonesboro, GA 30236-3629 | 2020-11-05 |
| 1346841756 | Hannah Beth Johnston | Occupational Therapy Assistant | 970 County Road 753, Jonesboro, AR 72405-0232 | 2020-11-03 |
| 1720689219 | Olubunmi Adeniyi | Pharmacist | 524 Serene Waters Trl, Jonesboro, GA 30236-5495 | 2020-11-03 |
| 1073113650 | Secure Foundation Counseling Pllc | Clinic/Center | 125 N Fisher St, Jonesboro, AR 72401-2116 | 2020-10-31 |
| 1932708641 | Premiere Family Practice | Family Medicine | 1904 Grant Ave Ste G, Jonesboro, AR 72401-6165 | 2020-10-22 |
| 1104425297 | Elizabeth Byington | Spec/Tech, Pathology | 918 Lake Crest Dr, Jonesboro, AR 72404-9566 | 2020-10-20 |
| 1457958233 | Kaitlyn Soffray Simmons | Nurse Practitioner | 500 Kitchen St, Jonesboro, AR 72401-3135 | 2020-10-05 |
| 1407453368 | Mariah Kay Jackson | Physical Therapy Assistant | Creative Kids Therapy, Jonesboro, AR 72401 | 2020-10-05 |
| 1497352488 | Cassandra Clayton | Driver | 10020 Crystal Ter, Jonesboro, GA 30238-7857 | 2020-10-03 |
| 1033716170 | Krystal C Reese | Doula | 682 Sycamore Dr, Jonesboro, GA 30238-3185 | 2020-10-01 |
| Find all providers in JONESBORO | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346859196 | Joshua Poole | Chiropractor | 604 Lakeview Way, Jonesboro, GA 30238-5668 | 2020-07-28 |
| 1114543451 | Inman Wellness Solutions Pllc | Chiropractor | 1306 S Caraway Rd Unit B, Jonesboro, AR 72401-4507 | 2020-06-23 |
| 1700426152 | Misty Dawn Tramel | Chiropractor | 1411 Marketplace Dr Ste B, Jonesboro, AR 72401-5232 | 2020-01-14 |
| 1598310112 | Jason Inman | Chiropractor | 1017 Russell Hill Dr, Jonesboro, AR 72404-8416 | 2019-08-09 |
| 1477011898 | Kristin Renee Mayo | Chiropractor | 750 Mt Zion Rd, Jonesboro, GA 30236-3817 | 2019-03-05 |
| 1528536901 | Samuel Schepart | Chiropractor | 6348 Tara Blvd, Jonesboro, GA 30236-1224 | 2018-11-05 |
| 1174916860 | Khanh T. Dinh | Chiropractor | 696 Mount Zion Rd Ste C4, Jonesboro, GA 30236-1583 | 2015-03-05 |
| 1407284631 | Neck and Back Injury Clinic, LLC | Chiropractor | 1287 Spur Highway 138, Suite 10, Jonesboro, GA 30236 | 2013-10-25 |
| 1558631838 | Slayton Chiropractic Inc. | Chiropractor | 1903 Grant Ave Ste B, Jonesboro, AR 72401-6198 | 2012-01-04 |
| 1699086553 | Sherrod Chiropractic, Plc | Chiropractor | 2512 Alexander Dr, Suite B, Jonesboro, AR 72401-7175 | 2010-06-25 |
| Find all providers in JONESBORO | ||||
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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.