PHYLLICIA MADDOX (NPI# 1215307731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215307731 |
| Entity Type | Individual |
| Full Name | PHYLLICIA MADDOX |
| Credential | M.T. |
| Practice Address |
214 Ponce De Leon Ave Ne Suite 1 Atlanta GA 30308-1910 |
| Practice Telephone | 4049876596 |
| Mailing Telephone | 6786001523 |
| Enumeration Date | 2015-09-26 |
| Last Update Date | 2015-09-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175L00000X | Homeopath | MT004039 | GA | Other Service Providers |
| Street Address |
214 PONCE DE LEON AVE NE SUITE 1 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30308-1910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013374446 | Beth Shannon | Massage Therapist | 214 Ponce De Leon Ave Ne, Ste 1, Atlanta, GA 30308-1910 | 2016-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689285165 | Grace Mckinnon Cutchin | Speech-Language Pathologist | 550 Peachtree St. Ne, 9th Floor, Suite 4400, Atlanta, GA 30308 | 2020-08-10 |
| 1063033942 | Life University | Chiropractor | 1 Baltimore P1. Nw, Suite 100, Atlanta, GA 30308 | 2020-05-01 |
| 1184254591 | Jordan Cohen | Specialist | 1075 Peachtree Rd, Suite 300, Atlanta, GA 30308 | 2020-01-24 |
| 1104463819 | Gary Sydney Koech IIi | Registered Nurse | Emory Midtown- Davis Fischer Bld 3rd Floor, Rm 3245a, 550 Peachtree Street, N.e., Atlanta, GA 30308 | 2019-12-02 |
| 1639728207 | Shannon Oliver Sullivan | Counselor | 1 Baltimore Pl Nw, Suite 360, Atlanta, GA 30308 | 2019-09-06 |
| 1477110187 | Ariel Alibey | Preventive Medicine | 550 Peachtree St Ne Bldg 4th, Atlanta, GA 30308 | 2019-05-29 |
| 1972075497 | Laura Mcrae | Nurse Practitioner | Emory Center for Critical Care, 550 Peachtree Street, Davis Fischer Building, Office 3245a, Atlanta, GA 30308 | 2018-12-21 |
| 1265902134 | Kyle Brooks Kraft | Nurse Practitioner | 550 Peachtree Road, Davis Fischer Building, Office 3245a, Atlanta, GA 30308 | 2018-12-04 |
| 1396211025 | Vita Judkins | Pharmacist | 240 Renaissance Pkway Ne, Unit 116, Atlanta, GA 30308 | 2018-10-20 |
| 1407345911 | Caitlin Cundiff | Anesthesiology | 550 Peachtree St Ne Ste 3245b, Atlanta, GA 30308 | 2018-05-09 |
| Find all providers in zip 30308 | ||||
| Taxonomy Code | 175L00000X |
| Grouping | Other Service Providers |
| Classification | Homeopath |
| A provider who is educated and trained in a system of therapeutics in which diseases are treated by drugs which are capable of producing in healthy persons symptoms like those of the disease to be treated. Treatment requires administering a drug in minute doses. |
| Notes: Source: Dorland’s Illustrated Medical Dictionary. 26th edition. Philadelphia: W.B. Saunders Company, 1981. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184177362 | Akiscia Washington | Homeopath | 230 18th St Nw, Unit 11326, Atlanta, GA 30363-1073 | 2016-07-25 |
| 1972989762 | Karen Maxine Witty | Homeopath | 233 Mitchell St Sw, Suite 350, Atlanta, GA 30303-3304 | 2015-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518517499 | Shanika Johnson | Homeopath | 1480 Cheshire Ct, Lawrenceville, GA 30043-6516 | 2019-09-12 |
| 1205398526 | Away Lice Removal Specialists, LLC | Homeopath | 531 Hardee Street, Dallas, GA 30132 | 2019-04-04 |
| 1366993628 | Hands Down Muscle Restoration, Inc | Homeopath | 1212 Chapel Crossing Road, Brunswick, GA 31525 | 2016-10-20 |
| 1659756435 | Tereka Adrianne Singletary | Homeopath | 1249 Paul Ln, Albany, GA 31705-5946 | 2015-07-22 |
| 1578986568 | Marci Blevins | Homeopath | 4580 Highway 136, Trenton, GA 30752-2909 | 2014-01-27 |
| 1790026235 | Timothy Eugene Gates | Homeopath | 2072 Deep Creek Rd Nw, Dewy Rose, GA 30634-3006 | 2013-03-07 |
| 1063703528 | Christi B Mitchell | Homeopath | 101 N Oaks Dr, Ste#5, Dalton, GA 30721-8358 | 2011-05-02 |
| 1790082436 | Susan L Mack | Homeopath | 6484 Ford Rd, Flowery Branch, GA 30542-2636 | 2011-02-15 |
| 1154986206 | Ok Management Services LLC | Homeopath | 6035 Peachtree Rd Ste C209, Doraville, GA 30360-3238 | 2019-05-03 |
| 1538562764 | Elaine Watson | Homeopath | 615 Pendleton St, Suite A, Waycross, GA 31501-4724 | 2014-10-02 |
| Find all providers with the same taxonomy | ||||
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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.