DR. SALLY M. REVELL (NPI# 1225212061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225212061 |
| Entity Type | Individual |
| Full Name | DR. SALLY M. REVELL |
| Other Name | DR. SALLY P MERRYMAN |
| Credential | MD |
| Practice Address |
699 Church St Ne Ste 340 Marietta GA 30060 |
| Mailing Address |
148 Bill Carruth Pkwy Ste 220 Hiram GA 30141-3754 |
| Practice Telephone | 7707937613 |
| Practice Fax Number | 7707937413 |
| Mailing Telephone | 7705050023 |
| Mailing Fax Number | 7705059848 |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2019-10-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 65884 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
699 CHURCH ST NE STE 340 |
| City | MARIETTA |
| State | GA |
| Zip Code | 30060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780688051 | Patrick Melder | Otolaryngology | 699 Church St Ne, Ste 340, Marietta, GA 30060 | 2005-06-02 |
| 1891160917 | Julia Huntington Cook | Advanced Practice Midwife | 699 Church St Ne, Suite 300, Marietta, GA 30060-1110 | 2015-12-01 |
| 1598139396 | Danette Lynn Murner | Advanced Practice Midwife | 699 Church St Ne, Suite 300, Marietta, GA 30060-1110 | 2015-11-18 |
| 1922400514 | Leah Peacock | Nurse Practitioner | 699 Church St Ne, Suite 300, Marietta, GA 30060-1110 | 2014-09-25 |
| 1740697465 | Nicole Shields | Audiologist | 699 Church St Ne, Suite 340, Marietta, GA 30060-1110 | 2014-07-15 |
| 1659610731 | Barbara E Oess | Nurse Practitioner | 699 Church St Ne, Marietta, GA 30060-1110 | 2013-02-08 |
| 1902183742 | Wellstar Cardiovascular Medicine, LLC | Internal Medicine | 699 Church St Ne, Suite 240, Marietta, GA 30060-1110 | 2011-11-08 |
| 1245539378 | Wellstar Medical Group, LLC | Obstetrics & Gynecology | 699 Church St Ne, Suite 500, Marietta, GA 30060-1110 | 2011-03-15 |
| 1538465596 | Wellstar Medical Group, LLC | Obstetrics & Gynecology | 699 Church St Ne, Suite 500, Marietta, GA 30060-1110 | 2011-02-08 |
| 1609186360 | Sheema Khan | Obstetrics & Gynecology | 699 Church St Ne, Ste 220, Marietta, GA 30060-1116 | 2010-10-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144845116 | Legacy Center for Spinal Surgery, LLC | Neurological Surgery | 1900 The Exchange, Ne, Suite 600, Marietta, GA 30060 | 2020-06-15 |
| 1407477193 | Michael Cynil Daniel | Counselor | 698 N Marietta, Pkwy, Marietta, GA 30060 | 2020-05-04 |
| 1285253401 | Cameron Thomas Kennelly | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne Attn:gme, Marietta, GA 30060 | 2020-04-09 |
| 1922640739 | Jeremiah George Blair | Physician Assistant | 61 Whitcher St Suite 2100, Marietta, GA 30060 | 2019-10-14 |
| 1164064945 | Denise Alicia Mick | Registered Nurse | 677 Church St Wellstar Kennestone Hospital, Marietta, GA 30060 | 2019-10-12 |
| 1184283772 | Iora Health Georgia, P.C. | Internal Medicine | 280 Cobb Pkwy Se, Suite 60, Marietta, GA 30060 | 2019-06-07 |
| 1346703212 | Caitlin Virginia Mueller | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne, Attn: Gme, Marietta, GA 30060 | 2019-04-08 |
| 1184187205 | Adero Francis | Student in an Organized Health Care Education/Training Program | Wellstar Kennestone Gme Internal Medicine Clinic, 833 Campbell Hill St Nw, Suite 250, Marietta, GA 30060 | 2019-04-08 |
| 1659832749 | Matthew Mozzo | Student in an Organized Health Care Education/Training Program | 677 Church Street / Lower Level, Gme Department / I.m., Marietta, GA 30060 | 2019-03-29 |
| 1245797430 | La'myia Spentz | Specialist | 109 Anderson St Ne, Suite 608, Marietta, GA 30060 | 2019-02-25 |
| Find all providers in zip 30060 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417103557 | David Michael Weeks | Otolaryngology | 699 Church St, Ste 340, Marietta, GA 30060 | 2008-08-08 |
| 1619933249 | Seth A Yellin | Otolaryngology | 111 Marble Mill Rd Nw, Marietta, GA 30060-1047 | 2006-04-22 |
| 1538145263 | Richard Alan Gunovich | Otolaryngology | 800 Wayne St Ste 112, Marietta, OH 45750-3309 | 2005-12-15 |
| 1518958552 | David Parks | Otolaryngology | 699 Church St Ne Ste 340, Marietta, GA 30060 | 2005-10-31 |
| 1912996422 | Lawrence Steven Weiss | Otolaryngology | 3901 Roswell Rd, Ste 225, Marietta, GA 30062-8816 | 2005-10-18 |
| 1093717688 | Andrew Everett Sutton | Otolaryngology | 780 Canton Rd Ne, Suite 330, Marietta, GA 30060-7241 | 2005-08-12 |
| 1790786911 | Drew Matthew Locandro | Otolaryngology | 80 Lacy St Nw, Northwest Ent and Allergy Center, Marietta, GA 30060 | 2005-08-10 |
| 1629075833 | Donald W Alexander | Otolaryngology | 833 Campbell Hill Street, Suite 420, Marietta, GA 30060-1138 | 2005-07-01 |
| 1720083702 | Roberto A. Larrivey | Otolaryngology | 790 Church St Ne, Ste 140, Marietta, GA 30060-8902 | 2005-06-16 |
| 1780688051 | Patrick Melder | Otolaryngology | 699 Church St Ne, Ste 340, Marietta, GA 30060 | 2005-06-02 |
| Find all providers in MARIETTA | ||||
Please comment or provide details below to improve the information on DR. SALLY M. REVELL.
| 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.