JONESBORO PEDIATRICS (NPI# 1225296155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225296155 |
Entity Type | Organization |
Organization Name | JONESBORO PEDIATRICS |
Practice Address |
236 Arrowhead Blvd Jonesboro GA 30236-1106 |
Practice Telephone | 7704789240 |
Practice Fax Number | 7704780318 |
Mailing Telephone | 7704789240 |
Mailing Fax Number | 7704780318 |
Enumeration Date | 2008-05-28 |
Last Update Date | 2008-05-28 |
Authorized Official Name | DR. MARIA T COLEMAN (OWNER) |
Authorized Official Telephone | 7704789240 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 173000000X | Legal Medicine | 051305 | GA | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 000685275B | 05 | |
GA | 000973332B | 05 | |
GA | 107994871A | 05 | |
GA | 000685275C | 05 | |
GA | 000973332A | 05 | |
GA | 107994871B | 05 |
Street Address |
236 ARROWHEAD BLVD |
City | JONESBORO |
State | GA |
Zip Code | 30236-1106 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306845490 | Maria Teresa A Coleman | Pediatrics | 236 Arrowhead Blvd, Jonesboro, GA 30236-1106 | 2005-07-20 |
1033570353 | April D Joseph | Nurse Practitioner | 236 Arrowhead Blvd, Jonesboro, GA 30236-1106 | 2016-03-14 |
1336582733 | Supriya Hattangadi Kasi | Pediatrics | 236 Arrowhead Blvd, Jonesboro, GA 30236-1106 | 2013-04-16 |
1023312832 | Ernestine Nonye Jideama | Pediatrics | 236 Arrowhead Blvd, Jonesboro, GA 30236-1106 | 2011-01-08 |
1659416691 | Sharon M Bryan-grant | Nurse Practitioner | 236 Arrowhead Blvd, Jonesboro, GA 30236-1106 | 2007-02-20 |
1669438420 | Romeo R Moriles | Pediatrics | 236 Arrowhead Blvd, Jonesboro, GA 30236 | 2006-04-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972123362 | Life Source Counseling & Consulting, LLC | Clinic/Center | 118 North Avenue, Suite A, Jonesboro, GA 30236 | 2020-04-25 |
1639609555 | New Beginnings Behavioral Counseling,llc | Social Worker | 9456 S Main St Ste E2, Jonesboro, GA 30236 | 2017-06-13 |
1437696762 | Clarissa Alexandra Poole | Counselor | 2106 Fair Ridge Ct, Jonesboro, GA 30236 | 2017-01-25 |
1588012892 | Sundance Healthcare Service Inc | In Home Supportive Care | 7861 Collinswood Court, Jonesboro, GA 30236 | 2016-05-26 |
1942669205 | Adrianne Smiley Gurley | Occupational Therapist | 1299 Battlecreek Rd Ste 210, Jonesboro, GA 30236 | 2016-02-15 |
1336505809 | Integrated Health Center | Dentist | 8600 Tara Blvd, Suite D, Jonesboro, GA 30236 | 2016-01-13 |
1467827402 | Surrell Porter | Nurse Practitioner | 1287 Georgia Highway 138 Spur, Suite 8, Jonesboro, GA 30236 | 2015-12-02 |
1740688910 | Jacqueline Carolyn Edwards | Registered Nurse | 8081 Tara Blvd, 265, Jonesboro, GA 30236 | 2014-12-19 |
1770991861 | Lower Extremity Diagnostics, LLC | Podiatrist | 6911 Tara Boulevard, Jonesboro, GA 30236 | 2014-08-01 |
1760899710 | Fresenius Medical Care Jonesboro, LLC | Clinic/Center | 8060 Summitt Business Parkway, Jonesboro, GA 30236 | 2014-07-22 |
Find all providers in zip 30236 |
Taxonomy Code | 173000000X |
Grouping | Other Service Providers |
Classification | Legal Medicine |
The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. |
Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710183454 | South Atlanta Primary Care PC | Legal Medicine | 6568a Tara Blvd, Jonesboro, GA 30236-1228 | 2007-06-21 |
1871502625 | Sivanaga M. Atluri | Legal Medicine | 2400 Mt. Zion Pkwy., Kaiser Permanente Southwood Medical Center, Jonesboro, GA 30236 | 2006-08-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568790061 | Gwinnett Clinic, Ltd | Legal Medicine | 2748 Winder Hwy, Jefferson, GA 30549-8736 | 2009-11-23 |
1790939163 | Gwinnett Clinic, Ltd | Legal Medicine | 1383 Atlanta Highway, Auburn, GA 30011 | 2008-11-11 |
1932379666 | Medical Centre | Legal Medicine | 1815 Highway 138 Se Ste 800, Conyers, GA 30013-2098 | 2008-03-10 |
1215112321 | Tina M. Mason, M.d., L.L.C. | Legal Medicine | 935 River Centre Pl, Suite 200, Lawrenceville, GA 30043-7322 | 2008-01-08 |
1639350515 | Leeway Medical Group, PC | Legal Medicine | 1665 Waterway Xing Sw, Atlanta, GA 30331-8060 | 2007-11-19 |
1891975470 | Metro Vascular, P.C. | Legal Medicine | 2675 N Decatur Rd Ste 210, Suite 210, Decatur, GA 30033-6132 | 2007-11-12 |
1902013709 | Winship Clinic,p.c. | Legal Medicine | 2401 Brookstone Centre Pkwy, Bldg. 200, Columbus, GA 31904-4501 | 2007-05-17 |
1801911789 | Ronald Ivan Kaplan | Legal Medicine | 333 Sandy Springs Cir Ne, Suite 200, Atlanta, GA 30328-3897 | 2007-03-20 |
1730213547 | Cobb Pulmonary Associates PC | Legal Medicine | 140 Vann St Ne Ste 340, Marietta, GA 30060-7297 | 2007-03-15 |
1205967312 | Occupational Medicine of Columbus | Legal Medicine | 7301 N Lake Dr, Columbus, GA 31909-2788 | 2007-03-08 |
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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.